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The 2001 global Commission on Macroeconomics
and Health report provided evidence linking greater investments in health to
economic development. The CMH estimates indicated that, globally,
scaling up essential interventions to combat major infectious disease and
malnutrition could save eight million lives by 2010 and generate at least
US$360 million annually by 2015-2020. The Commission emphasised that the poorest populations were
disproportionately affected by preventable and curable diseases and bore the
brunt of financial burden of disease.
The Commission recommended a massive scale-up of
health investments, funded through a global partnership and accompanied by a
critical review of the inefficiencies and malfunctioning of health systems.
It endorsed the oversight and coordination of policy analysis and planning
activities through intersectoral national
macroeconomics and health commissions
In 2004, the Government of India established a
National Commission on Macroeconomics and Health (NCMH), co-chaired by the
Health and Family Welfare Minister and the Finance Minister. The Commission
was comprised of high-level policy-makers and representatives of
nongovernmental organizations, academia, and international organizations. The
main technical body to assist the NCMH consisted of a small group of
health-systems and economics experts. The NCMH technical sub-commission led
the development of the research agenda and the writing of the NCMH report.
The NCMH had the overall objectives to assess the impact of increased investments
in the health sector on poverty reduction and economic development of India; and to
provide the evidence base to formulate a long-term programme for scaling up
essential health interventions, with focus on the poor.
The
NCMH report presents the economic basis for investing in health and
the needed organizational and financial reforms towards universal access to
essential interventions. The recommendations are based on available baseline
information and projections on India's disease profile, the
estimated costs of delivering packages of interventions based on minimum
treatment guidelines and the current financing situations and available
options.
Reports
The Commission on Macroeconomics and Health - Global
Report
Report of the National
Commission on Macroeconomics and Health
Background Papers
Financing and Delivery of
Health Care Services in India
Burden of Disease in India
Links
www.who.int/macrohealth
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