Global Health Risk Framework Pandemic Financing: Workshop Summary (2016) / Chapter Skim
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10 Incentives and Preparedness
10 Incentives and Preparedness
Pages 69-76
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From page 69... ...
• Outbreak management depends on community ownership and the full inclusion of society. Incentives that encourage behavior change are more effective than coercion or force.
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From page 70... ...
He then mentioned a similar DFID study looking at the agency's actual spending on preparedness that found a return on investment of between 2:1 and 7:1, to say nothing of the response time hastened by 1 week on average. Gregory saw a transferable lesson for the pandemic financing audience: investing in preparedness
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From page 71... ...
He praised the outbreak management done in Guinea, Liberia, Mali, and Sierra Leone, and called for more predictable and systematic support to the logistics and technology that underpin these systems. Longterm support can help build community ownership in the health system.
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From page 72... ...
There are also incentives to comply with response. For example, the Sierra Leonean president introduced combined burial teams to employ funeral home and mortuary workers who had been harmed by the new burial practices, reducing their financial incentive to continue with illegal burials.
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From page 73... ...
He was grateful for that, describing a functional health system as the cornerstone for any effective emergency response. At the same time, he cautioned against seeing health systems as a magic bullet in pandemic prevention; there are additional challenges beyond health systems building, including designing health delivery and public health systems to complement each other.
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From page 74... ...
He acknowledged that WHO was too late to call Ebola a public health emergency of international concern, but emphasized that IHR compliance would be the key enabler of success in the future. In discussing the IHR, he saw two main categories of countries: those with the technical and financial resources to establish the core capacities and those that lack the money and technical capacity to do the same.
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From page 75... ...
Gregory responded that, since most developing countries are so far from being prepared, it seems unlikely the mark could be passed anytime soon. Asked for his perspective as a representative of a donor agency on what kinds of incentives could encourage compliance with the IHR, Gregory expressed hope that the Global Health Risk Framework Commission would consider that exact question.
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