While we non-physicians may feel a bit peeved when we hear “Trust me, I’m a doctor”, our medical friends do seem to have evidence on their side. GfK, apparently one of the world’s leading market research companies, have developed a GfK Trust Index, and yes they found that doctors are one of the most trusted professions, behind postal workers, teachers and the fire service. World Bank managers might like to know that bankers and (top) managers come close to the bottom, just above advertising professionals and politicians.
Given the trust doctors enjoy, the recent brouhaha over allegations of low quality among some of the social science articles published in medical journals must be a trifle embarrassing to the profession. Here’s the tale so far, plus a cautionary note about a recent ‘systematic review’.
UNITED NATIONS | It has been a week of inspiring ideas and action plans at the United Nations General Assembly in New York. I met with a number of world leaders, including Liberian President Ellen Johnson Sirleaf. We talked about the importance of creating jobs for ex-combatants, the pressing need for more energy sources, and more. You can hear my thoughts on our meeting in the video below.
Today, World Bank Group President Jim Yong Kim announced a special funding mechanism to enable donors to scale up their funding to meet the urgent needs related to Millennium Development Goals 4 and 5, leveraging the International Development Association (IDA), the World Bank's fund for the poorest.
Dr. Kim announced the special funding mechanism during his remarks at the Every Woman, Every Child event at the UN General Assembly.
His remarks, as prepared for delivery, are available on the World Bank's website (http://www.worldbank.org/en/news/2012/09/25/world-bank-president-kim-every-woman-every-child-un-general-assembly).
While much of the health focus in sub-Saharan Africa has been directed toward communicable diseases, particularly HIV/AIDS, there has been less acknowledgement that non-communicable diseases (NCDs) are a growing problem. These diseases already account for about 30% of deaths and are expected to become the leading cause of ill health and death by 2030 (see chart).
In case you hadn’t noticed, there’s a growing clamor for a global commitment to universal health coverage (UHC). You might have seen the recent special issue of the Lancet on “the struggle for UHC”. Inevitably, accompanying this clamor, there’s been a lot of wracking of brains on how to measure progress toward UHC. With the excitement of a new political agenda, there’s understandably a desire to carve out a new measurement agenda too. While not wanting dampen people’s enthusiasm for the UHC cause, I would like us to reflect whether on the measurement agenda we’re building enough on what’s been done before.
PRETORIA, South Africa - I have to admit it. I’m a bit of a development junkie. For most of my adult life, I’ve been reading thick tomes describing the success or failure of projects. I talk to friends over dinner about development theory. And I can’t stop thinking about what I believe is the biggest development question of all: How do we most effectively deliver on our promises to the poor?
So you can imagine how excited I was to have a day full of meetings with South Africa’s foremost experts on development: the country's ministers of finance, economic development, health, basic education, water and environmental affairs, and rural development and land reform - and then with President Jacob Zuma.
I chose to travel to South Africa as part of my first overseas trip as president of the World Bank Group because of the country’s great importance to the region, continent, and the world. It is the economic engine of Africa, and its story of reconciliation after apartheid is one of the historic achievements of our time.
In light of its increasing mandate to address undernutrition in South Asia, the World Bank, with its partners, held a South Asia Regional Development Marketplace (SAR DM) on Nutrition under the theme: “Family and Community Approaches to Improve Infant and Young Child Nutrition.”
The SAR DM on Nutrition supported the testing of innovative ideas across South Asia to deliver improved nutrition services to pregnant and lactating women and children under two.
This week (August 1-7) is World Breastfeeding Week, an occasion to remind ourselves of the important role that optimal infant and young child feeding plays in the healthy growth and development of individuals, communities, and nations. For more than 30 years, the World Bank has championed the importance of breastfeeding. This includes investing in advocacy and communications to policymakers, strengthened health systems, and effective community-based outreach to provide the knowledge and support needed by women and their families.
To mark World Breastfeeding Week, World Bank nutrition experts have updated this helpful Q/A on the topic:
What are the health benefits of breastfeeding?
Breastfeeding is one of the most powerful tools available to a mother to ensure the health and survival of her child from the moment he/she is born. Optimal breastfeeding practices, which include initiating breastfeeding within an hour of birth, feeding only breast milk until 6 months, and continuing to breastfeed up to 24 months, are key elements in the fight against malnutrition. Breast milk provides all the nutrients a child needs for healthy development in the first six months of life. And the antibodies that are transferred from a mother to her child during breastfeeding help protect infants against common childhood illnesses that can lead to death, such as diarrhea and pneumonia.
The Lancet’s 2008 series on Maternal and Child Undernutrition has estimated that the relative risk of death (all cause mortality) is 14 times higher for a child who is not breastfed versus one who is exclusively breastfed. When broken down by disease, the relative risk of death from diarrhea and pneumonia is 10.5 and 15 times higher, respectively, for children who are not breastfed versus those that are exclusively breastfed.
Amid political statements and declarations of commitment, several sessions at the ongoing International AIDS Conference 2012 have shined a bright light on the future of the pandemic and the global response.
In one session, Dr. Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID) at the U.S. National Institutes of Health, gave a keynote address, “Ending the HIV/AIDS Pandemic: From Scientific Advances to Public Health Implementation.”
According to Dr. Fauci, who has been at the forefront of the fight against HIV/AIDS since the discovery of the virus in the early 1980s, the scientific developments in the last three decades that have helped understand, treat and prevent HIV infection bode well for the promise of a world free of AIDS. He noted that the robust arsenal of nearly 30 antiretroviral drugs and scientifically proven interventions now available to treat and prevent HIV infection and improve people’s health and longevity, offer an unprecedented opportunity in the years ahead. However, he was clear in cautioning that this will not be accomplished without sustained global commitment and effort. This means that the international community cannot retreat in the face of the current economic slowdown, but rather build upon those advances, adjusting, adapting and strengthening the response on the basis of accumulated experience and lessons learned from across the world.
If we heed Dr. Fauci’s advice, it should be clear to all of us that while we need international funding from current and new donors to sustain the global effort, developing country governments also can and should step in and prioritize funding and investments to contribute to the fight against HIV/AIDS and for other health priorities. While some people argue that the unprecedented funding for AIDS in the last decades has created imbalances in the global health agenda, we should also remember that in previous decades the underfunding and underdevelopment of health systems in most of the world, and the resulting lack of or limited access to basic health services for the majority of the population, was a common phenomenon that came before the AIDS response.