International Health
Volume 2, Issue 2 , Pages 82-86 , June 2010

Achieving large ends with limited means: grand strategy in global health

  • Leslie A. Curry

      Affiliations

    • Yale School of Public Health, 60 College Street, New Haven, CT 06520, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 203 785 2854; fax: +1 203 785 6287.
    • ,
  • Minh A. Luong

      Affiliations

    • International Security Studies, Brady-Johnson Program in Grand Strategy, and School of Management, Yale University, P.O. Box 208353, New Haven, CT 06520-8353, USA
    • ,
  • Harlan M. Krumholz

      Affiliations

    • Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA
    • ,
  • John Gaddis

      Affiliations

    • Department of History and Brady-Johnson Program in Grand Strategy, Yale University, P.O. Box 208324, New Haven, CT 06520-8324, USA
    • ,
  • Paul Kennedy

      Affiliations

    • Department of History and International Security Studies, Yale University, P.O. Box 208324, New Haven, CT 06520-8324, USA
    • ,
  • Stephen Rulisa

      Affiliations

    • School of Medicine, National University of Rwanda, P.O. Box 56, Butare, Rwanda
    • Rwanda Ministry of Health, PO Box 84, Kigali, Rwanda
    • ,
  • Lauren Taylor

      Affiliations

    • Yale School of Public Health, 60 College Street, New Haven, CT 06520, USA
    • ,
  • Elizabeth H. Bradley

      Affiliations

    • Yale School of Public Health, 60 College Street, New Haven, CT 06520, USA

Received 1 October 2009 ,Revised 28 October 2009 ,Accepted 18 February 2010.

