Junta Médica por vídeo

G20 and development for health

The G20 and development assistance for health: historical trends and crucial questions to inform a new era

• Joseph L Dieleman, PhD  †
• Krycia Cowling, PhD †
• Irene A Agyepong, DrPH
• Sarah Alkenbrack, PhD
• Thomas J Bollyky, JD
• Jesse B Bump, PhD
• et al.
• Show all authors
• Show footnotes

Published:June 27, 2019DOI:https://doi.org/10.1016/S0140-6736(19)31333-9

Conclusion

The global health challenges and expansive set of global health goals in the SDGs require a new approach to address pending questions about how DAH can better prioritise equity, efficiency, and sustainability, particularly through domestic resource use and mobilisation and strategic partnerships. The G20 Summit, with its focus on global health and achieving the SDGs with senior representatives from the world's largest providers of DAH, emerging donors, and DAH recipients, is a unique forum to consider the changing DAH context and the most pressing DAH questions. Priority areas for discussion include how to focus DAH for equitable health gains; how to deliver DAH to strengthen health systems to efficiently use limited resources; and how to promote domestic financing for sustainable impact. Although not necessarily new issues, the changing global context requires new answers. Wrestling with these difficult questions is essential to develop stronger health financing systems capable of reaching and sustaining crucial global health goals.

Primary Health Care: Global Conference

http://www.who.int/primary-health/conference-phc/

On 25-26 October 2018, the world will come together in Astana, Kazakhstan, at the Global Conference on Primary Health Care to renew a commitment to primary health care to achieve universal health coverage and the Sustainable Development Goals. The Conference will be held at the Palace of Independence and is cohosted by the Government of Kazakhstan, WHO and UNICEF.

Global Conference on Primary Health Care

On 25-26 October 2018, the world will come together in Astana, Kazakhstan, at the Global Conference on Primary Health Care to renew a commitment to primary health care to achieve universal health coverage and the Sustainable Development Goals. The Conference will be held at the Palace of Independence and is cohosted by the Government of Kazakhstan, WHO and UNICEF.

• Read more about the conference

Invest today for a healthy and prosperous future

Health leaders from around the world are gathering in Port Moresby this week for the APEC High-Level Meeting on Health and the Economy. The theme is Transforming Primary Health Care through Investment, Innovation, and Collaboration, and never has the need been more pressing.

• Read commentary
  by Dr Young-Soo Shin
  Regional Director of WHO Western Pacific

PHC at the World Health Assembly

Primary health care is front and centre at the seventy-first world health assembly this year. Primary health care and universal health coverage will be the topic of the first technical briefing for Member States. PHC will also be the topic of several official side events. A ministerial pop-up 'Past, present and future primary health care: Alma-Ata at 40' will underline the need to reorient health systems toward primary health care to achieve health for all in the 21st century.

• Find out more about the 71st WHA

Global Conference on Primary Health Care

On 25-26 October 2018, the world will come together in Astana, Kazakhstan, at the Global Conference on Primary Health Care to renew a commitment to primary health care to achieve universal health coverage and the Sustainable Development Goals. The Conference will be held at the Palace of Independence and is cohosted by the Government of Kazakhstan, WHO and UNICEF.

• Read more about the conference

WHO/SEARO/Payde

n

Alma Ata 40

Equity & Health‏ @equitylist

Alma-Ata at 40 years: reflections from the Lancet Commission on Investing in Health

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Alma-Ata at 40 years: reflections from the LancetCommission on Investing in Health

• David A Watkins, MD  *
• Prof Gavin Yamey, MD *
• Marco Schäferhoff, PhD
• Olusoji Adeyi, DrPH
• Prof George Alleyne, MD
• Prof Ala Alwan, MD
• et al.
• Show all authors
• Show footnotes

Published:October 20, 2018DOI:https://doi.org/10.1016/S0140-6736(18)32389-4

PlumX Metrics

• Executive summary
• Introduction
• Is grand convergence by 2035 still feasible?
• The future of domestic health policy, universal health coverage, and primary health care
• The future of health ODA and international collective action for health
• Conclusions
• Supplementary Material
• References
• Article Info
• Figures
• Tables

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Executive summary

In 2013, the Lancet Commission on Investing in Health published its report, “Global health 2035: a world converging within a generation” (GH2035). The report concluded that a grand convergence in health—a reduction in infectious, child, and maternal mortality to rates seen in the best-performing middle-income countries—is technically and financially feasible for all but the poorest countries by 2035. Mortality from non-communicable diseases could be reduced through inexpensive population-based and clinical interventions, especially fiscal policies such as heavy tobacco taxation. Pro-poor pathways to universal health coverage, such as publicly financed insurance, would provide financial protection and essential health-care interventions to everyone—ensuring high-quality, low-cost services at the point of care. And the returns on investing in health, based on methods that include both the benefits of improved economic productivity and the intrinsic value of health, would far exceed the costs.

