World Health Organization, Geneva, Switzerland.
Department of Surgery, University of Vermont Medical Center, Burlington, Vermont, USA.
J Glob Health. 2021 Mar 27;11:04007. doi: 10.7189/jogh.11.04007.
This study aimed to track development assistance for trauma care (DAH-TC), uncover funding trends and gaps, and compare DAH-TC to development assistance for other health conditions.
A systematic search of the OECD Creditor Reporting System (CRS) and Development Assistance Committee (DAC) databases was performed to capture projects related to trauma care. Reports from large foundations and public-private partnerships were also searched. DAH-TC was described, and comparisons were made between DAH-TC and other health conditions.
The search yielded 1754 records; after applying exclusion criteria, 301 records were included for analysis. During the 25-year period, US$93.7M of DAH-TC was disbursed to low- and middle-income countries (LMICs) (0.02% of total DAH). Contributions were dominated by a few donors and fluctuated dramatically over time. A sizable portion of DAH-TC came in the form of investments to build infrastructure (38% of DAH-TC); information and research activities (17%); and training (16%). Nearly US$58M (62% of DAH-TC) was funneled to projects that targeted victims of war. Trauma care received US$0.04 per DALY incurred, while malaria, TB, HIV and MCH received US$9.62 per DALY, US$25.09 per DALY, US$4.05 per DALY and US$45.75 per DALY, respectively.
DAH-TC is critically underfunded, particularly compared to other health foci. To improve the DAH-TC landscape, stakeholders can better mobilize domestic resources; use advocacy more effectively by catalyzing network convergence, grafting trauma care onto related high-priority issues, and seeking broader coalitions; and develop partners within the donor and channel communities to promote strategic DAH-TC disbursements.
本研究旨在追踪创伤护理发展援助（DAH-TC），揭示资金趋势和差距，并将 DAH-TC 与其他健康状况的发展援助进行比较。
对经合组织债权国报告系统（CRS）和发展援助委员会（DAC）数据库进行系统检索，以获取与创伤护理相关的项目。还搜索了大型基金会和公私伙伴关系的报告。描述了 DAH-TC，并对 DAH-TC 与其他健康状况进行了比较。
搜索共产生 1754 条记录；应用排除标准后，有 301 条记录被纳入分析。在 25 年期间，向低收入和中等收入国家（LMICs）提供了 9370 万美元的 DAH-TC（占总 DAH 的 0.02%）。捐款主要由少数几个捐助者提供，并且随时间波动很大。相当一部分 DAH-TC 以投资于基础设施建设的形式（占 DAH-TC 的 38%）；信息和研究活动（17%）；以及培训（16%）。近 5800 万美元（占 DAH-TC 的 62%）被用于针对战争受害者的项目。创伤护理每造成 1 个 DALY 花费 0.04 美元，而疟疾、结核病、艾滋病毒和母婴保健每造成 1 个 DALY 分别花费 9.62 美元、25.09 美元、4.05 美元和 45.75 美元。
DAH-TC 的资金严重不足，特别是与其他卫生重点相比。为了改善 DAH-TC 状况，利益相关者可以更好地调动国内资源；通过更有效地利用宣传，通过促进网络融合、将创伤护理嫁接到相关的高优先事项上，并寻求更广泛的联盟，以及在捐助者和渠道社区内发展合作伙伴，来促进战略性 DAH-TC 支出。