References 

  1. Ravishankar N, Gubbins P, Cooley RJ, Leach-Kemon K, Michaud CM, Jamison DT, et al. Financing of global health: tracking development assistance for health from 1990 to 2007. Lancet. 2009;373:2113–2124
  2. Lim SS, Gaziano TA, Gakidou E, Reddy KS, Farzadfar F, Lozano R, et al. Prevention of cardiovascular disease in high-risk individuals in low-income and middle-income countries: health effects and costs. Lancet. 2007;370:2054–2062
  3. Frenk J, Gomez-Dantes O. Globalization and the challenges to health systems. Health Aff (Millwood). 2002;21:160–165
  4. Rowe AK, de Savigny D, Lanata CF, Victora CG. How can we achieve and maintain high-quality performance of health workers in low-resource settings?. Lancet. 2005;366:1026–1035
  5. Bukhman G, Kidder A. Cardiovascular disease and global health equity: lessons from tuberculosis control then and now. Am J Public Health. 2008;98:44–54
  6. Daar AS, Singer PA, Persad DL, Pramming SK, Matthews DR, Beaglehole R, et al. Grand challenges in chronic non-communicable diseases. Nature. 2007;450:494–496
  7. Chan M, Store JG, Kouchner B. Foreign policy and global public health: working together towards common goals. Bull World Health Organ. 2008;86:498
  8. Kickbusch I. Influence and opportunity: reflections on the U.S. role in global public health. Health Aff (Millwood). 2002;21:131–141
  9. Kennedy P. Grand Strategies in War and Peace. New Haven: Yale University Press; 1991;
  10. Liddell Hart B. Strategy. 2nd ed.. New York: Faber & Faber; 1967;
  11. UN. The Millennium Development Goals Report 2009. New York: United Nations; 2009.
  12. Clemens MW, Kenny, C.J., Moss, T.J. The Trouble with the MDGs: Confronting Expectations of Aid and Development Success. Washington DC: Center for Global Development; 2004. Working Paper 40.
  13. Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, et al. Towards a common definition of global health. Lancet. 2009;373:1993–1995
  14. Hirschhorn LR, Ojikutu B, Rodriguez W. Research for change: using implementation research to strengthen HIV care and treatment scale-up in resource-limited settings. J Infect Dis. 2007;196(Suppl 3):S516–S522
  15. Sanders D, Haines A. Implementation research is needed to achieve international health goals. PLoS Med. 2006;3:186
  16. WHO. Towards Better Leadership and Management in Health: Report on an International Consultation on Strengthening Leadership and Management in Low-Income Countries. Making Health Systems Work: Working Paper 10. Geneva: World Health Organization; 2007. http://www.who.int/management/working_paper_10_en_opt.pdf [accessed 16 February 2010].
  17. Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, et al. Human resources for health: overcoming the crisis. Lancet. 2004;364:1984–1990
  18. Hongoro C, McPake B. How to bridge the gap in human resources for health. Lancet. 2004;364:1451–1456
  19. Thier SO. Commentary by the current president of the Institute of Medicine. J Am Med Ass. 1988;260:2104
  20. Serdobova I, Kieny MP. Assembling a global vaccine development pipeline for infectious diseases in the developing world. Am J Public Health. 2006;96:1554–1559
  21. Tzu S. The Art of War (6th cent. B.C.), translated by Samuel B. Griffith. New York: Oxford University Press; 1963;
  22. In:  Howard M,  Paret P editor. Carl Von Clausewitz, On War. Princeton, NJ: Princeton University Press; 1984;
  23. Marsh DR, Schroeder DG, Dearden KA, Sternin J, Sternin M. The power of positive deviance. BMJ. 2004;329:1177–1179
  24. Bradley EH, Curry LA, Ramanadhan S, Rowe L, Nembhard IM, Krumholz HM. Research in action: using positive deviance to improve quality of health care. Implement Sci. 2009;4:25
  25. Bhattacharya S. The local bases of global public health: complexities and opportunities. Bull World Health Organ. 2008;86:163
  26. Frenk J, Sepulveda J, Gomez-Dantes O, Knaul F. Evidence-based health policy: three generations of reform in Mexico. Lancet. 2003;362:1667–1671
  27. Murray CJ, Frenk J. Health metrics and evaluation: strengthening the science. Lancet. 2008;371:1191–1199
  28. Snow J. On the Mode of the Communication of Cholera. London: J Churchill; 1849;
  29. Kelly MP, Speller,V, Meyrick J. Getting Evidence into Practice in Public Health. London: Health Development Agency; 2004. http://www.nice.org.uk/niceMedia/pdf/evidence_into_practice.pdf [accessed 31 July 2009].
  30. Mahler H. The safe motherhood initiative: a call to action. Lancet. 1987;1:668–670
  31. Hu D, Bertozzi SM, Gakidou E, Sweet S, Goldie SJ. The costs, benefits, and cost-effectiveness of interventions to reduce maternal morbidity and mortality in Mexico. PLoS One. 2007;2:e750
  32. Levine R. Case 6. Saving mothers’ lives in Sri Lanka. Case Studies in Global Health: Millions Saved. Washington DC: Center for Global Development; 2007. http://www.cgdev.org/doc/millions/MS_case_6.pdf [accessed 31 July 2009].
  33. Skolnik R. Essentials of Global Health. Boston: Jones & Bartlett Publishers; 2007;
  34. Maine D, Rosenfield A. The Safe Motherhood Initiative: why has it stalled?. Am J Public Health. 1999;89:480–482
  35. Filippi V, Ronsmans C, Campbell OM, Graham WJ, Mills A, Borghi J, et al. Maternal health in poor countries: the broader context and a call for action. Lancet. 2006;368:1535–1541
  36. Bullough C, Meda N, Makowiecka K, Ronsmans C, Achadi E, Hussein J. Current strategies for the reduction of maternal mortality. BJOG. 2005;112:1180–1188
  37. Ronsmans C, Graham WJ. Maternal mortality: who, when, where, and why. Lancet. 2006;368:1189–1200
  38. Shiffman J. Generating political priority for maternal mortality reduction in 5 developing countries. Am J Public Health. 2007;97:796–803
  39. Krupp K, Madhivanan P. Leveraging human capital to reduce maternal mortality in India: enhanced public health system or public-private partnership?. Hum Resour Health. 2009;7:18
  40. AbouZahr C, Wardlaw T. Maternal mortality at the end of a decade:signs of progress?. Bulletin of the World Health Organization. 2001;79:561–568
  41. Donnay F. Maternal survival in developing countries: what has been done, what can be achieved in the next decade. Int J Gynaecol Obstet. 2000;70:89–97
  42. Frenk J. Bridging the divide: global lessons from evidence-based health policy in Mexico. Lancet. 2006;368:954–961
  43. WHO, UNICEF, UNFPA and World Bank. Maternal Mortality in 2005: Estimates developed by WHO, UNICEF, UNFPA, and The World Bank. Geneva: World Health Organization; 2005. http://www.unfpa.org/upload/lib_pub_file/717_filename_mm2005.pdf [accessed 21 July 2009.
  44. Graham WJ. Now or never: the case for measuring maternal mortality. Lancet. 2002;359:701–704
  45. The Global Fund to Fight AIDS, Tuberculosis and Malaria. The Global Fund ARV Fact Sheet: 1st June, 2009. Geneva: The Global Fund; 2009. http://www.theglobalfund.org/content/pressreleases/pr_090708_Factsheet.pdf [accessed 31 July 2009].
  46. Bill & Melinda Gates Foundation. Tuberculosis Fact Sheet. Seattle: Bill and Melinda Gates Foundation; 2009. http://www.gatesfoundation.org/topics/Documents/tuberculosis-fact-sheet.pdf [accessed 31 July 2009].
  47. Casas-Zamora JA, Ibrahim SA. Confronting health inequity: the global dimension. Am J Public Health. 2004;94:2055–2058

PII: S1876-3413(10)00018-5

doi: 10.1016/j.inhe.2010.02.002

International Health
Volume 2, Issue 2 , Pages 82-86 , June 2010

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