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The Earth Times | Posted March 20, 2002

FINANCING FOR DEVELOPMENT
Health: A model for effective development aid

> BY PREETI DAWRA
Copyright © 2002 by The Earth Times. All rights reserved


MONTERREY, Mexico -- Dr. Gro Harlem Brundtland has had over two decades of experience in bringing essential health interventions to the poorest and most vulnerable people across the world. The Director General of the World Health Organization and former Prime Minister of Norway is also one of the most sought after and vocal speakers at the Financing for Development Conference in Monterrey, Mexico.

Whether she is speaking at roundtables, or plenaries with ministers of both developed and developing nations, or with international agencies and nongovernmental organizations, her message is clear: The focus of financing needs to be first and foremost on health because development is not possible with unhealthy people. Her moral argument has weight and imposes a moral burden on the rich donor countries-and she is fully leveraging it to make her case here in Monterrey. Nearly eight million deaths per year can be prevented, according to a study commissioned by Dr. Brundtland of the Commission on Macroeconomics and Health (CMH). What is needed, she said, is the political will of rich countries to support a global health fund, such as the one headed by Harvard economist Jeffrey Sachs, with whom she is closely working. The Commission's report is the first detailed costing of the resources needed.

The global health fund is focused on addressing three diseases-HIV/AIDS, tuberculosis and malaria-that make up a dominant part of the global burden of disease and cause more than 5.5 million deaths every year. Maternal and child conditions, reproductive ill health, injuries and the health consequences of tobacco are also global health priorities.

"Any serious attempts to reduce the disease burden faced by the world's poorest people must concentrate on these conditions," Dr. Brundtland said, arguing that it made economic as well as moral sense. The economic benefits are estimated to be about US $360 billion annually by 2015.

A medical doctor and Master of Public Health, Dr. Brundtland spent 10 years as a physician and scientist in the Norwegian public health system. For more than 20 years she was in public office, 10 of them as Prime Minister. In the 1980's she gained international recognition, championing the principle of sustainable development as the chair of the World Commission of Environment and Development (the Brundtland Commission).

Under her guidance, WHO is now bringing together ministries of health and finance in an entirely new way to plan health investments for the future. Dr. Brundtland believes that WHO can make a case for money because it has decades of experience on how to spend it well. Stressing that the debate is not about trade or aid, she said: "Trade is essential but in order to trade, people have to be able to produce. They have to stay alive and become productive members of the global economy."

"Disease is a drain on economy," said Dr. Brundtland. "Any attempt to stimulate global economic and social development, and thus to promote human security, must be successful in addressing the burdens caused by these diseases."

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