Suhrcke Marc, Rechel Bernd, Michaud Catherine
WHO European Office for Investment for Health and Development, Venice, Italy.
Bull World Health Organ. 2005 Dec;83(12):920-7. Epub 2006 Jan 30.
We aimed to quantify development assistance for health to countries of central and eastern Europe and the Commonwealth of Independent States (CEE-CIS).
We used the International Development Statistics database of the Organisation for Economic Co-operation and Development and the database on development assistance for health compiled for the Commission on Macroeconomics and Health to quantify health development assistance to the region, compared to global and overall development assistance. We based our analysis on standard health indicators, including child mortality, life expectancy at birth and health expenditures.
Although total development assistance per capita to CEE-CIS was higher than that for most other regions of the world, development assistance for health was very low compared to other countries with similar levels of child mortality, life expectancy at birth and national expenditures on health.
The allocation of development assistance for health on a global scale seems to be related far more to child mortality rather than adult mortality. Countries of CEE-CIS have a high burden of adult morbidity and mortality from non-communicable diseases, which does not appear to attract proportionate development assistance. Levels of development assistance for health should be determined in consideration of the region's particular burden of disease.
我们旨在量化对中欧和东欧以及独立国家联合体(中东欧和独联体)国家的卫生发展援助。
我们使用经济合作与发展组织的国际发展统计数据库以及为宏观经济与卫生委员会编制的卫生发展援助数据库,与全球和总体发展援助相比,量化对该地区的卫生发展援助。我们的分析基于标准卫生指标,包括儿童死亡率、出生时预期寿命和卫生支出。
尽管中东欧和独联体国家的人均发展援助总额高于世界上大多数其他地区,但与儿童死亡率、出生时预期寿命和国家卫生支出水平相似的其他国家相比,卫生发展援助非常低。
全球范围内的卫生发展援助分配似乎更多地与儿童死亡率相关,而非成人死亡率。中东欧和独联体国家面临着由非传染性疾病导致的成人发病和死亡的高负担,但这似乎并未吸引到与之相称的发展援助。卫生发展援助水平应根据该地区特定的疾病负担来确定。