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National spending on health by source for 184 countries between 2013 and 2040

Dieleman, J.; Templin, T.; Sadat, N. et al. (2016) CC

A general consensus exists that as a country develops economically, health spending per capita rises and the share of that spending that is prepaid through government or private mechanisms also rises. However, the speed and magnitude of these changes vary substantially across countries, even at simi...lar levels of development. In this study, we use past trends and relationships to estimate future health spending, disaggregated by the source of those funds, to identify the financing trajectories that are likely to occur if current policies and trajectories evolve as expected. Methods We extracted data from WHO's Health Spending Observatory and the Institute for Health Metrics and Evaluation's Financing Global Health 2015 report. We converted these data to a common purchasing power-adjusted and inflation-adjusted currency. We used a series of ensemble models and observed empirical norms to estimate future government out-of-pocket private prepaid health spending and development assistance for health. We aggregated each country's estimates to generate total health spending from 2013 to 2040 for 184 countries. We compared these estimates with each other and internationally recognised benchmarks. Findings Global spending on health is expected to increase from US$7·83 trillion in 2013 to $18·28 (uncertainty interval 14·42–22·24) trillion in 2040 (in 2010 purchasing power parity-adjusted dollars). We expect per-capita health spending to increase annually by 2·7% (1·9–3·4) in high-income countries, 3·4% (2·4–4·2) in upper-middle-income countries, 3·0% (2·3–3·6) in lower-middle-income countries, and 2·4% (1·6–3·1) in low-income countries. Given the gaps in current health spending, these rates provide no evidence of increasing parity in health spending. In 1995 and 2015, low-income countries spent $0·03 for every dollar spent in high-income countries, even after adjusting for purchasing power, and the same is projected for 2040. Most importantly, health spending in many low-income countries is expected to remain low. Estimates suggest that, by 2040, only one (3%) of 34 low-income countries and 36 (37%) of 98 middle-income countries will reach the Chatham House goal of 5% of gross domestic product consisting of government health spending. Interpretation Despite remarkable health gains, past health financing trends and relationships suggest that many low-income and lower-middle-income countries will not meet internationally set health spending targets and that spending gaps between low-income and high-income countries are unlikely to narrow unless substantive policy interventions occur. Although gains in health system efficiency can be used to make progress, current trends suggest that meaningful increases in health system resources will require concerted action. Funding Bill & Melinda Gates Foundation. more

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Seasonal malaria chemoprevention with sulfadoxine–pyrimethamine plus amodiaquine in children: a field guide

World Health Organization WHO (2023) C_WHO

2nd edition. This second edition builds on the experience of more than 10 years of SMC deployment, and reflects changes introduced in the WHO guidelines for malaria, 3 June 2022. The goal of this publication is to share these best practices to improve SMC implementation, coverage, and monitoring and... more

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Communication Guide for Malaria Control Interventions 2015-2020

The Ministry of Health and Social Welfare of Tanzania (2015) CC

This Communication Guide for Malaria Control Interventions is aligned with Tanzania’s Malaria Strategic Plan (2015–2020) and provides comprehensive guidance on the implementation of Social and Behaviour Change Communication (SBCC) for the prevention, diagnosis and treatment of malaria. It is int... more

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Advancing equity in diabetes technology

Diabetes Africa (2024) CC

This toolkit suggests several approaches to addressing technology access disparities. At its core is a comprehensive checklist that helps teams systematically evaluate their current practices and identify opportunities for improvement. This structured self-assessment tool spans both team-level a... more

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LE "DIVIDENDE" DU PALUDISME - OU POURQUOI INVESTIR DANS L’ÉLIMINATION DU PALUDISME PROFITE À TOUS

Malaria No More; RBM Partnership To End Malaria; Oxford Economics AFRICA (2025) C1

Malaria remains a significant public health concern, particularly in sub-Saharan Africa, where the majority of cases and fatalities occur, especially among children under five. Although there was a significant decline in global mortality and incidence between 2000 and 2015, progress has stalled sinc... more

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New good practice statement on counselling behavioural interventions for key populations to prevent HIV, viral hepatitis and STIs

World Health Organization WHO (2023) C_WHO

Policy Brief. Good practice statement: When planning and implementing a response for HIV, viral hepatitis and sexually transmitted diseases (STIs), policy-makers and providers should be aware that counselling behavioural interventions aimed to change behaviours to reduce risks associated with th... more

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Guidelines for developing inclusive water, sanitation and hygiene infrastructure

Arup; International Labour Organization ILO; UN Children's Fund UNICEF; UNOPS; WaterAid (2024) CC

Around the world, more than 2 billion people lack access to safely managed water, sanitation and hygiene services, with conflicts and climate change exacerbating the issue. Unsafe and insufficient WASH facilities, especially in rural and remote areas, can lead to increased health complications fo... more

