Department of Health Systems Financing, World Health Organization, Geneva, Switzerland.
World Health Organization, Phnom Penh, Cambodia.
Lancet. 2014 Apr 12;383(9925):1333-1354. doi: 10.1016/S0140-6736(13)62231-X. Epub 2013 Nov 19.
A new Global Investment Framework for Women's and Children's Health demonstrates how investment in women's and children's health will secure high health, social, and economic returns. We costed health systems strengthening and six investment packages for: maternal and newborn health, child health, immunisation, family planning, HIV/AIDS, and malaria. Nutrition is a cross-cutting theme. We then used simulation modelling to estimate the health and socioeconomic returns of these investments. Increasing health expenditure by just $5 per person per year up to 2035 in 74 high-burden countries could yield up to nine times that value in economic and social benefits. These returns include greater gross domestic product (GDP) growth through improved productivity, and prevention of the needless deaths of 147 million children, 32 million stillbirths, and 5 million women by 2035. These gains could be achieved by an additional investment of $30 billion per year, equivalent to a 2% increase above current spending.
一个新的全球妇女儿童健康投资框架表明，投资妇女儿童健康将确保获得高健康、社会和经济效益。我们对卫生系统加强和六个投资包进行了成本效益分析：孕产妇和新生儿健康、儿童健康、免疫、计划生育、艾滋病毒/艾滋病和疟疾。营养是一个跨领域主题。然后，我们使用模拟模型来估计这些投资的健康和社会经济效益。到 2035 年，在 74 个高负担国家中，每年每人只需增加 5 美元的卫生支出，就可以获得高达 9 倍的经济和社会效益。这些回报包括通过提高生产力实现国内生产总值（GDP）增长，以及到 2035 年预防 1.47 亿儿童、3200 万死产和 500 万妇女的不必要死亡。通过每年额外投资 300 亿美元，可以实现这些收益，相当于目前支出增加 2%。
