From October 9th to 13th, international opinion leaders from science, research, civil society, industry and politics met in Berlin. The Deutsches Ärzteblatt hosted panel discussion on innovative financing mechanisms.
That Federal Health Minister Philipp Rösler (FDP) not only spoke himself at the 2nd World Health Summit (WHS) at the Berlin Charité, but more than took two hours for the other's speeches to be taken as sign that the World Health Summit is being taken seriously as potential advisor for politics. Even now. Science would like to permanently strengthen its influence on health-related political decisions internationally - as separate force that is independent of economic and political interests. The aim is to reduce the inequalities in health care between the different countries, but also within individual nations, said the two presidents of the WHS, Prof. Dr. med. Stephen K. Smith from Imperial College London and Prof. Dr. med. Detlef Ganten (Charité).
This is the average life expectancy in less developed countries according to the World Health Organization (WHO) by more than 40 years below that of countries with good health care such as Japan, Australia or Switzerland (79–80 years). But the gap can also be great within industrialized nations. In district of Glasgow with high unemployment and comparatively low level of education, men die at an average of 53.9 years, mainly as result of an unhealthy lifestyle and addictions; the average for British men is 79 years, reported Prof. Michael Marmot, epidemiologist at Imperial College of London. Marmot studied social influences on health on behalf of the WHO. Zsuzsanna Jakab, Director General of WHO Europe Region, expressed concern that economic and structural inequalities within and between countries - associated with high health gaps and climate change - will increasingly create social explosives.
The World Health Summit does not see itself as competitor to international institutions such as the WHO, but as "new voice". With around 1,200 participants, the WHS brought representatives from medicine, health sciences, governments, non-governmental organizations and industry into discussion in combination that is rare in terms of scope and composition.
From October 9th to 13th, international opinion leaders from science, research, civil society, industry and politics met in Berlin. The Deutsches Ärzteblatt hosted panel discussion on innovative financing mechanisms.
That Federal Health Minister Philipp Rösler (FDP) not only spoke himself at the 2nd World Health Summit (WHS) at the Berlin Charité, but more than took two hours for the other's speeches to be taken as sign that the World Health Summit is being taken seriously as potential advisor for politics. Even now. Science would like to permanently strengthen its influence on health-related political decisions internationally - as separate force that is independent of economic and political interests. The aim is to reduce the inequalities in health care between the different countries, but also within individual nations, said the two presidents of the WHS, Prof. Dr. med. Stephen K. Smith from Imperial College London and Prof. Dr. med. Detlef Ganten (Charité).
This is the average life expectancy in less developed countries according to the World Health Organization (WHO) by more than 40 years below that of countries with good health care such as Japan, Australia or Switzerland (79–80 years). But the gap can also be great within industrialized nations. In district of Glasgow with high unemployment and comparatively low level of education, men die at an average of 53.9 years, mainly as result of an unhealthy lifestyle and addictions; the average for British men is 79 years, reported Prof. Michael Marmot, epidemiologist at Imperial College of London. Marmot studied social influences on health on behalf of the WHO. Zsuzsanna Jakab, Director General of WHO Europe Region, expressed concern that economic and structural inequalities within and between countries - associated with high health gaps and climate change - will increasingly create social explosives.
The World Health Summit does not see itself as competitor to international institutions such as the WHO, but as "new voice". With around 1,200 participants, the WHS brought representatives from medicine, health sciences, governments, non-governmental organizations and industry into discussion in combination that is rare in terms of scope and composition.
Compared to last year, the spectrum of opinion leaders, representatives of the national academies and decision-makers has become more representative: More than 70 countries were represented, significantly more African and South American countries than in 2009. This was in line with the objective of looking for interdisciplinary and cross-institutional approaches to solving the most pressing global health problems with the question: What contribution can science make to the solution? "Evidence from medical science and health care research are particularly important for less developed countries, because they provide an indisputable basis for meaningful prevention and treatment, ”said Prof. Dr. Moh ammed Hassan from the Academy of Sciences for the Developing World. The three main topics of the WHS:
- the transfer of innovations in science into new therapeutic approaches ("translation")
- the transformation of health care into effective, prevention-oriented health care through politics ("Transformation") and
- dealing with the problems caused by demographic changes and an increase in chronic diseases in underfunded systems ("transition").
It was not just Minister Rösler who made it clear that the transfer of medical and technical progress into good health care could only be carried out across sectors, but that it would push the system to its financial limits. Industry representatives agreed. “We have to change from pill seller to healthcare provider that focuses on the patient,” said Joe Jimenez, CEO of Novartis AG. Another message from the industry: It is important to move from competition to more cooperation in the healthcare sector.
