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108 Comments
I support the effort. It will tremendously uplift health standards
we are community oriented organisation working to improve health care,so working with you is of utmost importance to the people of bushenyi district. hope to work with us.
We could do it…
Being an Environmental Health Officer, I think I can contribute to the improvement of Community’s health. Pl’se Enroll me on the list of commited workers.
Its heartening to know about the campaign. I endorse the objective of the campaign in word and spirit.
Read about this campaign at http://www.chieforganizer.org - looks like great work!
I strongly support this initiative
There is no doubt we need to change the priorities for health care promotion in Africa from the current insistence on supporting vertical programs to more population-inclusive horizontal strategies.
Delighted to see support for community based and grass roots health care!
This campaign is a good initiative and I hope that the cash will be donate.
I agree with the campaign
This blog is simply smashing. In my humble opinion of course. As this post is rather debatable I don’t think all your blog visitors are going to agree with it.
we have to strive to defeat these diseases, let’s go for it!!!
I strongly agree with the initiative. Health is a human righ.
In my country ,also ,disease specific programs lead to increased shortage of human resources in the general health care by employing local health care workers in their own projects for salaries often 2-4 times the normal salaries, creating an internal “brain-drain”.
I also agree that Community-oriented primary health care is a cost-effective way to integrate health care for individuals with a broader public health perspective.
I suscribe to call upon all donor organizations to allocate 15% of their budgets for vertical disease oriented programs towards strengthening local horizontal primary health care systems. We, as developing cuntries, we need very much to develop the primary health care sistem.
We are now in a very begining.
The community nursing allmost dosen’t exist.
I appreciate this initiative as beeing needed. Furthermore, Romanian nurses need specific training in primary health care/community nursing.
This campaign \”15by 2015\” is a move to the right direction. well done.
I fully support comprehensive PHC to ensure equity and social justice in health and health care for poor people at the grassroots level.
I fully support comprehensive PHC to ensure equity and social justice in health and health care for the poor people at the grassroots level.
International organizations like WHO are dependent upon the funding and priorities directed by national governments and other donors. Donor countries and foundations must lead this movement. Individuals in all countries can help put pressure to ensure equity and health for all.
as long as you consider the first line referral district hospital as part of phc I agree with the petition
For the past 4 years I have worked training Family Doctors in Tajikistan, the poorest ex-soviet republic. Different vertical programs are plentiful, but there is a great need for continuing development in primary care. Particularly in ex-soviet republics, health care is focused on secondary care, and vertical programs are attractive to ministry’s of health as it props up the existing specialist system as they can develop HIV specialists, TB specialists etc. The problems is, in this country there is already high rates of mortality and morbidity unrelated to these specific conditions. For example childhood mortality is linked to poverty with malnutrition, and illnesses such as pneumonia and diarrhoea. The development of primary care and horizontal programs are essential to truly improve the health of developing nations.
Despite substantial improvement in urban healthcare, the rural areas remain neglected. Majority of population in developing countries live in villages which have poor infrastructure, connectivity, and availability of technical manpower. We must strive hard to improve PHC based healthcare delivery.
HIV/AIDS came and overtook all the efforts that were being made to curb all the other medical conditions.But we always ask ourselves,aren’t the deaths caused by these other conditions real?
It is very important because it will support research projets for advancing in models of Primary Health
We need a global deployment of telemedicine, telehealth and e-health.
well done!
Primary health care cuts across diseases in a systemic way. Investing in improving the quality of primary health care (infrastructure, human resources and equipment) is a broad-based and sustainable investment that should be accessible and affordable for all.in kenya where i come from, out of 90% of child deaths, 63% of these deaths could be prevented if eficient and effective primary health care services were in place. The most prevalent health care problems in kenya are HIV,TB, malaria, respiratory illnesses, diarrhoea and complications of labour and delivery all which can be managed and controled if we had a good primary health care system in place.
This is a brilliant idea! I wouldn’t however advocate for the 15% to go to a central government common fund, but rather to support local communities’ capacity to manage and control issues related to their health. Primary Care in Tanzania is largely decentralized, and this appears to work well, given the vast geographical size and limitations in transport and communication infrastructure. Local Communities (through their health committees from village to district level) participate in the planning and prioritization of their health care
needs, using policy guidelines from the Ministry of Health which also oversees quality issues. However, the greatest limitation is always scarcity of resources (human resources, finances, equipment etc). Of all the limitations, the human resource crisis is currently the most crippling.
