The Ministry of Health and Social Services (MoHSS) on Tuesday, 13 September, launched a study report on Equity in Health Care in Namibia, which is aimed at generating evidence needed to enhance the health ministry’ endeavors to redressing inequities in resource allocation in the country. The study specifically purports to develop a needs-based allocation formula that will assist the MoHSS to shift its resource allocation mechanism away from the historical incrementalist type.
Equity in Health
This report from the World Health Organization (WHO) asserts that if trends established in the 1990s continue, the majority of developing countries will not achieve the health Millennium Development Goals (MDGs) by 2015. None of the poorest regions of the developing world is on track to meet the child mortality target, while maternal mortality has only declined in countries where levels were already relatively low. Targets for reversing HIV and AIDS and reducing incidence of malaria, tuberculosis and other communicable diseases, remain a huge challenge in sub-Saharan Africa.
HIV/AIDS has accounted for huge reversals in human development in Southern Africa, which could impact on the region meeting some of the UN's poverty-slashing Millennium Development Goals (MDGs), according to a new report. The UN's '2005 Human Development Report' released on Wednesday noted that 12 of the 18 countries that have suffered development reversals between 1990 and 2003 were in sub-Saharan Africa, with Southern Africa "hit hardest".
The global pursuit of a vaccine against HIV/AIDS is failing due to a lack of funds and commitment, a delegation of researchers heard on Tuesday. Addressing the '2005 AIDS Vaccine International Conference' in Montreal, Canada, Stephen Lewis the UN Special Envoy for AIDS in Africa urged scientists to emerge from their laboratories to become champions for the cause.
Equity, defined primarily as equality of opportunities among people, should be an integral part of a successful poverty reduction strategy anywhere in the developing world, says the World Bank's annual 2006 World Development Report. "Equity is complementary to the pursuit of long-term prosperity," said François Bourguignon, the Bank's Chief Economist and Senior Vice President for Development Economics, who guided the team that produced the report. "Greater equity is doubly good for poverty reduction. It tends to favor sustained overall development, and it delivers increased opportunities to the poorest groups in a society."
According to the World Health Organisation malnutrition is associated with about 60 percent of deaths in children under five years old in the developing world. The WHO has developed guidelines to improve the quality of hospital care for malnourished children in order to reduce deaths. The guidelines suggest ten steps for routine management of severe malnourishment. These will require most hospitals to make substantial changes.
The 2005 World Summit, a “high-level plenary meeting of the 60th session of the General Assembly of the United Nations”, was the grand title of a dreary and lacklustre meeting held in New York on Sept 14–16, reports the 24 September issue of The Lancet. The summit has been widely derided, mainly for its watered-down outcome document, which was painfully agreed on the eve of the summit. For those most concerned about the fate of the Millennium Development Goals (MDGs), with their aim to halve world poverty by 2015, there were one or two potentially bright spots. UN delegates committed an additional US$50 billion to the MDGs over the next 5 years, with every developing country agreeing to create a national plan by the end of 2006 for achieving the MDGs.
The World Summit is expected to bring together more than 170 Heads of State and Government: the largest gathering of world leaders in history. It is a once-in-a-generation opportunity to take bold decisions in the areas of development, security, human rights and reform of the United Nations. Proposals in the area of development call for breakthroughs in debt relief and trade liberalization, and increases in aid to revitalize infrastructure and improve health and education services, in order to achieve the Millennium Development Goals (MDGs), including cutting extreme poverty in half by 2015 (www.un.org/millenniumgoals ).
As the prices of first-line anti-AIDS medication continue to fall, newer antiretrovirals (ARVs) can cost up to 12 times more in sub-Saharan Africa, according to a report by Medecines Sans Frontieres (MSF). Paediatric formulations were also more expensive than adult ARV drugs: treating a child for one year could be as much as US $816, while the same triple-drug regimen for adults was only $182.
The report, Health and the Millennium Development Goals, presents data on progress on the health goals and targets and looks beyond the numbers to analyse why improvements in health have been slow and to suggest what must be done to change this. The report points to weak and inequitable health systems as a key obstacle, including particularly a crisis in health personnel and the urgent need for sustainable health financing.