Lively discussion at Deutsches Ärzteblatt
The existing problems are likely to worsen due to the health consequences of climate change. The earth has received real "heat shock" in the past few decades, said Prof. Dr. rer. nat. Hans Joachim Schellnhuber (Potsdam Institute for Climate Impact Research). Since 1980 alone, it has warmed up by an average of 0.2 degrees Celsius per decade. Even longer temperature increase of four to five degrees would immediately reach physiological limits for humans in some regions - apart from the problems of increased susceptibility to physical and mental illnesses, food and water shortages. Large migratory movements would begin.png ">
Compared to last year, the spectrum of opinion leaders, representatives of the national academies and decision-makers has become more representative: More than 70 countries were represented, significantly more African and South American countries than in 2009. This was in line with the objective of looking for interdisciplinary and cross-institutional approaches to solving the most pressing global health problems with the question: What contribution can science make to the solution? "Evidence from medical science and health care research are particularly important for less developed countries, because they provide an indisputable basis for meaningful prevention and treatment, ”said Prof. Dr. Moh ammed Hassan from the Academy of Sciences for the Developing World. The three main topics of the WHS:
- the transfer of innovations in science into new therapeutic approaches ("translation")
- the transformation of health care into effective, prevention-oriented health care through politics ("Transformation") and
- dealing with the problems caused by demographic changes and an increase in chronic diseases in underfunded systems ("transition").
It was not just Minister Rösler who made it clear that the transfer of medical and technical progress into good health care could only be carried out across sectors, but that it would push the system to its financial limits. Industry representatives agreed. “We have to change from pill seller to healthcare provider that focuses on the patient,” said Joe Jimenez, CEO of Novartis AG. Another message from the industry: It is important to move from competition to more cooperation in the healthcare sector.
Lively discussion at Deutsches Ärzteblatt
The existing problems are likely to worsen due to the health consequences of climate change. The earth has received real "heat shock" in the past few decades, said Prof. Dr. rer. nat. Hans Joachim Schellnhuber (Potsdam Institute for Climate Impact Research). Since 1980 alone, it has warmed up by an average of 0.2 degrees Celsius per decade. Even longer temperature increase of four to five degrees would immediately reach physiological limits for humans in some regions - apart from the problems of increased susceptibility to physical and mental illnesses, food and water shortages. Large migratory movements would begin."Whose state citizens should people be whose country no longer exists?" Asked Schellnhuber.
One of the key questions at the WHS in Berlin was: How should the international community finance global health in the future? The German Medical Journal (DÄ), as media partner of the World Health Summit, had invited to this topic.
One of the most important and successful funder of global health is the Global Fund to Fight AIDS / HIV, Tuberculosis and Malaria. The question arises, according to discussion leader James Chau (chief spokesman for the Chinese television broadcaster CCTV-9), whether it would make sense to significantly expand his mandate. Rifat Atun, Professor of International Health Management at London Imperial College and strategy expert at the Global Fund, said yes, but pointed out that the fund was already underfunded: “For the next three years, the donor countries will provide the Global Fund with 11.8 Billions of dollars available. However, just to expand the previous programs, further six billion are necessary, ”says Atun.
Prof. Peter Piot, Director of the Institute for Global Health at Imperial College (London) said that financial resources should be used more precisely: “Why should the Global Fund invest money in countries with middle income if the government there is not doing anything to combat AIDS? We could save this money and use it where it is needed more urgently. ”
Dr. Joelle Tanguy, executive director of the Global Alliance for Vaccines and Immunization (GAVI) agreed that recipient countries must show political will and commitment to the health of the population. “However, they are already heavily burdened by AIDS / HIV, malaria and tuberculosis. You cannot raise any additional taxes yourself, ”says Tanguy. That's why you need global tax. A tax on financial transactions (Robin Hood tax) is conceivable, which would hit banks, hedge funds and financial institutions in particular (box) . Taxes on consumer goods or leisure activities are also possible. However, Atun warned about transparency: "If we introduce new tax, people must be able to understand what exactly this contribution is being spent on."
The participants in the DÄ panel agreed that in future the financing will be over Private donations will play an essential role. “The well-known model is based on giving money and then seeing what is done with it,” explained Atun. Donations from private individuals are almost always related to specific projects. “Our work has to change."Whose state citizens should people be whose country no longer exists?" Asked Schellnhuber.
One of the key questions at the WHS in Berlin was: How should the international community finance global health in the future? The German Medical Journal (DÄ), as media partner of the World Health Summit, had invited to this topic.
One of the most important and successful funder of global health is the Global Fund to Fight AIDS / HIV, Tuberculosis and Malaria. The question arises, according to discussion leader James Chau (chief spokesman for the Chinese television broadcaster CCTV-9), whether it would make sense to significantly expand his mandate. Rifat Atun, Professor of International Health Management at London Imperial College and strategy expert at the Global Fund, said yes, but pointed out that the fund was already underfunded: “For the next three years, the donor countries will provide the Global Fund with 11.8 Billions of dollars available. However, just to expand the previous programs, further six billion are necessary, ”says Atun.
Prof. Peter Piot, Director of the Institute for Global Health at Imperial College (London) said that financial resources should be used more precisely: “Why should the Global Fund invest money in countries with middle income if the government there is not doing anything to combat AIDS? We could save this money and use it where it is needed more urgently. ”
Dr. Joelle Tanguy, executive director of the Global Alliance for Vaccines and Immunization (GAVI) agreed that recipient countries must show political will and commitment to the health of the population. “However, they are already heavily burdened by AIDS / HIV, malaria and tuberculosis. You cannot raise any additional taxes yourself, ”says Tanguy. That's why you need global tax. A tax on financial transactions (Robin Hood tax) is conceivable, which would hit banks, hedge funds and financial institutions in particular (box) . Taxes on consumer goods or leisure activities are also possible. However, Atun warned about transparency: "If we introduce new tax, people must be able to understand what exactly this contribution is being spent on."
