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Summary
Pages 1-8

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From page 1...
... Such transformative changes in the lives of the world's poorest people would be possible over the next 25 years, were it not for systemic obstacles that threaten to both impede further success and undo the gains already made. Most of the world is now at a point where continuing progress depends on building the health system, the administrative and technical infrastructure that underlies all health services.
From page 2...
... The agency is also part of a global discussion about universal health coverage, the provision of a basic package of essential health services to the entire population. There is an emerging consensus, backed by the World Bank and the World Health Organization (WHO)
From page 3...
... Protecting these successes and continuing progress in the future depends on the judicious integration of vertical programs with local health systems. Attention to Health Systems Cannot Wait A strong health system is the best insurance developing countries can have against a disease burden that is shifting rapidly and in ways that history has not prepared us for.
From page 4...
... The challenge of reaching the poor is forcing governments to re-evaluate their aid strategies, identifying those investments with potential to transform the lives of the world's most marginalized people. Functional Health Systems Abroad Encourage Health, Prosperity, and Security There are bottlenecks in the organization of health services in many developing countries and these bottlenecks allow diseases to spread.
From page 5...
... The tools that enable emergency response -- a well-trained workforce, an information system to support surveillance and data sharing, a solid infrastructure for clinical care and laboratory analysis, and strong management of the health sector -- are essential pieces of the health system. The same investments that improve daily functioning also build capacity for emergency response.
From page 6...
... b) The United States should make good use of its comparative advantage in science and technology by investing more in global health research and professional training for students in developing countries.
From page 7...
... Training should also be a central piece of the aid strategy, but it should be substantive, advanced training with some emphasis on administrative professions. The United States can help alleviate the health workforce crisis by supporting higher education in developing countries through scholarships and partnerships with American universities.


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