US Global Health Policy

U.S. Global Health Policy

{Photo credit: Frank Smith/MSH}Photo credit: Frank Smith/MSH

On Sunday, September 27, 2015, Management Sciences for Health (MSH), and its partners Save the Children US and International Medical Corps (IMC), along with African Field Epidemiology Network (AFENET), committed to bringing together key partners from the global public health, private, public, and civil society sectors to build the No More Epidemics™ campaign that will advocate for stronger health systems with better disease surveillance and epidemic preparedness capabilities to ensure local disease outbreaks do not become major epidemics.

Launching later this year, the No More Epidemics campaign will build a broad and inclusive partnership that will engage multiple sectors to share knowledge and expertise and provide the public information and political support for the right policies and the increased funding to ensure people everywhere are better protected from infectious diseases.

The Global Goals for Sustainable Development

After two years of negotiations, 193 Member States of the United Nations reached agreement last month on the new sustainable development agenda that will be formerly adopted later this week at the 70th United Nations General Assembly (UNGA) in New York City.

The Member States agreed to 17 sustainable development goals (SDGs) with a total of 169 targets. The SDGs will replace the Millennium Development Goals (MDGs) that expire this year and will influence development priorities and funding for the next 15 years.

About the New Development Agenda

The agenda, entitled Transforming Our World: The 2030 Agenda for Sustainable Development, is composed of five parts: The Preamble; Chapter 1: The Declaration; Chapter 2: The Sustainable Development Goals; Chapter 3: Means of implementation and the Global Partnership; and, Chapter 4: Follow up and review.

{Photo credit: Mark Tuschman.}Photo credit: Mark Tuschman.

As the 70th United Nations General Assembly convenes later this week in New York, NY to endorse the 17 new Sustainable Development Goals (SDGs), Management Sciences for Health (MSH) is leading conversations on universal health coverage, resilient health systems, noncommunicable diseases (NCDs), partnerships, and women's and children's health.

{Photo credit: MSH staff}Photo credit: MSH staff

The teenage years. Changes seem to happen overnight. Puberty. Your first crush. Fighting with a parent. Discovering your identity, your purpose, and your role in the community. A confusing and challenging, yet rewarding, coming of age... an emerging adult.

Half the world’s population is under 30 years old. About 1.8 billion people, the largest generation of youth in history, are between the ages of 10 and 24. In most countries in sub-Saharan Africa, people ages 15 to 29 will continue to comprise about half of the population for the next four decades. How does this unprecedented proportion of young people impact public health, and a community and country’s sustainable development?

Sustainable health outcomes will depend on how we engage and empower our youth.

 {Photo credit: Matthieu Koy Matili/MSH}Elene O. and her baby, Omedji village, Benadibele health zone.Photo credit: Matthieu Koy Matili/MSH

Breastfeeding is a human right, and critical for the health of both newborn and mother. Newborns benefit from early skin-to-skin contact and the antibodies in the mother’s first milk, plus factors that protect against later obesity and chronic diseases such as diabetes and asthma. Mothers benefit because early breastfeeding assists in uterine shrinkage and helps prevent postpartum bleeding. In addition, frequent, exclusive, breastfeeding reduces the likelihood of an immediate new pregnancy.

Optimal breastfeeding is most advantageous when started within an hour of birth and continued exclusively for six months; research shows that it could save 800,00 children’s lives. Yet, globally, only 38 percent of infants are breastfed exclusively.

World Breastfeeding Week 2015 (August 1-7) focuses on supporting women breastfeeding at the workplace (“Let’s make it work”).

For many women, especially in the developing world, barriers to breastfeeding start in the home or even the health facility -- before returning to work in her household, community, or workplace.

 {Photo credit: Michele Alexander/MSH}MSH staff link arms in support of healthy moms and babies.Photo credit: Michele Alexander/MSH

UPDATE: The Reach Every Mother and Child Act of 2015, S.1911, was introduced in the US Senate by Senators Susan Collins and Chris Coons on July 30, 2015.

Since 1990, nearly 100 million children around the world have been saved due to global efforts to reduce child mortality, and maternal deaths have been cut nearly in half. The US government has played a large role in this great success story.

Yet still, each day, more than 17,000 children’s lives and nearly 800 mothers’ lives are lost due mostly to preventable causes. If you’re like us, you think this is unacceptable. The good news is, history has shown us what we can do when we work together -- and research has backed it up.

We can end preventable maternal, newborn, and child deaths within a generation. But we must all play our role to make it happen!

The opportunity: A more coordinated US strategy

This week, the Reach Every Mother and Child Act (PDF) will be introduced in Congress, calling for the scaling up of simple solutions and requiring a coordinated, streamlined strategy to end preventable maternal, newborn, and child deaths by 2035.

 #Action2015.

More mothers and children under five are surviving, but progress is "uneven across regions and countries, leaving significant gaps", the United Nations Secretary-General Ban Ki-moon confirmed today, July 6, launching the final Millennium Development Goals Report (2015). Child under-five mortality has been cut in half since 1990 (reduced from 90 to 43 deaths per 1,000 live births) and maternal mortality has been reduced 45 percent -- with much of the reduction occuring since 2000.

According to the UN press release:

Targeted investments in fighting diseases, such as HIV/AIDs and malaria, have brought unprecedented results. Over 6.2 million malaria deaths were averted between 2000 and 2015, while tuberculosis prevention, diagnosis and treatment interventions saved an estimated 37 million lives between 2000 and 2013.

Worldwide, 2.1 billion have gained access to improved sanitation and the proportion of people practicing open defecation has fallen almost by half since 1990.

{Photo credit: Glenn Ruga}Photo credit: Glenn Ruga

Management Sciences for Health (MSH) is pleased to announce the availability of the 2014 edition of the International Drug Price Indicator Guide. The Guide provides a spectrum of prices from 25 sources, including pharmaceutical suppliers, international development organizations, and government agencies.

Use the Guide to determine the probable cost of pharmaceutical products for programs, compare current prices paid to prices available on the international market, assess the potential financial impact of changes to a medicines list, and to support rational medicine use education.

[2014 Edition of the International Drug Price Guide]2014 Edition of the International Drug Price GuideThe 2014 edition of the Guide includes almost 40 new items and has prices for more than 1,100 products. The therapeutic classes with the most new entries this year are anti-tuberculosis medicines, cytotoxics, and diagnostics. (Note: It is called the 2014 edition because the prices in it are from 2014.)

{Photo credit: Katy Doyle/MSH, West Africa}Photo credit: Katy Doyle/MSH, West Africa

The following blog post is a web-formatted version of MSH's Global Health Impact newsletter (June 2015 edition), Good Governance Strengthens Health Systems. We welcome your questions and feedback in the comments. Get Global Health Impact in your inbox

Notes

by James A. Rice, PhD

What do we mean by governance? Governance is a structured process used by a group of people—often referred to as a governing body, board, or council—to make decisions about policy, plans, and rules of collective action for an organization or system. For health organizations, the focus of this collective action is strengthening health systems to expand access to quality health services and achieve sustainable gains in health outcomes.

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