Fryatt Robert John, Blecher Mark
Position: Lead, International Health, Mott MacDonald, Address: 10 Fleet Place, London EC1M, UK.
Chief Director, Health and Social Development, Address: National Treasury, Government of South Africa, Pretoria, South Africa.
Health Policy Open. 2023 Oct 29;5:100104. doi: 10.1016/j.hpopen.2023.100104. eCollection 2023 Dec 15.
In recent decades, external financing of health systems in low- and middle-income countries has helped achieve remarkable improvements across the world. However, these successes have not come without problems. There are a growing number of areas where external assistance can cause harm and even undermine the development of national health systems. Recent decades have seen a surge of knowledge on investing in health systems. We propose the setting up of investment standards for external assistance that aim to incentivize a more efficient evidence-based investment in a country's health system, led by decision-makers in country. Using a more standardized process would lead to a better use of precious external assistance resources. The long-term goal would be fully functioning health systems with all the necessary essential public health functions in all countries.
近几十年来，低收入和中等收入国家卫生系统的外部融资助力全球取得了显著改善。然而，这些成功并非毫无问题。外部援助可能造成损害甚至破坏国家卫生系统发展的领域越来越多。近几十年来，关于卫生系统投资的知识激增。我们提议制定外部援助投资标准，旨在激励由国家决策者主导的、对国家卫生系统进行更高效的循证投资。采用更标准化的流程将带来对宝贵的外部援助资源的更好利用。长期目标是在所有国家建立具备所有必要基本公共卫生功能的全面运转的卫生系统。