8:58 AM - 19 Oct 2018

BR direito universal à saúde

EDITORIAL| VOLUME 392, ISSUE 10155, PE11, OCTOBER 13, 2018

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Serão as eleições no Brasil saudáveis, sem um plano para o direito universal à saúde?

• The Lancet

Published:October 13, 2018DOI:https://doi.org/10.1016/S0140-6736(18)32543-1

No dia 7 de Outubro, os Brasileiros votaram no primeiro turno de eleição para um novo presidente. Num cenário de crise política e econômica, a eleição tem sido uma disputa apertada com um enfoque particular na violência e na corrupção. Assim, o tempo disponível para discussão de políticas de saúde esta muito reduzido, num momento crítico em que o Sistema Único de Saúde do Brasil enfrenta numerosos desafios. O subfinanciamento persistente, e a desvalorização da taxa de câmbio deram origem à falta de medicamentos básicos e falta de leitos nos hospitais, como relatado no World Report da Lancet. Estes desafios são agravados por um complexo sistema de financiamento e provisão de serviços de saúde que é tripartido entre os governos Federal, Estadual, e Municipal, que frequentemente não estão coordenados.

Há dois candidatos que vão disputar o último turno das eleições no dia 28 de Outubro. O Jair Bolsonaro do Partido Social Liberal, compromete-se a assegurar o pacote de medidas de austeridade, já em vigor, incluindo o congelamento do orçamento para a saúde. Fernando Haddad é o candidato rival de Bolsonaro do Partido dos Trabalhadores. A principal promessa de Haddad é revogar a emenda da Constituição Federal que congelou o orçamento da saúde em 2016, contudo não se compromete a aumentar a despesa na saúde. Alguns analistas acreditam que o retorno de doenças infecciosas como o sarampo, que já tinha sido eliminado no país, são consequência das medidas de austeridade que já afetam o sistema de saúde. Os mesmos também calculam que o progresso que tem sido feito na mortalidade infantil em breve será revertido.

Ironicamente, o elemento comum entre as propostas de saúde dos dois candidatos é o aprimorar o Prontuário Eletrônico Nacional Interligado, ao invés de considerar resolver problemas mais imediatos como a inserção de médicos nas zonas fora das cidades e mais rurais para promover o direito da igualdade à saúde. De acordo com um relatório da Universidade de São Paulo, há apenas 1·16 médicos para cada 1000 habitantes no norte comparados com 2·81 nas zonas mais populosas do sul.

As propostas de saúde de ambos os candidatos são baseadas em abordagens ideológicas com pouco contributo de dados clinicos ou de saúde publica. Para manter o compromisso ao direito universal à saúde, o Brasil tem que exigir mais dos seus candidatos: violência urbana e corrupção são importantes, mas a saúde dos Brasileiros também tem que ser de alta prioridade.

Quiosks ?

Enviado pelo AMICOR Reginaldo Hollanda Albuquerque (Brasília)

Quiosques de saúde têm sido cada vez mais adotados para fornecer serviços de saúde para aqueles com acesso limitado. Os quiosques têm o potencial de atingir pessoas que podem ter condições de saúde não diagnosticadas ou aquelas que não estão sob cuidados médicos regulares. Até o momento, há poucas pesquisas avaliando a utilidade dos quiosques de saúde na comunidade. Este estudo teve como objetivo explorar a aceitabilidade, usabilidade, utilidade e satisfação geral dos quiosques de saúde em ambientes de comunidade majoritária afro-americana. Veja mais:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5784498/

https://bitly/2PM0vSW e

https://bit/ly/2yl055

Fui verificar no Aurélio como estava a palavra na nossa língua: já foi incorporada, mas na definição saúde - por enquanto - está nos etc...

A Falta de infraestrutura em nossos postos de atendimento já os deixam bastante próximos dos Quiosks...(veja Jornal do CFM)

Universal Health Coverage

Universal health coverage can best be achieved by public systems

August 24, 2018

Expanding coverage by ushering in the private sector results in inequities in access, argue Ramya Kumar and Anne-Emanuelle Birn

This year the World Health Organization (WHO) observed its 70th birthday by holding World Health Day in Sri Lanka, where the theme was “Universal Health Coverage: Everyone, Everywhere.” The high profile event focused on the access achievements of Sri Lanka’s acclaimed low cost, publicly financed and delivered healthcare system.[1] Yet missing from the proceedings was any reference to the ongoing privatisation of this system, and its consequences and relevance to the goal of universal health coverage (UHC).

As WHO works towards achieving UHC through “financial risk protection, access to quality essential healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all,” it sidesteps the reality that expanding coverage by ushering in the private sector results in inequities in access and rising health expenditure./.../