Friday, March 5, 2010

challenge of global health

This article is on how even though donors give large amounts of money, global health is worsening over the years. The money is not spent where it is needed the most and causes more harm than benefit to developing countries. There are many problems with the global health-care system and there needs to be change.
Global health is worsening even with large amounts of money because the money goes to wrong places. Money is not spent on where it is actually needed but rather where the donor would get the most out of it such as publicity. The money is controlled by the donor so it is not really effective. The real problems are not tackled and even some of the money are used in the wrong places because they are not properly regulated. Many of the money is spent towards HIV/Aids when there are also many other diseases that need to be cured. Also the need for physicians is growing because many are dying or simply emigrating to America for money and leaving developing countries. No one is willing to tackle all of global health's problems either. The money may focus only on one problem too much shadowing other major health problems such as a mother receiving drugs for Aids but not even getting the most basic care for childbirth or infant care.
The two markers for a good healthcare system is increased maternal survival and increased overall life expectancy. Maternal survival is important because if pregnant women are surviving, it means the facility is clean, well-kept, safe, fully staffed, and well supplied in medicine and sterile equipment. This in turn shows a good health-care system where people can get treated right. Longer life expectancy shows the overall population is surviving longer and living healthier lives. This shows living standards are up to par and there are not many diseases shortening life expectancies. A good health-care system would lead to longer life expectancies. It would show there are no major problems affecting the population and everyone is getting treated with quality.
A new strain of TB called the XDR-TB has emerged with devastating effects. It is almost always lethal and threatens many communities in the world. This strain mutated from TB by becoming resistant to antibiotics and has become deadly. This is linked to poor general health system. TB treatment was not handled well because the money was not used wisely in where it was needed and so this new strain has developed and hurt more people. The therapy was not done effectively and created the emergence of a lethal, drug-resistant strain. Another harm from donors not using the money correctly is higher spread of HIV among children. Because the money is not given to where is it most needed such as clinics, physicians are forced to reuse syringes to give vaccinations to children which spreads HIV. Not only with syringes, but also equipment and blood-bank systems that lack proper care and sterilization because of low funding spreads HIV easily among the population.

1 comment:

  1. Good job April. You highlight all relevant points addressed by the article, including the central thesis: the controversy over "disease-specific" vs "health infrastructure" arguments for global health funding.

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