The idea in general about supporting the health system is brilliant, and I’m in full agreement with it. If there is anything I can do to put more strength in the movement to make 15by2015 a success, I am ready.
a very important step, thank you for this initiative
AT LEAST 15%! But do we need at all those “vertical” initiatives? “Health is not the mere absence of disease”
Primary health care is human right.
I do acknowledge the value of Alma Ata Declaration as still valid strategy for the health of people in the world
Congratulation! 15 by 2015 is focus in one big problem! Let´s do it!
Vertical Programmes can be feasible only as part of a comprehensive appreoach
It is now time to give proper support to primary health care — not just vertical interventions
I WANT TO BE WITH YOU IN THIS PROGRAMME
This is not only the right path to achieving our health sector millenium goals but also the cornerstone of improving quality of life.
If donor agencies project would have concentrated on improving health of our communities, health indicators wouldn’t have been the same!
I have worked in Uganda, Laos, Guatemala and Cambodia. I have taught Primary Care and Urgent care in refugee camps and University hospitals. Without primary health care, the Health crises will only increase in low resource countries. We need to implement lessons learned from USA and European Countries in prevention and Primary care or we are not doing our job.
I FULLY SUPPORT THE PETITION. THIS WILL GO A LONG AY TO IMPROVE HEALTH ACCESS TO THE DEVELOPING COMMUNITIES.
This is an excellent initiative! Vertical programmes leave one trying to fit all PHC improvements under the TB/HIV umbrella for which one may be fortunate to receive some funding. Now we might look at some structural issues surrounding the provision of health care at PHC level. And here at Madwaleni, a very rural hospital in the Eastern Cape South Africa, this sounds like we’re gonna focus on the people rather than just the disease! Bring it on!
I fully support the call for primary care funding to be equitable with disease focussed funding
A very noble idea which I support
It is not sufficient to be helpful to few people if we have vivid outstanding capacity to lend a hand to the majority population. Lets not watch history but make pertinent history by supporting and extending primary health care to the most needy as well as to all people. Otherwise, I am in favour of the idea “15 by 2015″. We require it.
Great initiative!
Expansion of primary health care is the back bone for equitable and accessible health care for all!
I do agree with the initiative and do hope donors will understand and strengthen the health services
This is a life changing campaign, aimed at preserving life, it should be our highest motivation, to which all others are surbodinate.
this is a particularly important initiative as the funding support for specific interests fails to move us towards the most effective form of health intervention and collaboration.
As Assoc. Dir. Of the Vietnam Family Medicine development Project ($6 Million total funding) and Senior Consultant to the Global Health Primary Care Initiative at the Boston Univ. Dept. of Family Medicine I have championed these goals and cited these premises strongly for the past 10 years.
good move ,I hope through such campaigns better health care will be provided to the underserved communities all over the world
This movement is timely and needs support from different stakeholders.
I am very much interested and supportive of this petition
I agree to the proposal. The better pathway for achieving health for all is through primary health care services.
I agree with your petition and findings. This confims my observations in our health system. A more comprehensive and integrated quality health services with community participation is a better pathway to achieve health for all.
To improve health delivery in developing countries,then the issue of brain drain has to be dealt with first in order to retain specialists in the health sector and this can be done by reducing the salary gap between government employees and those in private sector.
let’s achieve this!!!
I fully agree with the point that difference in salaries among workers of primary health care and vertical health programs creates frustration in the employees. Vertical programs must donate around 25% of their funds to PHC Programs.
I full suppor the petition. Let us keep advocating fot increase in the budgets.
It is so well proven to be cost effective one has to wonder why the politians of the world just don’t get it!
strongly agree
I expect a 20% effort … in 2020 !
We beleive that the best way to reduce maternal mortality & improving maternal & child health services is through sterngthening PHC
I am a member and convenor of the Coalition of PHC Advocates in the Philippines
I am particularly concerned because the the vertical disease oriented programs do not address women’s health and pregnancy related health issues, which affect almost every woman.
great start to a very long (and winding?) road!
This is a challenging approach to achieve HFA. Equitable distribution of resources is a very difficult task. The politicians of partner countries must be committed. Other wise it will never be materialized.
Primary health care must be re-instituted to enable sustainable changes that support health.
