case of what I don't understand about the gates historical approach to bringing health to all
chaired by mary Robinson this meeting of 60 womens leaders was actually sponsored by Gates Foundation in May (hope this is very promising)
http://www.realizingrights.org/pdf/Wye_River_Report.pdf
The statistics are well known and staggering. And yet, in many countries the figures continue to worsen. Each year 500,000–600,000 women die in pregnancy and childbirth. In some parts of Sub–Saharan Africa, 1 in 6 women die in child birth, while in United States the lifetime risk is as low as 1 in 84001. HIV/AIDS statistics tell an equally disturbing story of disparity. In parts of Africa, over 35% of the adult population — 1 in 3 adults — is infected with HIV 2. The number of women contracting the disease is also on the rise. For example, in Botswana, twice as many women as men, ages 25 to 29, are living with AIDS3. We know the interventions that can save most women’s lives. If every woman had access to essential maternal care, 74% of maternal deaths could be prevented4. If all women had access to self–controlled means of HIV/ AIDS protection and were in a position within society to use these methods, millions of HIV/AIDS deaths could be prevented. Thus, we do not so much need new technology, as we need to ensure universal access, utilization and equity. But ensuring universal access, utilization and equity means that our health services cannot continue to function as “business as usual.” Fundamental change is necessary. We must rethink the link between poverty and health and understand the essential role that health systems play in society, in poverty–reduction and in overall development. Poverty is not just a state of want. Poverty is also fundamentally about the relationships that people have with structures of power. Health systems are core social institutions that function as one of the most important and pervasive structures of power in any society ...
Conventional approaches to health in poor countries focus on disease–specific interventions and their cost effectiveness, implemented via the path of least resistance with a strong emphasis on short term results. The upshot is that systemic problems which underlie poor health, failing health systems, and health inequity are circumvented. Long–term, sustainable strategies are rarely developed or deployed.
chaired by mary Robinson this meeting of 60 womens leaders was actually sponsored by Gates Foundation in May (hope this is very promising)
http://www.realizingrights.org/pdf/Wye_River_Report.pdf
The statistics are well known and staggering. And yet, in many countries the figures continue to worsen. Each year 500,000–600,000 women die in pregnancy and childbirth. In some parts of Sub–Saharan Africa, 1 in 6 women die in child birth, while in United States the lifetime risk is as low as 1 in 84001. HIV/AIDS statistics tell an equally disturbing story of disparity. In parts of Africa, over 35% of the adult population — 1 in 3 adults — is infected with HIV 2. The number of women contracting the disease is also on the rise. For example, in Botswana, twice as many women as men, ages 25 to 29, are living with AIDS3. We know the interventions that can save most women’s lives. If every woman had access to essential maternal care, 74% of maternal deaths could be prevented4. If all women had access to self–controlled means of HIV/ AIDS protection and were in a position within society to use these methods, millions of HIV/AIDS deaths could be prevented. Thus, we do not so much need new technology, as we need to ensure universal access, utilization and equity. But ensuring universal access, utilization and equity means that our health services cannot continue to function as “business as usual.” Fundamental change is necessary. We must rethink the link between poverty and health and understand the essential role that health systems play in society, in poverty–reduction and in overall development. Poverty is not just a state of want. Poverty is also fundamentally about the relationships that people have with structures of power. Health systems are core social institutions that function as one of the most important and pervasive structures of power in any society ...
Conventional approaches to health in poor countries focus on disease–specific interventions and their cost effectiveness, implemented via the path of least resistance with a strong emphasis on short term results. The upshot is that systemic problems which underlie poor health, failing health systems, and health inequity are circumvented. Long–term, sustainable strategies are rarely developed or deployed.
posted by ... at 1:14 AM
Technical note - since our 
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