Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

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dc.contributor.authorMicah, Angela E.
dc.contributor.authorSu, Yanfang
dc.contributor.authorBachmeier, Steven D.
dc.contributor.authorChapin, Abigail
dc.contributor.authorCogswell, Ian E.
dc.contributor.authorCrosby, Sawyer W.
dc.contributor.authorCunningham, Brandon
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dc.contributor.authorMaddison, Emilie R.
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dc.contributor.authorTsakalos, Golsum
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dc.contributor.authorZlavog, Bianca S.
dc.contributor.authorAbbafati, Cristiana
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dc.contributor.authorAbolhassani, Hassan
dc.contributor.authorAbrigo, Michael R. M.
dc.contributor.authorAhmed, Muktar Beshir
dc.contributor.authorAkinyemi, Rufus Olusola
dc.contributor.authorAlam, Khurshid
dc.contributor.authorAli, Saqib
dc.contributor.authorAlinia, Cyrus
dc.contributor.authorAlipour, Vahid
dc.contributor.authorAljunid, Syed Mohamed
dc.contributor.authorAlmasi, Ali
dc.contributor.authorAlvis Guzman, Nelson
dc.contributor.authorAncuceanu, Robert
dc.contributor.authorAndrei, Tudorel
dc.contributor.authorAndrei, Catalina Liliana
dc.contributor.authorAnjomshoa, Mina
dc.contributor.authorAntonio, Carl Abelardo T.
dc.contributor.authorArabloo, Jalal
dc.contributor.authorArab Zozani, Morteza
dc.contributor.authorAremu, Olatunde
dc.contributor.authorAtnafu, Desta Debalkie
dc.contributor.authorAusloos, Marcel
dc.contributor.authorAvila Burgos, Leticia
dc.contributor.authorAyanore, Martin Amogre
dc.contributor.authorAzari, Samad
dc.contributor.authorBabalola, Tesleem Kayode
dc.contributor.authorBagherzadeh, Mojtaba
dc.contributor.authorBaig, Atif Amin
dc.contributor.authorBakhtiari, Ahad
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dc.contributor.authorBanerjee, Srikanta K.
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dc.contributor.authorBasu, Sanjay
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dc.contributor.authorBayati, Mohsen
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dc.contributor.authorBhageerathy, Reshmi
dc.contributor.authorBhardwaj, Pankaj
dc.contributor.authorBohluli, Mehdi
dc.contributor.authorBusse, Reinhard
dc.contributor.authorCahuana Hurtado, Lucero
dc.contributor.authorCamera, Luis L. A. Alberto
dc.contributor.authorCastaneda Orjuela, Carlos A.
dc.contributor.authorCatala Lopez, Ferran
dc.contributor.authorCevik, Muge
dc.contributor.authorChattu, Vijay Kumar
dc.contributor.authorDandona, Lalit
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dc.contributor.authorDianatinasab, Mostafa
dc.contributor.authorHoa Thi Do
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dc.contributor.authorEl Tantawi, Maha
dc.contributor.authorEskandarieh, Sharareh
dc.contributor.authorEsmaeilzadeh, Firooz
dc.contributor.authorFaraj, Anwar
dc.contributor.authorFarzadfar, Farshad
dc.contributor.authorFischer, Florian
dc.contributor.authorFoigt, Nataliya A.
dc.contributor.authorFullman, Nancy
dc.contributor.authorGad, Mohamed M.
dc.contributor.authorGhafourifard, Mansour
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dc.contributor.authorGholamian, Asadollah
dc.contributor.authorGoharinezhad, Salime
dc.contributor.authorGrada, Ayman
dc.contributor.authorBidgoli, Hassan Haghparast
dc.contributor.authorHamidi, Samer
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dc.contributor.authorHasanpoor, Edris
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dc.contributor.authorAbd El Razek, Hassan Magdy
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dc.contributor.authorMasoumi, Seyedeh Zahra
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dc.contributor.authorMohamadi, Efat
dc.contributor.authorDarwesh, Aso Mohammad
dc.contributor.authorMohammadian Hafshejani, Abdollah
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dc.contributor.authorRabiee, Mohammad
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dc.contributor.authorRathi, Priya
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dc.contributor.authorSkryabin, Valentin Yurievich
dc.contributor.authorSoheili, Amin
dc.contributor.authorSoltani, Shahin
dc.contributor.authorStefan, Simona Catalina
dc.contributor.authorTabares Seisdedos, Rafael
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dc.contributor.authorTran, Bach Xuan
dc.contributor.authorTravillian, Ravensara
dc.contributor.authorUndurraga, Eduardo A.
dc.contributor.authorValdez, Pascual R.
dc.contributor.authorvan Boven, Job F. M.
dc.contributor.authorVasankari, Tommi Juhani
dc.contributor.authorViolante, Francesco S.
dc.contributor.authorVlassov, Vasily
dc.contributor.authorVos, Theo
dc.contributor.authorWolfe, Charles D. A.
dc.contributor.authorWu, Junjie
dc.contributor.authorYaya, Sanni
dc.contributor.authorYazdi Feyzabadi, Vahid
dc.contributor.authorYip, Paul
dc.contributor.authorYonemoto, Naohiro
dc.contributor.authorYounis, Mustafa Z.
dc.contributor.authorYu, Chuanhua
dc.contributor.authorZaidi, Zoubida
dc.contributor.authorBin Zaman, Sojib
dc.contributor.authorZastrozhin, Mikhail Sergeevich
dc.contributor.authorZhang, Zhi Jiang
dc.contributor.authorZhao, Yingxi
dc.contributor.authorMurray, Christopher J. L.
dc.contributor.authorDieleman, Joseph L.
