SlideShare ist ein Scribd-Unternehmen logo
1 von 26
From Global Health  to Publicly Oriented Local Health
 Systems J.-P. Unger, senior lecturer Institute of Tropical Medicine, Antwerp, Belgium   First European Seminar on Global Health Organised by the European Commission Brussels, June the 27 th , 2011
Plan ,[object Object],[object Object],[object Object],[object Object],[object Object]
1. Conflicting concerns on global health definition ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A common North South concern ,[object Object],[object Object],[object Object],[object Object]
Total annual resources needed for AIDS  under disease specific organisation pattern  17th  March, 2011 European Parliament Funding gap
2. Contemporary  epidemiological and demographical global challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiological challenges ,[object Object],[object Object],cases deaths CFR date SARS 8422 916 10,88 02.11-0307 H1N1 57000000 ± 15000 0,03    10.02 H5N1 561 328 58,47 03-11.06 Ebola 1280 940 73,44 97-07 MR-TB 440000 150000 34,09 each year Hospital acquired infections (USA only) 1700000 99000 5,82 2002
Demographic challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Failure to reach (the quite limited) MDGs ,[object Object],[object Object],[object Object],[object Object]
3. Why this failure to control diseases?  A negative feedback loop  ,[object Object],[object Object],[object Object],[object Object]
3. Demands on health systems to tackle global challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consequence ,[object Object],[object Object],[object Object]
Indicators to assess health system strengthening and communicate on governance ,[object Object],[object Object],[object Object]
Such care should meet simple quality criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Strategies to strengthen health systems in LMIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insurance universal coverage, a fashionable strategy
.unlikely to work ,[object Object],[object Object]
What to do? ,[object Object],[object Object]
Financing: supply side financing doesn ’ t permit to only finance MOH services !! Taxes (or Bismarkian) National health fund MoH MoH services Not for profit private org. Commercial sector Individuals Social sector Demand-side financing
Promote a health sector with a social mission MoH private Disease control X Health care X
Promote a health sector with a social mission Mission Status Social Commercial MOH Care + Disease control Care  private Care + Disease control Care
What to do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
17th  March, 2011 Addressing fragmentation Local health systems H Interinstitutional management of local health systems Interinstitutional, professional management and decentralised budgets
European Parliament Methods in health policy research, health care management and planning
5. Which role for the EU?  ,[object Object],[object Object],[object Object],[object Object],[object Object]
5. Which role for the EU? ,[object Object],[object Object],[object Object],[object Object]
17th  March, 2011 European Parliament THANK YOU DANK U DANKE SCHÖN ΔυχαρÎčστώ GRAZIE DZIĘKUJĘ OBRIGADO GRACIAS MERCI

Weitere Àhnliche Inhalte

Was ist angesagt?

Health care system in thailand
Health care system in thailandHealth care system in thailand
Health care system in thailandWitsathit Somrak
 
Addressing India's 21st century health challenges: Fostering public-private c...
Addressing India's 21st century health challenges: Fostering public-private c...Addressing India's 21st century health challenges: Fostering public-private c...
Addressing India's 21st century health challenges: Fostering public-private c...Confederation of Indian Industry
 
Introductory remarks, including update on governing body decisions and major ...
Introductory remarks, including update on governing body decisions and major ...Introductory remarks, including update on governing body decisions and major ...
Introductory remarks, including update on governing body decisions and major ...WHO Regional Office for Europe
 
Health Sector Strengthening and the Response to AIDS
Health Sector Strengthening and the Response to AIDSHealth Sector Strengthening and the Response to AIDS
Health Sector Strengthening and the Response to AIDSArletty Pinel
 
WHO European Action Plan for the Prevention and Control of Noncommunicable Di...
WHO European Action Plan for the Prevention and Control of Noncommunicable Di...WHO European Action Plan for the Prevention and Control of Noncommunicable Di...
WHO European Action Plan for the Prevention and Control of Noncommunicable Di...WHO Regional Office for Europe
 
Global health care challenges and trends_ besty
Global health care challenges and trends_ bestyGlobal health care challenges and trends_ besty
Global health care challenges and trends_ bestyBesty Varghese
 
Everybodys business
Everybodys businessEverybodys business
Everybodys businessWilly Kafeero
 
Failed health system ebola jama2014
Failed health system ebola jama2014Failed health system ebola jama2014
Failed health system ebola jama2014aswhite
 
