To succeed, “vertical” programs (such as polio eradication, HIV treatment, TB care) commonly worked outside existing medical systems, because they are so broken. Expanding the efforts, however, requires making basic systems work. And the world is starting to define how. 2/6
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For example,
@WHO for the first time identified a list of 113 essential, cost-effective diagnostic tests—from blood sugar levels (for diabetes) to basic blood loss counts to HIV tests—that humans require for long, healthy life. 3/6https://mobile.nytimes.com/2018/05/21/health/who-essential-diagnostics-list.html …Show this thread -
Having a National strategy for stronger primary health care systems is now being recognized as a cornerstone of improving life expectancy and achieving universal coverage. (Um, hello, United States?) 4/6http://www.phcperformanceinitiative.org
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For the first time, multiple countries, eg Zambia & Tanzania, are reporting National Surgical, Obstetric, and Anesthesia Plans to close gaps in private and public sector availability and safety of these essential capabilities across the lifespan. 5/6https://www.pgssc.org/national-surgical-planning …
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And today, with the 10th anniversary of the WHO Safe Surgery Checklist,
@WHO and@wfsaorg for safe anesthesia care for health systems anywhere. 6/6 https://www.wfsahq.org/our-work/safety-quality …Show this thread -
Bonus 2 minute video on the tenth anniversary of the WHO Safe Surgery Checklist and its impact saving tens of thousands of lives worldwide each year.
@SaferSurgeryhttps://youtu.be/V_DTqUQmXncShow this thread
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One way of looking at this is in terms of increased attention to "advancing systems of care". Another way would be increased attention to government obligations to advance
#righttohealth#UHC - 1 more reply
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Perhaps this may have started with Drs. Jim Kim & Margaret Chan calling for more attention into the "science of delivery",
#UHC, and#accountability. http://www.worldbank.org/en/news/speech/2013/05/21/world-bank-group-president-jim-yong-kim-speech-at-world-health-assembly … v@JimYongKim@wef.#WHA71Thanks. Twitter will use this to make your timeline better. UndoUndo
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Indeed, the
@WHO Shanghai Declaration for Health Promotion strongly calls for it: top-down & one-size-fits-all don’t work.#hiap, focus on city/comity needs &#HealthLiteracy are the pillars for actionThanks. Twitter will use this to make your timeline better. UndoUndo
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Dr Gawande, it is increasingly clear that there needs to be an *evidence based* “safe birth” checklist. Maternal care practically ends once a baby is delivered. The US has the worst maternal/fetal mortality in industrialized nations, and it’s worse by race. Who can tackle it?
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I am also at WHA. Any time for a catch up over coffee?
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Good news! Thanks for sharing!
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Proactive!
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