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Science 15 March 2002:
Vol. 295. no. 5562, pp. 2036 - 2039
DOI: 10.1126/science.295.5562.2036
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Viewpoint
Improving the Health of the Global Poor
Prabhat Jha,12*
Anne Mills,3
Kara Hanson,3
Lilani Kumaranayake,3
Lesong Conteh,3
Christoph Kurowski,3
Son Nam Nguyen,2
Valeria Oliveira Cruz,3
Kent Ranson,3
Lara M. E. Vaz,1
Shengchao Yu,4
Oliver Morton,5
Jeffrey D. Sachs6
We analyzed the technical basis for a major global program to
reduce disease among the poor. Effective interventions exist against
the few diseases which most account for excess mortality among the
poor. Achieving high coverage of effective interventions requires a
well-functioning health system, as well as overcoming a set of
financial and nonfinancial constraints. The annual incremental cost
would be between $40 billion and $52 billion by 2015 in 83 low-income
and sub-Saharan African countries. Such a program is feasible and would
avoid millions of child, maternal, and adult deaths annually in poor
countries.
1 World Health Organization (WHO),
Geneva 01220, Switzerland.
2 World Bank, Washington,
DC 20433, USA.
3 London School of Hygiene and
Tropical Medicine, London WC1E 7HT, UK.
4 University
of Pennsylvania, Philadelphia, PA 19104, USA.
5 Hybrid Vigor Institute, San Francisco, CA, USA and
London, UK SE10 8NW.
6 Center for International
Development, Harvard University, Cambridge, MA 02138, USA.
*
To whom correspondence should be addressed. E-mail:
jhap{at}who.int or pjha{at}worldbank.org
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