Global Comparative Assessments in the Health Sector
Disease Burden, Expenditures and Intervention Packages
Nonserial Publication
Murray, C.J.L., Lopez, A.D.
World Health Organization
ISBN-13    9789241561754 ISBN-10    9241561750
Order Number    11500420   
Price    CHF    20.00 / US$    24.00 Developing countries:    CHF    14.00
English     1994        204   pages
Table of contents
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Shows how a new way of assessing the world health situation can be used to generate health data unprecedented in their completeness, comparability, and objectivity. Already recognized as capable of revolutionizing the processes of priority setting and resource allocation in the health sector, the approach was first used to develop the empirical basis for the World development report 1993: Investing in health. Nearly 100 disease experts collaborated in this project.
The book, which has two parts, discusses the methods, findings, and implications of the first comprehensive assessment of the global burden of disease, of the financial resources available to the health sector in every country, and of the options for cost-effective interventions.
Articles in part one describe the concept, applications, and results of the use of disability-adjusted life years (DALYs) for measuring the global burden of disease. The indicator, which measures the time lived with a disability and the time lost due to premature mortality, has been used to estimate the burden of disease due to more than 100 causes, for five age groups, by sex, throughout the world. Detailed information is given on the technical basis of DALYs, global and regional cause-of-death patterns, methods for quantifying the health consequences of disabilities, and the main findings and implications of the global burden of disease approach.
Articles in part two provide comparative assessments of financial resources available to the health sector and the range of interventions that can be purchased with these resources. In a key achievement, these assessments allow identification of a minimum package of essential public health and clinical interventions, which are highly cost-effective and capable of reducing the disease burden in low-income developing countries by about 25% at a cost of US$ 12 per person per year.
"... The DALY concept has the potential to revolutionize the way in which we measure the impact of disease, how we choose interventions, and how we track the success or failure of our intervention."
- William Foege, MD, The Task Force for Child Survival and Development
"... This is a bold new demographic and epidemiological analysis which for the first time provides us with a comprehensive, plausible description of the state of the world's health in 1990."
- Professor Richard Feachem, PhD, DSc(Med), Dean, London School of Hygiene and Tropical Medicine
"... should be required reading for both students and practitioners of epidemiology and public health..."
- Professor Richard Peto, FRS, University of Oxford
"This is the most useful toolbox for health policy analysis I have ever seen. It represents the greatest methodological innovation in the last 20 years for the dialogue among health policy makers, economists and politicians."
- Juan Luis Londo▒o, Ph.D., Minister of Health of Colombia, 1992-1994