Health system in india _ besty
Health system in india _ bestyHealth system in india _ besty
Health system in india _ bestyBesty Varghese
 
Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health...
 Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health... Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health...
Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health...WHO Regional Office for Europe
 
Indian health system: Overview and challenges
Indian health system: Overview and challengesIndian health system: Overview and challenges
Indian health system: Overview and challengesPrashanth N S
 

Was ist angesagt? (20)

Health care system in thailand
Health care system in thailandHealth care system in thailand
Health care system in thailand
 
Addressing India's 21st century health challenges: Fostering public-private c...
Addressing India's 21st century health challenges: Fostering public-private c...Addressing India's 21st century health challenges: Fostering public-private c...
Addressing India's 21st century health challenges: Fostering public-private c...
 
Health 2020 and Health System Strengthening
Health 2020 and Health System Strengthening Health 2020 and Health System Strengthening
Health 2020 and Health System Strengthening
 
Introductory remarks, including update on governing body decisions and major ...
Introductory remarks, including update on governing body decisions and major ...Introductory remarks, including update on governing body decisions and major ...
Introductory remarks, including update on governing body decisions and major ...
 
Health Sector Strengthening and the Response to AIDS
Health Sector Strengthening and the Response to AIDSHealth Sector Strengthening and the Response to AIDS
Health Sector Strengthening and the Response to AIDS
 
Sri Lanka Health System Review (Health in Transition)
Sri Lanka Health System Review (Health in Transition)Sri Lanka Health System Review (Health in Transition)
Sri Lanka Health System Review (Health in Transition)
 
HIV prevention and control - the EU is up to the challenge
HIV prevention and control - the EU is up to the challengeHIV prevention and control - the EU is up to the challenge
HIV prevention and control - the EU is up to the challenge
 
WHO European Action Plan for the Prevention and Control of Noncommunicable Di...
WHO European Action Plan for the Prevention and Control of Noncommunicable Di...WHO European Action Plan for the Prevention and Control of Noncommunicable Di...
WHO European Action Plan for the Prevention and Control of Noncommunicable Di...
 
National response to hiv
National response to hivNational response to hiv
National response to hiv
 
Day 2 Speaker Presentation - Dr Eduardo Gomez
Day 2 Speaker Presentation - Dr Eduardo GomezDay 2 Speaker Presentation - Dr Eduardo Gomez
Day 2 Speaker Presentation - Dr Eduardo Gomez
 
Global health care challenges and trends_ besty
Global health care challenges and trends_ bestyGlobal health care challenges and trends_ besty
Global health care challenges and trends_ besty
 
Everybodys business
Everybodys businessEverybodys business
Everybodys business
 
Failed health system ebola jama2014
Failed health system ebola jama2014Failed health system ebola jama2014
Failed health system ebola jama2014
 
Health system in india _ besty
Health system in india _ bestyHealth system in india _ besty
Health system in india _ besty
 
Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health...
 Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health... Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health...
Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health...
 
COVID-19 Health System Response Monitor: Republic of Korea
COVID-19 Health System Response Monitor: Republic of KoreaCOVID-19 Health System Response Monitor: Republic of Korea
COVID-19 Health System Response Monitor: Republic of Korea
 
Eva Jané-Llopis, Director, World Economic Forum
Eva Jané-Llopis, Director, World Economic ForumEva Jané-Llopis, Director, World Economic Forum
Eva Jané-Llopis, Director, World Economic Forum
 
Health situation in India
Health situation in IndiaHealth situation in India
Health situation in India
 
Indian health system: Overview and challenges
Indian health system: Overview and challengesIndian health system: Overview and challenges
Indian health system: Overview and challenges
 
What Works? – more than 30 years of prevention and control of HIV
What Works? – more than 30 years of prevention and control of HIVWhat Works? – more than 30 years of prevention and control of HIV
What Works? – more than 30 years of prevention and control of HIV
 

Andere mochten auch

Photo album – commed ( vector’s )
Photo album – commed                      ( vector’s )Photo album – commed                      ( vector’s )
Photo album – commed ( vector’s )kiranmct
 
Photo album – commed ( vector’s )
Photo album – commed                      ( vector’s )Photo album – commed                      ( vector’s )
Photo album – commed ( vector’s )kiranmct
 
Duty deduction or Excemption
Duty deduction or ExcemptionDuty deduction or Excemption
Duty deduction or Excemptionchinaexpotrans
 
