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- W4253874199 abstract "Michael Reich and colleagues1Reich MR Takemi K Roberts MJ Hsiao WC Global action on health systems: a proposal for the Toyako G8 summit.Lancet. 2008; 371: 865-869Summary Full Text Full Text PDF PubMed Scopus (86) Google Scholar provide a helpful overview of today's pivotal global health challenge—health systems strengthening. Although we agree with their analysis, our recommendations for the G8 Summit diverge from the three actions they propose. We endorse engagement of community-based organisations, but only if women's organisations are able to participate fully in policy development and accountability mechanisms. Although we agree that a separate fund for health systems is not appropriate, support from vertical funds will be limited at best. The G8 should also lift International Monetary Fund restrictions on health-sector subsidies and encourage public-private partnerships. It should commit to direct financing of health systems and to universal support for the International Health Partnership that aims to address most of the problems described by Reich and colleagues. The third proposal—enhanced learning, including pilot projects—is important but should not become an excuse for inaction. Pilot projects in particular should be avoided—poor countries are littered with them. Common sense, consultation, and commitment should guide collective action on global health. Common sense dictates that we focus on those most in need, usually women and very young children. Consultation with women—in their own right and because they are the engines of family and community health—is essential. Commitment to a pro-poor approach is required to achieve the Millennium Development Goals with equity. These three Cs worked well in Bangladesh in the 1990s,2Jahan R Securing maternal health through comprehensive reproductive health services: lessons from Bangladesh.Am J Public Health. 2007; 97: 1186-1190Crossref PubMed Scopus (8) Google Scholar and can provide the infrastructure necessary to address global health challenges such as HIV/AIDS. I declare that I have no conflict of interest." @default.
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- W4253874199 date "2008-06-01" @default.
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- W4253874199 title "Prospects for health-systems research" @default.
- W4253874199 doi "https://doi.org/10.1016/s0140-6736(08)60829-6" @default.
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