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National hiv testing services communication strategy 2015 - 2019

National AIDS STI Control Programme (NASCOP), Ministry of Health, Government of Kenya (2015) C1

Strategic communication is used to raise awareness of issues among specific target populations. It aims to provide timely, evidence-based, authoritative information and guidance needed for public health action. Proper implementation of strategic communication leads t... more

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Message Guide for the Fight Against Malaria in Malawi

Ministry of Health of Malawi (2023) CC

This document was developed by the Ministry of Health in Malawi in collaboration with national and international partners. It introduces a Social and Behaviour Change (SBC) malaria message guide that is aligned with the National Malaria Communication Strategy (NMCS) for the period 2023–2030. The g... more

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Germanys expanding role in global health

Ilona Kickbusch, Christian Franz, Anna Holzscheiter, Iris Hunger, Albrecht Jahn, Carsten Kö; hler, Oliver Razum, Jean-Olivier Schmidt Lancet 2017; 390: 898– 912 (2017) CC

Germany has become a visible actor in global health in the past 10 years. In this Series paper, we describe how this development complements a broad change in perspective in German foreign policy.

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Biennium Report 2022–2023 Department of Healthier Populations and Noncommunicable Diseases (HPN)

World Health Organization WHO (2024) C_WHO

Human health and well-being are intimately linked to the state of the environment. Water, sanitation and hygiene (WASH), climate change, air pollution and exposure to hazardous chemicals are major causes of environment-related burden of disease across the world. In the WHO South-East Asia Region, al... more

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Neonatal resuscitation – Understanding challenges & identifying a strategy for implementation in Nepal

Ashish, K.C. Uppsala Universitet (2016) C2

Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine | The aim of this study was to explore the risk factors for stillbirth and neonatal death and change in perinatal outcomes after the introduction of helping Babies Breathe Quality Improvement Cycle in Nepal.

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Alliance of Nurses for Healthy Environment - Website

Alliance of Nurses for Healthy Environments (2021) CC

The Mission of ANHE: Promoting healthy people and healthy environments by educating and leading the nursing profession, advancing research, incorporating evidence-based practice, and influencing policy. This website provides an insight into environmental health in health care settings and their wor... more

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Ebola: Lessons for development

IDS Institute of Development Studies (2015)

This is an initiative in which it is hoped the development community can start to ask itself deep and serious questions about how the current development model has contributed to shaping the magnitude of today’s crisis – and, importantly, point to what needs to change to realise a more resilient... more

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Equity and adequacy of international donor assistance for global malaria control: an analysis of populations at risk and external funding commitments

Snow, RW.; Okiro, EO.; Gething, PW.; Atun, R.; Hayc, SI. The Lancet (2010) CC

Financing for malaria control has increased as part of international commitments to achieve the Millennium Development Goals (MDGs). We aimed to identify the unmet financial needs that would be biologically and economically equitable and would increase the chances of reaching worldwide malaria-contr... more

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Philippines: Disaster Management Reference Handbook

Center for Excellence in Disaster Management and Humanitarian Assistance (2018) C1

The Philippine Government, International Non-government Organizations (INGOs) and local NGOs are all making attempts to address the impact of disasters and climate change at various levels. The Philippine Government has made significant strides in the implementation of disaster risk reduction (DRR) ... more

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Implementation of the CHWs Guidelines using AMREF Health Africa Lessons Learnt (POPULAR VERSION)

Amref Health Africa (2020) CC

Implementation of the CHWs guidelines using Amref Health Africa lessons learnt focuses on providing CHWs with predictable financial and non financial incentives, frequent support supervision, continuous training and embedding them in health systems with clear roles. Empowering CHWs represents ... more

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Risk communications
recommended

World Health Organization WHO (2022) C_WHO

For public health emergencies, risk communication includes the range of communication capacities required through the preparedness, response and recovery phases of a serious public health event to encourage informed decision making, positive behaviour change and the maintenance of trust. Risk commu... more

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Antimicrobial Resistance (AMR)

Deininger, K. The MEDBOX Team (2023) CC

Issue Brief 31: Antimicrobial resistance (AMR) can occur when viruses, bacteria, parasites and fungi change over time. There is no longer a response to medicines, and the infection treatment gets really difficult which increases the risk of a disesase spread, which can lead to severe health problems... more

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Sustainable financing: WHO investment round

World Health Organization WHO (2023) C_WHO

Even before the coronavirus disease (COVID-19) pandemic, it was apparent that the world’s directing and coordinating authority on international health work needed sustainable financing in order for Member States to address the evolving global health threats, ranging from those rooted in climate c... more

Risk communications recommended

Risk communications
recommended