Adaptation and extension of EcoZD

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Presented by Jeffery Gilbert and Purvi Mehta to the Progress Meeting on Ecosystem Approaches to the Better Management of Zoonotic Emerging Infectious Diseases in the South East Asian Region, Bangkok, 10-13 December 2011.

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Adaptation & Extension of EcoZD Jeffrey Gilbert, Purvi Mehta Bangkok, 10 December 2011

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International Livestock Research Institute Better lives through livestock Animal agriculture to reduce poverty, hunger and environmental degradation in developing countries www.ilri.org e-mail: [email_address]

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As populations increase, health resources shrink, and access and quality of life equity differences widen, the clarion call for innovation in healthcare is growing louder around the world. Both international groups such as the World Health Organization and national groups, e.g., ministry of health, continue to set aggressive goals and billions have been spent to design and implement global health innovations. Many global health innovations (GHI) have set high goals but had limited success in implementation or never scaled to serve a wider population. The barriers to implementing global healthcare innovations include policies or political priorities, lack of commitment, limited infrastructure, and limited healthcare staff. Some health entrepreneurs have overcome such barriers; Yet other, well intentioned and planned GHI have not met expectations. Although some articles provide suggestions for avoiding, overcoming and addressing these barriers, few offer new models for global health innovation. In this research, we offer a four component model that considers the adoptive community, implementation team, the delivery strategy and the delivery approach as key enablers for successful GHI. This model is supported by the literature and in-depth case studies in Uganda, Ghana, Mozambique, and Haiti.

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