Rentec Recycling Show Gb
Rentec Recycling Show GbRentec Recycling Show Gb
Rentec Recycling Show Gbmathieuvd
 

Andere mochten auch (6)

Photo album – commed ( vector’s )
Photo album – commed                      ( vector’s )Photo album – commed                      ( vector’s )
Photo album – commed ( vector’s )
 
Photo album – commed ( vector’s )
Photo album – commed                      ( vector’s )Photo album – commed                      ( vector’s )
Photo album – commed ( vector’s )
 
Duty deduction or Excemption
Duty deduction or ExcemptionDuty deduction or Excemption
Duty deduction or Excemption
 
Hedgehog facts
Hedgehog factsHedgehog facts
Hedgehog facts
 
Rentec Recycling Show Gb
Rentec Recycling Show GbRentec Recycling Show Gb
Rentec Recycling Show Gb
 
Museum of London Adult events leaflet
Museum of London Adult events leaflet Museum of London Adult events leaflet
Museum of London Adult events leaflet
 

Ähnlich wie Global health 110617

PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...
PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...
PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...StopTb Italia
 
Health 2020: A New European Policy Framework for Health and Well-Being
Health 2020: A New European Policy Framework for Health and Well-BeingHealth 2020: A New European Policy Framework for Health and Well-Being
Health 2020: A New European Policy Framework for Health and Well-BeingWHO Regional Office for Europe
 
Quality health care india
Quality health care indiaQuality health care india
Quality health care indiaAbhilasha verma
 
Primary health care p p t
Primary health care p p tPrimary health care p p t
Primary health care p p tFatma Ibrahim
 
193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt ggg193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt gggAbdirahmanYusufAli1
 
Health policy plan. 2007-lönnroth-156-66
Health policy plan. 2007-lönnroth-156-66Health policy plan. 2007-lönnroth-156-66
Health policy plan. 2007-lönnroth-156-66Reaksmey Pe
 
How to improve the health of the Polish population. Health 2020 – the Europea...
How to improve the health of the Polish population. Health 2020 – the Europea...How to improve the health of the Polish population. Health 2020 – the Europea...
How to improve the health of the Polish population. Health 2020 – the Europea...WHO Regional Office for Europe
 
Presentation - The impact of Ignac Semmelweis on global health priorities
Presentation - The impact of Ignac Semmelweis on global health prioritiesPresentation - The impact of Ignac Semmelweis on global health priorities
Presentation - The impact of Ignac Semmelweis on global health prioritiesWHO Regional Office for Europe
 
ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...
ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...
ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...Evangelos Fragkoulis
 
World Health Day 2011
World Health Day 2011World Health Day 2011
World Health Day 2011mediconerd
 
Health policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in TurkmenistanHealth policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in TurkmenistanWHO Regional Office for Europe
 
Sustainability and transition - Nicolas Cantau, The Global Fund
Sustainability and transition - Nicolas Cantau, The Global FundSustainability and transition - Nicolas Cantau, The Global Fund
Sustainability and transition - Nicolas Cantau, The Global FundOECD Governance
 
Role of Hospitals on Primary Health Care (PHC)
Role of Hospitals on  Primary Health Care (PHC)Role of Hospitals on  Primary Health Care (PHC)
Role of Hospitals on Primary Health Care (PHC)Zulfiquer Ahmed Amin
 
Healthcare challenges & solutions in india
Healthcare challenges & solutions in indiaHealthcare challenges & solutions in india
Healthcare challenges & solutions in indiakripak93
 

Ähnlich wie Global health 110617 (20)

PHC .ppt phc
PHC .ppt phcPHC .ppt phc
PHC .ppt phc
 
PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...
PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...
PPT Gargioni "The Global Burden of Tuberculosis: Epidemiology and operational...
 
Health 2020: A New European Policy Framework for Health and Well-Being
Health 2020: A New European Policy Framework for Health and Well-BeingHealth 2020: A New European Policy Framework for Health and Well-Being
Health 2020: A New European Policy Framework for Health and Well-Being
 
Uhc shere
Uhc shereUhc shere
Uhc shere
 
Quality health care india
Quality health care indiaQuality health care india
Quality health care india
 
Primary health care p p t
Primary health care p p tPrimary health care p p t
Primary health care p p t
 
193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt ggg193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt ggg
 
Ensuring continuity of essential health services during COVID-19
Ensuring continuity of essential health services during COVID-19Ensuring continuity of essential health services during COVID-19
Ensuring continuity of essential health services during COVID-19
 
Ensuring continuity of essential health services: A critical priority during ...
Ensuring continuity of essential health services: A critical priority during ...Ensuring continuity of essential health services: A critical priority during ...
Ensuring continuity of essential health services: A critical priority during ...
 