The participants in the DÄ panel agreed that in future the financing will be over Private donations will play an essential role. “The well-known model is based on giving money and then seeing what is done with it,” explained Atun. Donations from private individuals are almost always related to specific projects. “Our work has to change.“The global economic crisis has weakened the health system in many countries, and the consequences are palpable. While high personal contribution in economically prosperous countries does not constitute an obstacle to going to the doctor or the pharmacy, it often discourages patients in country like Uganda. "96 percent of our cancer patients cannot afford medical care," reported Ugandan Vice President Gilbert Balibaseka Bukenya.
As many African countries are willing to reduce the financial burden on their own - through higher tax subsidies, higher personal contribution or higher contributions to social health insurance - “without external help they would not be able to meet the challenges in the health sector underlined the Minister of Health of Rwanda, Dr. Richard Sizibera.
Prof. Dr. Michel D. Kazatchkine, managing director of the Global Fund, called for more personal responsibility on the part of the recipient countries: "We cannot decide from Washington what to finance!" . Piot also urged the recipient states to take on greater responsibility: "Without the political will of the recipient countries, increasing the money alone will not achieve anything."
Dr. Juan Garay, health specialist at the European Commission, took critical look at international development aid: "There are 100 global initiatives in the health sector and numerous bilateral agreements." In the recipient countries, lot of time is lost in reporting on the respective initiatives To regulate the finances: "What we all mean well has unfortunately led to chaos in many places," said Garay.
Dr. rer. nat. Marc Meißner, Martina Merten
Dr. rer. nat. Nicola Siegmund-Schultze
innovative financing models
- Advance Market Committment (AMC): The AMC is geared towards ensuring constant supply of drugs and vaccines (for example against pneumococci and rotavirus) and to promote the expansion of the corresponding production capacities in the poorest countries in the world. In order to motivate pharmaceutical companies to develop drug for neglected diseases, if successful, large purchase quantity is guaranteed at fixed price that is also affordable for developing countries.“The global economic crisis has weakened the health system in many countries, and the consequences are palpable. While high personal contribution in economically prosperous countries does not constitute an obstacle to going to the doctor or the pharmacy, it often discourages patients in country like Uganda. "96 percent of our cancer patients cannot afford medical care," reported Ugandan Vice President Gilbert Balibaseka Bukenya.
As many African countries are willing to reduce the financial burden on their own - through higher tax subsidies, higher personal contribution or higher contributions to social health insurance - “without external help they would not be able to meet the challenges in the health sector underlined the Minister of Health of Rwanda, Dr. Richard Sizibera.
Prof. Dr. Michel D. Kazatchkine, managing director of the Global Fund, called for more personal responsibility on the part of the recipient countries: "We cannot decide from Washington what to finance!" . Piot also urged the recipient states to take on greater responsibility: "Without the political will of the recipient countries, increasing the money alone will not achieve anything."
Dr. Juan Garay, health specialist at the European Commission, took critical look at international development aid: "There are 100 global initiatives in the health sector and numerous bilateral agreements." In the recipient countries, lot of time is lost in reporting on the respective initiatives To regulate the finances: "What we all mean well has unfortunately led to chaos in many places," said Garay.
Dr. rer. nat. Marc Meißner, Martina Merten
Dr. rer. nat. Nicola Siegmund-Schultze
innovative financing models
- Advance Market Committment (AMC): The AMC is geared towards ensuring constant supply of drugs and vaccines (for example against pneumococci and rotavirus) and to promote the expansion of the corresponding production capacities in the poorest countries in the world. In order to motivate pharmaceutical companies to develop drug for neglected diseases, if successful, large purchase quantity is guaranteed at fixed price that is also affordable for developing countries.
- Debt2Health: Debt conversion initiative of the Global Fund to Fight HIV / AIDS, Malaria and Tuberculosis; Targeted debt relief is intended to free up financial resources in the developing country, which, with the help of the Global Fund, will be implemented in urgent health measures against AIDS, malaria and tuberculosis.
- International Financing Facility for Immunization (IFFIm): Start-up financing of vaccination programs - financial institution that takes out loans for immediate use on the basis of donation pledges in the international financial markets. The aim of IFFIm is to accelerate the availability of funds for health and vaccination programs in the 70 poorest countries in the world. The funds, which are awarded by the GAVI Alliance, are used to expand health systems and support vaccination programs.
- UNITAID: International organization for the procurement of drugs against AIDS, tuberculosis and malaria. It was founded in September 2006 on the initiative of Brazil (President Lula da Silva) and France (President Jacques Chirac) together with the governments of Chile, Great Britain and Norway. Financing through the solidarity tax on flight tickets (www.unitaid.eu/)
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