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Global Health Policy

CGD experts discuss such issues as health financing, drug resistance, clinical trials, vaccine development, HIV/AIDS, and health-related foreign assistance.

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Global Health Policy

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The Elusive Power of mHealth

Update (December 6): This week, members of the health community are gathering at the third annual mHealth Summit in Washington, D.C., to explore ways to advance mobile technologies for health. The summit will focus on the business and policy perspectives of mHealth, aiming to identify sustainable business models to support mHealth around the globe. Below, Amanda Glassman and Vicky Hausman highlight key actions major global health donors should take to help realize the potential of mHealth and move to scalable and sustainable integration of mobile into healthcare delivery.

This blog is co-authored with Vicky Hausman, Dalberg Global Development Advisors.

These days it seems like everyone is going mobile. The idea of using mobile phones to deliver health care products, treatments and services has captured the imaginations of everyone from academic experts, government officials and funders of aid to technology companies, innovators and entrepreneurs. There is no shortage of conferences, webinars or tweets on the topic, nor is there a lack of innovative applications and technology.

But what is the reality? Has mHealth really begun to transform health systems?

The New Bottom Billion: Implications for GAVI?

Our new visiting fellow Andy Sumner has drawn attention to the fact that most of the world’s poor now live in middle-income countries, not low-income countries.   As it turns out, most of the world’s unvaccinated one-year olds also live in middle-income countries, specifically the lower middle-income countries. It’s actually been this way for the past decade. Although, on average, vaccination rates are higher in the LMICs than the LICs (86% vs.

FDA Goes Global: A New Approach to Food and Drug Import Safety

Last week, I participated in an event at the Center for Strategic and International Studies (CSIS) in which U.S. Food and Drug Administration (FDA) Commissioner Margaret Hamburg announced a remarkable shift in the FDA’s thinking on food and drug import safety. If adequately supported by Congress and translated into concrete action, this change in strategy on food and drug safety could have significant benefits for U.S. and global health and development.

A Global Tour of Drug Resistance

Two award-winning journalists spent the better part of 2009 taking a global tour of drug resistance. The sights they found were astonishing – and terrifying. I spoke to one of them, Margie Mason, shortly after their five-part series entitled “When Drugs Stop Working: An Emerging Threat to Global Public Health” ran in newspapers around the world—unfortunately, in my view—during the week between Christmas and New Year. CGD has been tracking Margie’s journey and providing background information to her since she set out.

A Public Health Time Bomb

There’s a lot of attention being paid to the counterfeit drug trade at the moment. Former President of France, Jacques Chirac, recently chaired a meeting with West African leaders to discuss how to crack down on counterfeiting. Meanwhile, the Wellcome Trust and the American Pharmaceutical Group held an Opinion Formers' conference on counterfeit medicines (presentations here); the International Federation of Pharmaceutical Manufacturers and Associations produced a brief on the issue; and Roger Bate has continued to draw attention to counterfeits and other drug quality issues in developing countries, including through his book Making a Killing. And this is all on top of the WHO-hosted IMPACT initiative on counterfeits, which started in 2006.

Dispute over Pneumococcal Vaccine Initiative: A Response

An article by Ann Danaiya Usher in the December 5 edition of the Lancet focuses on aspects of the Advance Market Commitment pilot for pneumococcal vaccine that appear to be causing confusion. The article is similar to one published by the author in Development Today, a publication that has issued a series of negative (or at least skeptical) pieces about the AMC over the past few years.

Comment on Our Drug Resistance Consultation Report

We’ve brought up the topic of drug resistance many times on this blog because we think it’s an important issue that doesn’t get enough attention. Resistance plagues the ability to successfully treat diseases in both rich and poor countries and the problem continues to grow every day. More advanced drugs that treat resistant forms of diseases cost vastly more than first-line drugs, and the cure rate is lower. Experts in drug development and disease treatment are very concerned about this problem, but those concerns have not been taken up by those who make the big decisions on global health.

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