Ensuring continuity of essential health services: A critical priority during ...
Ensuring continuity of essential health services: A critical priority during ...Ensuring continuity of essential health services: A critical priority during ...
Ensuring continuity of essential health services: A critical priority during ...
 
Health policy plan. 2007-lönnroth-156-66
Health policy plan. 2007-lönnroth-156-66Health policy plan. 2007-lönnroth-156-66
Health policy plan. 2007-lönnroth-156-66
 
How to improve the health of the Polish population. Health 2020 – the Europea...
How to improve the health of the Polish population. Health 2020 – the Europea...How to improve the health of the Polish population. Health 2020 – the Europea...
How to improve the health of the Polish population. Health 2020 – the Europea...
 
Presentation - The impact of Ignac Semmelweis on global health priorities
Presentation - The impact of Ignac Semmelweis on global health prioritiesPresentation - The impact of Ignac Semmelweis on global health priorities
Presentation - The impact of Ignac Semmelweis on global health priorities
 
ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...
ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...
ÎĄÎ·Ï„ÎżÏÎčÎșÎź ÎșαÎč Ï€ÎżÎ»ÎčτÎčÎșÎź στηΜ Î ÏÏ‰Ï„ÎżÎČÎŹÎžÎŒÎčα ÎŠÏÎżÎœÏ„ÎŻÎŽÎ±. Η Î±ÎœÎ±ÎłÎșαÎčότητα ÎŒÎčας τΔÎșΌηρÎčω...
 
Whd amr
Whd amrWhd amr
Whd amr
 
World Health Day 2011
World Health Day 2011World Health Day 2011
World Health Day 2011
 
Health policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in TurkmenistanHealth policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in Turkmenistan
 
Sustainability and transition - Nicolas Cantau, The Global Fund
Sustainability and transition - Nicolas Cantau, The Global FundSustainability and transition - Nicolas Cantau, The Global Fund
Sustainability and transition - Nicolas Cantau, The Global Fund
 
Role of Hospitals on Primary Health Care (PHC)
Role of Hospitals on  Primary Health Care (PHC)Role of Hospitals on  Primary Health Care (PHC)
Role of Hospitals on Primary Health Care (PHC)
 
Healthcare challenges & solutions in india
Healthcare challenges & solutions in indiaHealthcare challenges & solutions in india
Healthcare challenges & solutions in india
 

KĂŒrzlich hochgeladen

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...aartirawatdelhi
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Genuine Call Girls
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X79953056974 Low Rate Call Girls In Saket, Delhi NCR
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 

KĂŒrzlich hochgeladen (20)

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀ night ...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❀VVIP RIDDHI Call Girl in Jaipur Raja...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 

Global health 110617

  • 1. From Global Health to Publicly Oriented Local Health
 Systems J.-P. Unger, senior lecturer Institute of Tropical Medicine, Antwerp, Belgium   First European Seminar on Global Health Organised by the European Commission Brussels, June the 27 th , 2011
  • 2.
  • 3.
  • 4.
  • 5. Total annual resources needed for AIDS under disease specific organisation pattern 17th March, 2011 European Parliament Funding gap
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. Financing: supply side financing doesn ’ t permit to only finance MOH services !! Taxes (or Bismarkian) National health fund MoH MoH services Not for profit private org. Commercial sector Individuals Social sector Demand-side financing
  • 19. Promote a health sector with a social mission MoH private Disease control X Health care X
  • 20. Promote a health sector with a social mission Mission Status Social Commercial MOH Care + Disease control Care private Care + Disease control Care
  • 21.
  • 22. 17th March, 2011 Addressing fragmentation Local health systems H Interinstitutional management of local health systems Interinstitutional, professional management and decentralised budgets
  • 23. European Parliament Methods in health policy research, health care management and planning
  • 24.
  • 25.
  • 26. 17th March, 2011 European Parliament THANK YOU DANK U DANKE SCHÖN ΔυχαρÎčστώ GRAZIE DZIĘKUJĘ OBRIGADO GRACIAS MERCI

Hinweis der Redaktion

  1. You give a lot of weight to HIV-AIDS in your presentation!
  2. Polarizing??
  3. 1. Create or strengthen or create around existing MoH services