The "Disease control" conception of international Health: its successes and Limitation p. 657-8
Hookworm Vs. Malaria (WW2)
Promise/ perils of technical approaches
Smallpox: did the end justify the means?
Child Survival Campaigns p. 659-60
Oral rehydration theory
1982 onwards: GOBI-FFF
Throwback to technically-based disease campaigns
Most of IMR decline pre-dated child survival
Effective if narrowly defined
underlying conditions not addressed: malnutrition, lack of sanitation
Vertical rather than community based approaches
Individualistic Behaviour-change (p. 660)
Which selective Interventions work and what is the evidence? p. 661
Millions saved: Proven
in Global Health
Predictable and adequate funding from both local and international sources1.Political leadership and champions2.Affordable technological innovation within an effective delivery system3.Technical consensus about the appropriate biomedical or public health approach4.Effective management of health delivery systems; and 5.Effective use of information6.
Limitations of the Single Disease Campaigns p. 664-5
Why did Global Malaria Eradication fail?
One should not emphasis to the exclusion of the other
More emphasis on biological than infrastructural issues
Health system distortions (loss of PHC)
No health system can be built on vertical campaigns yet IH emphasize these
Vertical Campaign weaknesses:
Isolating focus on technical aspects inflates mortality balloon elsewhere
Developing Welfare Sates: Costa Rica, Cuba, Sri Lanka, Uruguay, and Kerala State, India p. 668-75
Rejecting the loans from world bank
Abolish its Military and rechannel the money to social sectors
What enables welfare state successes in developing social?
What are their Fragilities?
Table 13-3: Data on Selected Determinants of health and Mortality Rates
4 Factors Contributing to the Success of Cuba's social Services
Toward Healthy Societies: from Ideas to Action