dc.contributor.authorGlobal Burden Dis Hlth Financing
dc.date.accessioned2024-01-10T13:10:01Z
dc.date.available2024-01-10T13:10:01Z
dc.date.issued2020
dc.description.abstractBackground Sustainable Development Goal (SDG) 3 aims to "ensure healthy lives and promote well-being for all at all ages". While a substantial effort has been made to quantify progress towards SDG3, less research has focused on tracking spending towards this goal. We used spending estimates to measure progress in financing the priority areas of SDG3, examine the association between outcomes and financing, and identify where resource gains are most needed to achieve the SDG3 indicators for which data are available.
dc.description.abstractMethods We estimated domestic health spending, disaggregated by source (government, out-of-pocket, and prepaid private) from 1995 to 2017 for 195 countries and territories. For disease-specific health spending, we estimated spending for HIV/AIDS and tuberculosis for 135 low-income and middle-income countries, and malaria in 106 malaria-endemic countries, from 2000 to 2017. We also estimated development assistance for health (DAH) from 1990 to 2019, by source, disbursing development agency, recipient, and health focus area, including DAH for pandemic preparedness. Finally, we estimated future health spending for 195 countries and territories from 2018 until 2030. We report all spending estimates in inflation-adjusted 2019 US$, unless otherwise stated.
dc.description.abstractFindings Since the development and implementation of the SDGs in 2015, global health spending has increased, reaching $7.9 trillion (95% uncertainty interval 7.8-8.0) in 2017 and is expected to increase to $11.0 trillion (10.7-11.2) by 2030. In 2017, in low-income and middle-income countries spending on HIV/AIDS was $20.2 billion (17.0-25.0) and on tuberculosis it was $10.9 billion (10.3-11.8), and in malaria-endemic countries spending on malaria was $5.1 billion (4.9-5.4). Development assistance for health was $40.6 billion in 2019 and HIV/AIDS has been the health focus area to receive the highest contribution since 2004. In 2019, $374 million of DAH was provided for pandemic preparedness, less than 1% of DAH. Although spending has increased across HIV/AIDS, tuberculosis, and malaria since 2015, spending has not increased in all countries, and outcomes in terms of prevalence, incidence, and per-capita spending have been mixed. The proportion of health spending from pooled sources is expected to increase from 81.6% (81.6-81.7) in 2015 to 83.1% (82.8-83.3) in 2030.
dc.description.abstractInterpretation Health spending on SDG3 priority areas has increased, but not in all countries, and progress towards meeting the SDG3 targets has been mixed and has varied by country and by target. The evidence on the scale-up of spending and improvements in health outcomes suggest a nuanced relationship, such that increases in spending do not always results in improvements in outcomes. Although countries will probably need more resources to achieve SDG3, other constraints in the broader health system such as inefficient allocation of resources across interventions and populations, weak governance systems, human resource shortages, and drug shortages, will also need to be addressed. Copyright (C) 2020 The Author(s). Published by Elsevier Ltd.
dc.description.funderUS National Institutes of Health (NIH) as part of the H3Africa Consortium
dc.description.funderGlobal Challenges Research Fund (GCRF) fellowship grant from the UK Royal Society
dc.description.funderAfrican Academy of Sciences
dc.description.funderInternational Centre for Casemix and Clinical Coding, Faculty of Medicine, National University of Malaysia
dc.description.funderDepartment of Health Policy and Management, Kuwait University
dc.description.funderFaculty of Public Health, Kuwait University
dc.description.funderRomanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI
dc.description.funderAlexander von Humboldt Foundation through the Alexander von Humboldt Professor award - Federal Ministry of Education and Research
dc.description.funderBill & Melinda Gates Foundation
dc.description.funderEuropean Fund for Regional Development through Operational Program for Competitiveness
dc.description.funderChina Medical University, Taichung, Taiwan
dc.description.funderNational Heart Foundation of Australia
dc.description.funderDeakin University
dc.description.funderMinistry of Education Science and Technological Development of the Republic of Serbia
dc.description.funderEgyptian Fulbright Mission Program
dc.description.funderMinistry of Education, Science and Technological Development, Serbia
dc.description.funderHealth Data Research UK
dc.description.funderGeneralitat Valenciana
dc.description.funderInstituto de Salud Carlos III-La Federacion Espanola de Enfermedades Raras
dc.description.funderDepartment of Clinical Pharmacy and Pharmacology of the University Medical Center Groningen
dc.description.funderUniversity of Groningen, Groningen Netherlands
dc.description.funderAustralian Government research training programme
dc.fechaingreso.objetodigital16-04-2024
dc.format.extent32 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/S0140-6736(20)30608-5
dc.identifier.eissn1474-547X
dc.identifier.issn0140-6736
dc.identifier.pubmedidMEDLINE:32334655
dc.identifier.urihttps://doi.org/10.1016/S0140-6736(20)30608-5
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/77747
dc.identifier.wosidWOS:000579138700029
dc.information.autorucInterdisciplinarias; Undurraga Fourcade, Eduardo Andres; S/I; 12868
dc.issue.numero10252
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final724
dc.pagina.inicio693
dc.publisherELSEVIER SCIENCE INC
dc.revistaLANCET
dc.rightsacceso abierto
dc.subjectSYSTEMATIC ANALYSIS
dc.subjectGLOBAL BURDEN
dc.subject195 COUNTRIES
dc.subjectDISEASE
dc.subjectTERRITORIES
dc.subjectIMPOVERISHMENT
dc.subjectEXPENDITURE
dc.subjectCATASTROPHE
dc.subjectALLOCATION
dc.subjectDISABILITY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHealth sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3
dc.typeartículo
dc.volumen396
sipa.codpersvinculados12868
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga SIPA;09-01-2024
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