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Summary
Pages 1-16

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From page 1...
... The U.S. government, along with U.S.-based foundations, nongovernmental organizations, universities, and commercial entities, can take immediate concrete action to accelerate progress on the urgent task of improving health globally by working with partners around the world to scale up existing interventions, gen erate and share knowledge, build human and institutional capacity, increase and fulfill financial commitments, and establish respectful partnerships.
From page 2...
... Both governmental and nongovernmental sectors in the United States have been an important source of global health knowledge, providing the scientific basis for many health successes worldwide through their research and capacity building efforts. The United States -- in partnership with local communities, gov ernments, and international organizations -- has also played a critical role in the dissemination and adoption of knowledge by providing the financial and technical resources to expand public health infrastructure and access to health interventions in many countries, resulting in major public health achievements.
From page 3...
... SCALE UP ExISTING INTERVENTIONS TO ACHIEVE SIGNIFICANT HEALTH GAINS The global health community has reached a critical juncture. The knowledge, innovative technologies, and proven tools to help millions of people in need are within reach.
From page 4...
... As part of a comprehensive approach to develop ment and poverty reduction, the United States, both its governmental and its nongovernmental sectors, should support the UN's Millennium Development Goals. In particular, the United States should partner with countries to pro mote and finance the application of existing knowledge and tools to achieve the health-related MDGs by 2015 with special attention to areas that are lagging behind.
From page 5...
... When delivering health assistance, federal executive branch agencies and departments should work with Congress to make U.S. government global health programs less formulaic and more performance based, to permit resources to be used more easily within unique national health systems with the explicit objective of promoting stronger national health sys tems and a better trained, more productive health workforce.
From page 6...
... and out puts (such as drugs delivered) , Congress and other global health funders should require that efforts to deliver health interventions be accompanied by rigorous country- and program-level evaluations to measure the effect of global health programs on saving lives and improving health.
From page 7...
... Share Knowledge that Enables Local Problem Solvers Research on global health involves not only generating knowledge relevant to the context of low- and middle-income countries, but also effectively transferring such knowledge and technologies to these settings and ensuring that its intended beneficiaries can apply it on a sustained basis. With research increasingly conducted globally through virtual communities of geographically dispersed scientists, it is critically important that information exchange promote sustainable cross-country research partnerships and enable the timely dissemina tion of best practices.
From page 8...
... INVEST IN PEOPLE, INSTITUTIONS, AND CAPACITY BUILDING WITH GLOBAL PARTNERS Although the United States can offer partial solutions to help resolve the challenges that low- and middle-income countries face in delivering basic health services, these countries require capable local leaders, analysts, researchers, and practitioners to identify problems and solutions that work and are sustainable in their own countries. Unlike the United States, where academia, nonprofit orga nizations, and commercial entities play an important advisory role in domestic U.S.
From page 9...
... Rectify the Health Workforce Crisis Institutional partnerships between organizations in low- and middle-income countries and the United States provide an opportunity to address the critical workforce deficits that hinder the achievement of health-related MDGs. Beyond the shortage of health workers, public health systems in these countries also lack capacity due to weak civil service and absenteeism, with limited incentives for good performance (including low salaries that lead to income supplementation strategies such as informal payments and dual-practice in the private sector)
From page 10...
... Recommendation 4-2. Federal executive branch agencies and departments, nongovernmental organizations, universities, and other U.S.-based organiza tions that conduct health programs in low-income countries should align assistance with the priorities of the national health sector human resource plans and should commit and sustain funding in support of these plans.
From page 11...
... (A) While pursuing the goal of $13 billion per year for the health-related MDGs, federal executive branch agencies should work with Congress to create balance in the traditional portfolio of global health spending that reflects the breadth of the health-related MDGs.
From page 12...
... Federal executive branch agencies and departments should work with Congress to design a coordinated approach to funding global health research that leverages research subsidies through the Depart ment of Health and Human Services budget and innovative funding mech anisms for novel vaccine, drug, and diagnostic procurement through the foreign affairs budget.
From page 13...
... Align Aid with Country-Led Health Plans The effects of the proliferation of new participants in global health are perhaps most acutely seen at the national level. Low-income countries typically receive aid from multiple global agencies, resulting in overburdened health ministries.
From page 14...
... Priorities should be established on the basis of achieving sustained health gains most effectively, rather than on short-term strategic or tactical U.S. interests.
From page 15...
... In the interest of sovereignty and sustainability, the President should also ask low- and middle-income countries to commit publicly to providing additional resources by 2012 to finance their own health initiatives.


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