284 research outputs found
The World Bank's New Health Sector Strategy: Building on Key Assets
No full text This is the third in a series of articles on leadership in international health. The series was coordinated by Kent Buse. </jats:p
The human right to a healthy environment—time for the public health community to take urgent action
No full textThe public health community should urgently leverage the human right to a healthy environment to protect planetary health, argue Kent Buse and colleagues
Review of \u3cem\u3eHealth Policy in a Globalising World.\u3c/em\u3e Kelley Lee, Kent Buse and Suzanne Fustukian (Eds.). Reviewed by Mizanur R. Miah.
No full textBook review of Kelley Lee, Kent Buse and Suzanne Fustukian (Eds.), Health Policy in a Globalising World. New York: Cambridge University Press, 2003. 24 papercover
Is ‘gender equality in health’ the right goal? Exploring issues of definition and measurement
No full textTackling the politics of intersectoral action for the health of people and planet.
No full textKent Buse and colleagues argue that unlocking the potential for intersectoral action on climate and health requires thinking politically about its facilitators and barrier
Power to the Partners?: The politics of public-private health partnerships
No full textKen Buse and Andrew Harmer review the political dimensions of global public–private health partnerships through the ‘three faces of power’ lens. They attempt to answer the questions: who has power; how is power exercised; and on what basis? Evidence, although scant, suggests that a northern elite wields power through its domination of governing bodies and also through a discourse which inhibits critical analysis of partnership while imbuing partnership with legitimacy and authority. Development (2004) 47, 49–56. doi:10.1057/palgrave.development.1100029
Health in the sustainable development goals: ready for a paradigm shift?
No full textThe Millennium Development Goals (MDGs) galvanized attention, resources and accountability on a small number of health concerns of low- and middle-income countries with unprecedented results. The international community is presently developing a set of Sustainable Development Goals as the successor framework to the MDGs. This review examines the evidence base for the current health-related proposals in relation to disease burden and the technical and political feasibility of interventions to achieve the targets. In contrast to the MDGs, the proposed health agenda aspires to be universally applicable to all countries and is appropriately broad in encompassing both communicable and non-communicable diseases as well as emerging burdens from, among other things, road traffic accidents and pollution.We argue that success in realizing the agenda requires a paradigm shift in the way we address global health to surmount five challenges: 1) ensuring leadership for intersectoral coherence and coordination on the structural (including social, economic, political and legal) drivers of health; 2) shifting the focus from treatment to prevention through locally-led, politically-smart approaches to a far broader agenda; 3) identifying effective means to tackle the commercial determinants of ill-health; 4) further integrating rights-based approaches; and 5) enhancing civic engagement and ensuring accountability. We are concerned that neither the international community nor the global health community truly appreciates the extent of the shift required to implement this health agenda which is a critical determinant of sustainable development
How can WHO transform its approach to social determinants of health?
No full textWHO has a pivotal role in reducing health inequities but faces five fundamental constraints to progress, argue Unni Gopinathan and Kent Bus
Sex-disaggregated data along the gendered health pathways: A review and analysis of global data on hypertension, diabetes, HIV, and AIDS.
No full textBackgroundHealth data disaggregated by sex is vital for identifying the distribution of illness, and assessing risk exposures, service access, and utilization. Disaggregating data along a health pathway, i.e., the measurable continuum from risk factor exposure to final health outcome (death), and including disease prevalence and a three-step care cascade (diagnosis, treatment, and control), has the potential to provide a holistic and systematic source of information on sex- and gender-based health inequities and identify opportunities for more tailored interventions to reduce those inequities.Methods and findingsWe collected sex- and age-disaggregated data along the health pathway. We searched for papers using global datasets on the sex-disaggregated care cascade for eight major conditions and identified cascade data for only three conditions: hypertension, diabetes, and HIV and AIDS. For each condition, we collected risk factor prevalence, disease prevalence, cascade progression, and death rates. We assessed the sex difference for all steps along the pathway and interpreted inequities through a lens of gender analysis. Sex-disaggregated data on risk factors, disease prevalence, and mortality were found for all three conditions across 204 countries. Sex-disaggregated care cascades for hypertension, diabetes, and HIV and AIDS were found only for 200, 39, and 76 countries, respectively. Significant sex differences were found in each step along the pathways. In many countries, males exhibited higher disease prevalence and death rates than females, while in some countries, they also reported lower rates of healthcare seeking, diagnosis, and treatment adherence. Smoking prevalence was higher among males in most countries, whereas prevalence of obesity and unsafe sex were higher in females in most countries.ConclusionsFindings support the increasing need to develop strategies that encourage greater male participation in preventive and healthcare service and underscore the importance of sex-disaggregated data in understanding health inequities and guiding gender-responsive interventions at different points along the pathway. Despite limitations in data availability and completeness, this study elucidates the need for more comprehensive and harmonized datasets for these and other conditions to monitor sex differences and implement sex-/gender-responsive interventions along the health pathway
Alianzas mundiales entre los sectores público y privado : 1a parte : un nuevo avance en el campo de la salud? / K. Buse y G. Walt
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