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Jamison DT, Summers LH, Chang AY, Karlsson O, Mao W, Norheim OF, Ogbuoji O, Schäferhoff M, Watkins D, Adeyi O, Alleyne G, Alwan A, Anand S, Belachew R, Berkley SF, Bertozzi SM, Bolongaita S, Bundy D, Bustreo F, Castro MC, Chen S, Fan VY, Fawole A, Feachem R, Gebremedhin L, Ghosh J, Goldie SJ, Gonzalez-Pier E, Guo Y, Gupta S, Jha P, Knaul FM, Kruk ME, Kurowski C, Liu GG, Makimoto S, Mataria A, Nugent R, Oshitani H, Pablos-Mendez A, Peto R, Sekhri Feachem N, Reddy S, Salti N, Saxenian H, Seyi-Olajide J, Soucat A, Verguet S, Zimmerman A, Yamey G. Global health 2050: the path to halving premature death by mid-century. Lancet 2024; 404:1561-1614. [PMID: 39419055 DOI: 10.1016/s0140-6736(24)01439-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Revised: 07/09/2024] [Accepted: 07/09/2024] [Indexed: 10/19/2024]
Affiliation(s)
- Dean T Jamison
- Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA
| | - Lawrence H Summers
- Mossavar-Rahmani Center for Business and Government, John F Kennedy School of Government, Harvard University, Cambridge, MA, USA
| | - Angela Y Chang
- Danish Centre for Health Economics, University of Southern Denmark, Odense, Denmark
| | - Omar Karlsson
- Duke Global Health Institute, Duke University, Durham, NC, USA
| | - Wenhui Mao
- Duke Global Health Institute, Duke University, Durham, NC, USA
| | - Ole F Norheim
- Bergen Centre for Ethics and Priority Setting in Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Osondu Ogbuoji
- Duke Global Health Institute, Duke University, Durham, NC, USA
| | | | - David Watkins
- Department of Global Health, University of Washington, Seattle, WA, USA
| | | | | | - Ala Alwan
- WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt
| | - Shuchi Anand
- Division of Nephrology, Stanford University, Stanford, CA, USA
| | | | - Seth F Berkley
- Pandemic Center, School of Public Health, Brown University, Providence, RI, USA
| | - Stefano M Bertozzi
- School of Public Health, University of California, Berkeley, Berkeley, CA, USA
| | - Sarah Bolongaita
- Bergen Centre for Ethics and Priority Setting in Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Donald Bundy
- Department of Population Health, London School of Hygiene & Tropical Medicine, London, England, UK
| | - Flavia Bustreo
- Partnership for Maternal, Newborn and Child Health, Geneva, Switzerland
| | - Marcia C Castro
- Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Simiao Chen
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
| | | | | | - Richard Feachem
- Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA
| | - Lia Gebremedhin
- Harvard Ministerial Leadership Program, Division of Policy Translation and Leadership Development, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA
| | - Jayati Ghosh
- Department of Economics, College of Social & Behavioral Sciences, University of Massachusetts Amherst, Amherst, MA, USA
| | - Sue J Goldie
- Department of Health Policy and Management, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA
| | | | - Yan Guo
- Institute for Global Health and Development, School of Public Health, Peking University, Beijing, China
| | | | - Prabhat Jha
- Unity Health Toronto, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Felicia Marie Knaul
- Institute for Advanced Study of the Americas, Leonard M Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Margaret E Kruk
- Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, USA
| | | | - Gordon G Liu
- Institute for Global Health and Development, School of Public Health, Peking University, Beijing, China
| | - Saeda Makimoto
- Ogata Sadako Research Institute for Peace and Development, Japan International Cooperation Agency, Tokyo, Japan
| | - Awad Mataria
- WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt
| | - Rachel Nugent
- Department of Global Health, University of Washington, Seattle, WA, USA
| | - Hitoshi Oshitani
- Department of Virology, Graduate School of Medicine, Tohoku University, Sendai, Japan
| | - Ariel Pablos-Mendez
- Division of General Internal Medicine, Columbia University Irving Medical Center, New York, NY, USA
| | - Richard Peto
- Nuffield Department of Population Health, Oxford University, Oxford, UK
| | - Neelam Sekhri Feachem
- Center for Global Health Diplomacy, Delivery, and Economics, University of California, San Francisco, San Francisco, CA, USA
| | | | - Nisreen Salti
- Department of Economics, American University of Beirut, Beirut, Lebanon
| | | | | | - Agnes Soucat
- Agence Française de Développement, Paris, France
| | - Stéphane Verguet
- Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, USA
| | | | - Gavin Yamey
- Duke Global Health Institute, Duke University, Durham, NC, USA.
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Mohan S, Walker S, Sengooba F, Kiracho EE, Mayora C, Ssennyonjo A, Aliti CT, Revill P. Supporting the revision of the health benefits package in Uganda: A constrained optimisation approach. HEALTH ECONOMICS 2023; 32:1244-1255. [PMID: 36922365 DOI: 10.1002/hec.4664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 01/27/2023] [Accepted: 02/03/2023] [Indexed: 05/04/2023]
Abstract
This study demonstrates how the linear constrained optimization approach can be used to design a health benefits package (HBP) which maximises the net disability adjusted life years (DALYs) averted given the health system constraints faced by a country, and how the approach can help assess the marginal value of relaxing health system constraints. In the analysis performed for Uganda, 45 interventions were included in the HBP in the base scenario, resulting in a total of 26.7 million net DALYs averted. When task shifting of pharmacists' and nutrition officers' tasks to nurses is allowed, 73 interventions were included in the HBP resulting in a total of 32 million net DALYs averted (a 20% increase). Further, investing only $58 towards hiring additional nutrition officers' time could avert one net DALY; this increased to $60 and $64 for pharmacists and nurses respectively, and $100,000 for expanding the consumable budget, since human resources present the main constraint to the system.
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Affiliation(s)
- Sakshi Mohan
- Center for Health Economics, University of York, York, UK
| | - Simon Walker
- Center for Health Economics, University of York, York, UK
| | - Freddie Sengooba
- School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | | | - Chrispus Mayora
- School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Aloysius Ssennyonjo
- School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | | | - Paul Revill
- Center for Health Economics, University of York, York, UK
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