How Can Donors Help Build Global Public Goods in Health?

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dc.creatorDas Gupta, Monica
dc.creatorGostin, Lawrence
dc.date2012-03-19T19:09:59Z
dc.date2012-03-19T19:09:59Z
dc.date2009-04-01
dc.date.accessioned2026-07-01T01:14:28Z
dc.descriptionAid to developing countries has largely neglected the population-wide health services that are core to communicable disease control in the developed world. These mostly non-clinical services generate "pure public goods" by reducing everyone's exposure to disease through measures such as implementing health and sanitary regulations. They complement the clinical preventive and treatment services which are the donors' main focus. Their neglect is manifested, for example, in a lack of coherent public health regulations in countries where donors have long been active, facilitating the spread of diseases such as avian flu. These services can be inexpensive, and dramatically reduce health inequalities. Sri Lanka spends less than 0.2% of GDP on its well-designed population-wide services, which contribute to the country's high levels of health equity and life expectancy despite low GDP per head and civil war. Evidence abounds on the negative externalities of weak population-wide health services. Global public health security cannot be assured without building strong national population-wide health systems to reduce the potential for communicable diseases to spread within and beyond their borders. Donors need greater clarity about what constitutes a strong public health system, and how to build them. The paper discusses gaps in donors' approaches and first steps toward closing them.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090420112159
dc.identifierhttps://hdl.handle.net/10986/4100
dc.identifier10.1596/1813-9450-4907
dc.identifier.urihttp://hdl.handle.net/123456789/416396
dc.languageEnglish
dc.relationPolicy Research working paper ; no. WPS 4907
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH CARE SERVICES
dc.subjectAID
dc.subjectASCARIASIS
dc.subjectAVIAN FLU
dc.subjectAVIAN INFLUENZA
dc.subjectBULLETIN
dc.subjectBURDEN OF DISEASE
dc.subjectCANCERS
dc.subjectCAPACITY BUILDING
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCHILD DEATHS
dc.subjectCHILD HEALTH
dc.subjectCHILD MORTALITY
dc.subjectCHILD SURVIVAL
dc.subjectCHOLERA
dc.subjectCITIES
dc.subjectCITIZENS
dc.subjectCIVIL WAR
dc.subjectCOMMUNICABLE DISEASE
dc.subjectCOMMUNICABLE DISEASE CONTROL
dc.subjectCOMMUNICABLE DISEASES
dc.subjectDEATHS
dc.subjectDEVELOPING COUNTRIES
dc.subjectDIARRHEA
dc.subjectDIARRHEAL DISEASES
dc.subjectDIARRHOEA
dc.subjectDISASTERS
dc.subjectDISEASE OUTBREAKS
dc.subjectDISEASE PREVENTION
dc.subjectDISEASE PREVENTION AND CONTROL
dc.subjectDISEASE SURVEILLANCE
dc.subjectDISEASE VECTORS
dc.subjectDRACUNCULIASIS
dc.subjectDRINKING WATER
dc.subjectEFFECTIVE VACCINES
dc.subjectEMERGENCIES
dc.subjectENDEMIC DISEASES
dc.subjectENVIRONMENTAL HEALTH
dc.subjectENVIRONMENTAL PROTECTION
dc.subjectEPIDEMIC
dc.subjectEPIDEMIC DISEASE
dc.subjectEPIDEMIOLOGICAL PROFILE
dc.subjectEXTERNALITIES
dc.subjectFLU PANDEMIC
dc.subjectFOOD SAFETY
dc.subjectGLOBAL HEALTH
dc.subjectHAZARDS
dc.subjectHEALTH AUTHORITIES
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CONDITIONS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EDUCATION
dc.subjectHEALTH EQUITY
dc.subjectHEALTH INEQUALITIES
dc.subjectHEALTH INFRASTRUCTURE
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH LEGISLATION
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PLANNING
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROGRAMS
dc.subjectHEALTH REFORM
dc.subjectHEALTH REGULATIONS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STRATEGIES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTHY DEVELOPMENT
dc.subjectHOOKWORM
dc.subjectHOOKWORM INFECTION
dc.subjectHUMAN DEVELOPMENT
dc.subjectILLNESS
dc.subjectIMPORTANCE OF POPULATION
dc.subjectINCOME
dc.subjectINDUSTRIALIZATION
dc.subjectINFECTION
dc.subjectINFECTIONS
dc.subjectINFECTIOUS DISEASE
dc.subjectINFECTIOUS DISEASES
dc.subjectINFLUENZA
dc.subjectINJURIES
dc.subjectINSTITUTIONAL MECHANISMS
dc.subjectINTERNATIONAL COOPERATION
dc.subjectINTERNATIONAL EFFORTS
dc.subjectINTERNATIONAL HEALTH REGULATIONS
dc.subjectINTERNATIONAL ORGANIZATIONS
dc.subjectLATRINES
dc.subjectLAWS
dc.subjectLEPROSY
dc.subjectLIFE EXPECTANCY
dc.subjectLIMITED RESOURCES
dc.subjectLOCAL AUTHORITIES
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMALARIA
dc.subjectMALARIA CONTROL
dc.subjectMATERNAL AND CHILD HEALTH
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL TECHNOLOGY
dc.subjectMEDICINE
dc.subjectMIDWIVES
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL GOVERNMENTS
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL POPULATION
dc.subjectNUTRITION
dc.subjectOUTBREAK CONTROL
dc.subjectPARASITIC DISEASES
dc.subjectPATHOGENS
dc.subjectPERSONAL HEALTH
dc.subjectPERSONAL HYGIENE
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPOLICY SERIES
dc.subjectPOOR PEOPLE
dc.subjectPOPULATION DISCUSSION
dc.subjectPREVALENCE
dc.subjectPREVENTION ACTIVITIES
dc.subjectPRIMARY HEALTH CARE
dc.subjectPROGRESS
dc.subjectPUBLIC EDUCATION
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH INTERVENTIONS
dc.subjectPUBLIC HEALTH LAWS
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC HEALTH WORKERS
dc.subjectPUBLIC SERVICES
dc.subjectSAFE WATER
dc.subjectSANITARY CONDITIONS
dc.subjectSANITATION
dc.subjectSANITATION FACILITIES
dc.subjectSCHISTOSOMIASIS
dc.subjectSCREENING
dc.subjectSERVICE DELIVERY
dc.subjectSEX
dc.subjectSMALLPOX
dc.subjectTHERAPIES
dc.subjectTHERAPY
dc.subjectTRACHOMA
dc.subjectTREATMENT
dc.subjectTREATMENT SERVICES
dc.subjectTROPICAL DISEASES
dc.subjectTROPICAL MEDICINE
dc.subjectURBANIZATION
dc.subjectVACCINATION
dc.subjectVACCINATION PROGRAMS
dc.subjectVECTOR CONTROL
dc.subjectWASTE
dc.subjectWASTE DISPOSAL
dc.subjectWATER SUPPLIES
dc.subjectWATER TREATMENT
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleHow Can Donors Help Build Global Public Goods in Health?

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