I am fully in support of this and would add that 15% of research budgets should be allocated to Primary Care Research (see recent JABFM article).
I fully support the petition
Very important and to those who love the human race
As well as waking up to the crisis of climate change we also need to act on the reality of World poverty
Coordination of funding and its administration would be essential.
I fully subscribe to the campaign
It will be important to look for a wide unity with the social movements who are struggling for the same ideas.
Primary health can only be supported when society makes solving socio economic inequities a priority. Primary care providers and preventative health allied providers need the support to be able to have a work-life balance when providing services.
Childbearing women, mothers and children are the corner stone of society. Preventative health care needs to start before the womb, in the womb and the first 18 years of life. Mothers-to-be and mothers are the gate keepers….
My country Pakistan is a poor country, we certainly need to help poor people of our country
dear sir
you have great and very important role for helping people in their health but i ask what about your project and support for africa country especially Sudan we have a lot of hiv aids cases need help also we need
Good idea. I have never supported vertical programmes and I think the is an over emphasis on HIV/AIDS over more pressing health problems. Will provide details if my opinion is particularly solicited on these. Thank you. Mawuli.
I am a paediatrician from Iran with about 17 years experiences as a lecturer and clinician, I’d like to cooperate with your program world wide.
15by2015 is a long awaiyed strategy. Lets support
Honstly think this is a good cause. Please keep it up. Am in. Kudos.
I fully support primary health care as a systematic way of improving the quality of life for many people.
I strongly support the “15 by 2015″ campaign for donor organizations to allocate 15% of their vertical funding towards sustainable comprehensive primary health care that is accessible and affordable in all regions of the world.May this effort contribute to better quality of life of all people of the world irrespective of their colour, race, religion, gender or age.
Rogayah Jaafar
Chairman, Network:TUFH and Board Member, GHETS
I enthusiastically support this essential initiative to improve people’s health around the world.
I am very much an advocate of primary health care interventions both domestically and internationally as they give by far the greatest value for money, for the greatest number of people.
Primary care close to where people live reaches more people more effectively than big “disease palaces” in major conurbations.
Strengthening Primary Health Care should be every conutry’s priority, and funding from many more sources is an essential. Many countries are currently not coping adequately because of the lack of funding.
I entirely agree with the concept. Some distinct action is desparetely and urgently needed.
I highly appreciate the efforts of the TUFH for recognising the current disparities in Health care system especially in Sub-Saharan Africa. This requires collective efforts if Health challenges are to be tackled globally and meet the 2015 target.
In addition to the above, all medical schools need to improve the training of their students in primary care settings. It would be interesting to find out what percentage of clinical training occurs in a primary care setting under the supervision of competent mentors. Perhaps funding could be linked to working towards a suitable target?
This is hitting the nail on the head of a neglected tragedy in health services delivery in developing countries.
I can but sympathize with this initiative. Since almost five years I have been involved in educational programs for general practitioners in Congo in order to ameliorate the care of diabetic people in Africa.
Primary Health Care for Everybody…
I agree in toto with this campaign.
I support the petition
I agree with all my heart with this action!!
As a primary care physician I support this initiative.
I so support this work.
Hello,
Dear Manager,
Although I amnot a powerful person in allocating budget. But because I work in a province with specific condition in Iran I know the importance and vital effort of 15 by 2015 on peples lives. with best regard, Moudi
I belong to a poor country. Pakistan also need to help poor people and surely we all have to contribute towards this noble cause.
I hope that organizations will listen!
No doubt I fully agree and believe that there is no other option. 2015 is already there!
I do support the idea of requesting all global health donors allocating 15% of their grants towards PHC system of the local country they are working in. A very noble concept.
It’s a timely campaign not only for the disadvantaged but also the advantaged by reinstating the trust/faith in the current least prioritized, overstretched and poorly equipped health care systems in the third world countries.
I agree with the concept of 15by2015.The world need this innovation.
The Primary Health Care movements and initiatives across the globe desperately needs resources and policy support to be able to significantly contribute to the attainment of the MDGs.
Please make a drastic change in your campaign! “10by2010″ then the next step if everyone accepted this.
15by2015 is far more than most countries will accept but with enough campaigning….
And do NOT forget 100% by 2100 meaning 100% health by the year 2100. Like the WHO slogan: “Health for all by 2000″ in the past!
General practitioner, Curacao Netherlands Antillen