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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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Video: MANAGEMENT OF PPH - NO RESOURCE SETTING (SOMALI)

Medical Aid Films (2014)

Primary Post-partum Haemorrhage (PPH) is one of the major causes of maternal death in the developing world. This animation is aimed at women and TBAs. It teaches how to prevent and manage PPH in settings where it would take the woman more than 4 hours to reach skilled obstetric care. It demonstra... more

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Guidelines on the provision of Manual Wheelchairs in less resourced settings

World Health Organization; USAID; ISPO (2008) C_WHO

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What can low-income countries do to provide relief for the poor and the vulnerable during the COVID-19 pandemic?

Özler B. (2020) C3

As countries like the United States pass temporary legislation to cushion the massive blow that is on the horizon that is about to hit many of their citizens – poor and not poor – it is important to think about the tools available to governments of low-income countries, what kind of preparations... more

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COVID19 e-learning guidance for primary care clinicians in resource-poor settings
recommended

Primary Care International (2020) CC

This content provides concise, pragmatic guidance to front-line healthcare workers. The guidance is written by PCI’s Clinical Associates, who are themselves primary healthcare workers. It draws on up-to-date guidance from key sources including the WHO, UNHCR and PCI’s own sister organisation R... more

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Essential prevention and care interventions for adults and adolescents living with HIV in resource-limited settings

World Health Organization WHO (2008) C_WHO

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The Practical Approach to Care Kit (PACK) Nigeria

Knowledge Translation Unit, BMJ and Health Resources International West Africa (HRIWA) (2021) CC

PACK Nigeria (Adult and Child) provides a single, integrated, comprehensive, evidence-informed clinical guide to support all cadres working in primary healthcare in Nigeria: i.e. junior community health extension workers (JCHEWs), community health extension workers (CHEWs), community health officers... more

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in2mentalhealth

R.Korste (2019) CC

Info from and between Mental Health Workers, NGO's, Institutes, Service Users and others who are interested in improving Mental Health in Low and Middle Income Countries

Die Finanzierung der allgemeinen Gesundheitsversorgung in den wirtschaftlich benachteiligten Ländern

Joachim Rüppel, Tilman Rüppel Action against AIDS Germany (2019) CC

Die weltweite Ungleichheit bei der Verteilung von Einkommen und Vermögen weit jenseits dessen, was sich durch Unterschiede der Belastung oder Verantwortung durch die jeweilige Arbeitstätigkeit begründen ließe, stellt schon für sich genommen eine gewaltige Ungerechtigkeit dar. Sie steht auch in ... more

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International Network for Cancer Treatment and Research/ Alliance Mondiale contre le cancer

International Network for Cancer Treatment and Research Alliance Mondiale contre le cancer (2022) CC

AMCC, a Non-Governmental Organization (NGO) association governed by the law of 1901, the French branch of the INCTR (International Network for Treatment and Research on Cancer) mainly oriented towards women's and children's cancers, aims to strengthen the fight against cancer in low- and middle-inco... more

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The Global Fund COVID-19 Response

The Global Fund (2021) CC

COVID-19 is having a catastrophic impact on the most vulnerable communities around the world and is threatening decades of progress in the fight against HIV, TB and malaria. The Global Fund works with partners, countries and communities to fight COVID-19, adapt lifesaving HIV, TB and malaria program... more

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Fighting COVID-19 through hygiene: share your expertise and get your questions answered

COVID-19 Hygiene Hub (2020) C2

Accessed: 02.05.2020 The COVID-19 Hygiene Hub is a free service to help actors in low- and middle-income countries rapidly share, design, and adapt evidence-based hygiene interventions to combat COVID-19.

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Kenya Palliative Care Policy 2021-2030

Republic of Kenya, Ministry of Health (2021) CC

Globally, approximately 56.8 million people are in need of palliative care services; 78% of them living in low and middle-income country yet only about 12% have their needs being met causing great suffering for many.