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Financing global health 2011 global health council 011912_ihme

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Institute for Health Metrics and Evaluation - University of Washington
Institute for Health Metrics and Evaluation - University of Washington
Salud y medicina
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January 19, 2012 Christopher Murray, Director, IHME Michael Hanlon, Lecturer, IHME Financing Global Health 2011: Continued growth as MDG deadline approaches
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]
IHME tries to inform three questions Question IHME’s work What are people’s health problems? Track adult, child, maternal mortality; The Global Burden of Disease 2010 Study How well does a society address these health problems? Track inputs, outputs and outcomes from public health, medical care, and other key social determinants What can be done in the future to maximize health improvement? Estimate cost effectiveness of major interventions and health system intervention options
Increased pressure for financing information ,[object Object],[object Object],[object Object]
Tracking health financing ,[object Object],[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]
Funding sources, channels of assistance, and implementing institutions
Data sources
Avoiding double counting ,[object Object],[object Object],[object Object]
Preliminary estimates for donors and agencies ,[object Object],[object Object]
DAH by topic area ,[object Object],[object Object],Project Type Search Terms HIV HIV, HIV/AIDS, AIDS, retroviral, etc. Tuberculosis TB, tuberculosis, directly observed treatment, etc. Malaria Malaria, bet nets, insecticide, etc. Health sector support Sector wide approach in health, sector program, etc. Maternal, newborn, and child health Antenatal, prenatal, maternal health, child mortality, etc. Noncommunicable diseases Cancer, chemotherapy, tobacco, psychological, cardiovascular, etc.
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]
DAH by channel of assistance, 1990 to 2011
Change in DAH, 2010 to 2011
Global Fund: 2010 versus 2011
Global Fund: trends 2002 to 2011
DAH by source
DAH as share of GDP: USA #4
Total overseas health expenditures channeled through US NGOs by funding source, 1990-2011
Top 15 NGOs in overseas health expenditure, 2005 to 2008
Fund balances for UN health-related agencies at end of 2009
Top 30 country recipients of DAH, 2004 to 2009, compared with top 30 countries by all-cause burden of disease, 2004
Total DAH per all-cause DALY, 2004 to 2009
DAH for HIV-AIDS; maternal, newborn, and child health; malaria; health sector support; TB; and non-communicable disease
DAH for maternal and child health by channel of assistance, 1990 to 2009
DAH for health sector support by channel of assistance, 1990 to 2009
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]
GHE-S by Global Burden of Disease developing region, 1995 to 2009
Domestic spending: continued growth Year Total growth East Asia growth 2004 8.7% 13.0% 2005 6.2% 10.2% 2006 12.1% 14.3% 2007 12.0% 23.0% 2008 11.1% 18.3% 2009 11.4% 19.2%
Domestic spending: continued growth
However, “subadditionality” persists ,[object Object],[object Object],[object Object]
Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2006 to 2007
Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2008 to 2009
Subadditionality summarized ,[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]
How much does subadditionality matter? ,[object Object],[object Object]
Subadditionality’s effect ,[object Object],[object Object]
Estimating OOP ,[object Object],[object Object]
Living with slow growth? ,[object Object],[object Object],[object Object]
Lessons from DFID and AusAid ,[object Object],[object Object]

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Financing global health 2011 global health council 011912_ihme

  • 1. January 19, 2012 Christopher Murray, Director, IHME Michael Hanlon, Lecturer, IHME Financing Global Health 2011: Continued growth as MDG deadline approaches
  • 2.
  • 3. IHME tries to inform three questions Question IHME’s work What are people’s health problems? Track adult, child, maternal mortality; The Global Burden of Disease 2010 Study How well does a society address these health problems? Track inputs, outputs and outcomes from public health, medical care, and other key social determinants What can be done in the future to maximize health improvement? Estimate cost effectiveness of major interventions and health system intervention options
  • 4.
  • 5.
  • 6.
  • 7. Funding sources, channels of assistance, and implementing institutions
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. DAH by channel of assistance, 1990 to 2011
  • 14. Change in DAH, 2010 to 2011
  • 15. Global Fund: 2010 versus 2011
  • 16. Global Fund: trends 2002 to 2011
  • 18. DAH as share of GDP: USA #4
  • 19. Total overseas health expenditures channeled through US NGOs by funding source, 1990-2011
  • 20. Top 15 NGOs in overseas health expenditure, 2005 to 2008
  • 21. Fund balances for UN health-related agencies at end of 2009
  • 22. Top 30 country recipients of DAH, 2004 to 2009, compared with top 30 countries by all-cause burden of disease, 2004
  • 23. Total DAH per all-cause DALY, 2004 to 2009
  • 24. DAH for HIV-AIDS; maternal, newborn, and child health; malaria; health sector support; TB; and non-communicable disease
  • 25. DAH for maternal and child health by channel of assistance, 1990 to 2009
  • 26. DAH for health sector support by channel of assistance, 1990 to 2009
  • 27.
  • 28. GHE-S by Global Burden of Disease developing region, 1995 to 2009
  • 29. Domestic spending: continued growth Year Total growth East Asia growth 2004 8.7% 13.0% 2005 6.2% 10.2% 2006 12.1% 14.3% 2007 12.0% 23.0% 2008 11.1% 18.3% 2009 11.4% 19.2%
  • 31.
  • 32. Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2006 to 2007
  • 33. Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2008 to 2009
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.

Notas del editor

  1. Report Fig. 2
  2. Report Fig. 8
  3. Report Fig. 10