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Corruption and Health Systems

Corruption in global health: the open secret

• Patricia J García, MD 

Published:November 27, 2019

LECTURE| VOLUME 394, ISSUE 10214, P2119-2124, DECEMBER 07, 2019

Summary

Corruption is embedded in health systems. Throughout my life—as a researcher, public health worker, and a Minister of Health—I have been able to see entrenched dishonesty and fraud. But despite being one of the most important barriers to implementing universal health coverage around the world, corruption is rarely openly discussed. In this Lecture, I outline the magnitude of the problem of corruption, how it started, and what is happening now. I also outline people's fears around the topic, what is needed to address corruption, and the responsibilities of the academic and research communities in all countries, irrespective of their level of economic development. Policy makers, researchers, and funders need to think about corruption as an important area of research in the same way we think about diseases. If we are really aiming to achieve the Sustainable Development Goals and ensure healthy lives for all, corruption in global health must no longer be an open secret.

Alternative Astana Statement

From: B Lloyd <blloyd@phmovement.org> 

We have changed wording in the second paragraph (after the final WHO declaration was published) and have also removed “DRAFT” from the title.

 We are still collecting endorsements until PHA4 – if anyone says they cannot connect / get an error message, please ask that they go to this page http://phmovement.org/alternative-civil-society-astana-declaration-on-primary-health-care/.

See attached

Alternative Civil Society Astana Statement on Primary Health Care
We, members of public interest civil society organisations and social movements, some of whom are
participants at the Global Conference on Primary Health Care, re-affirm our commitment to primary health care (PHC) in pursuit of health and well-being for all, aiming to achieve equity in health outcomes. We envision:

Societies and environments that prioritize, protect and promote people’s health;
Health care that is accessible, affordable and acceptable for everyone, everywhere;
Health care of good quality that treats people with respect and dignity;
Health systems over which communities are able to exert control

Although these objectives are shared in the official Astana Declaration it is concerning that the latter frames PHC primarily as a “cornerstone”, i.e. a foundation of Universal Health Coverage (UHC). PHC, is broader and indeed subsumes UHC, which is, in many countries, being implemented by private health insurance companies and aggravating health inequities. While the official declaration recognises that it is “ethically, politically, socially and economically unacceptable that inequity in health and disparities in health outcomes persist” it does not acknowledge that health gains in some places are being reversed. /.../

Alma Ata 40: Declaración de Astaná

Alma Ata +40 acaba de compartilhar uma atualização no abaixo-assinado "CARTA A MINISTRAS Y MINISTROS DE SALUD A 40 AÑOS DE ALMA ATA".