{"id":3747,"date":"2010-08-27T12:22:14","date_gmt":"2010-08-27T11:22:14","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=3747"},"modified":"2010-09-01T14:34:22","modified_gmt":"2010-09-01T13:34:22","slug":"tracey-koehlmoos-good-health-at-low-cost-the-importance-of-political-commitment","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/08\/27\/tracey-koehlmoos-good-health-at-low-cost-the-importance-of-political-commitment\/","title":{"rendered":"Tracey Koehlmoos: Good Health at Low Cost: the importance of political commitment"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/traceykoehlmoos.jpg\" alt=\"Tracey Koehlmoos\" width=\"160\" height=\"111\" align=\"left\" \/>Almost any student of global public health will be familiar with the seminal work <em>Good Health at Low Cost<\/em>.\u00a0 In honor of the 25th anniversary of the release of the original book, the Rockefeller Foundation has commissioned an updated version of the book that includes five new countries or states: Ethiopia, Tamil Nadu, Kyrgyzstan, Thailand and Bangladesh as well as updates of the previous studies: China, Costa Rica, Kerala and Sri Lanka.<!--more--><\/p>\n<p>The book is unique in that it evaluates inputs from both health systems and other systems inputs and their influence on health improvements in the poorest countries of the world.\u00a0 The multinational team, headed by the London School of Hygiene and Tropical Medicine, assembled in the Rockefeller Foundation\u2019s lovely Bellagio Centre on the shores of Lake Como in Italy.<\/p>\n<p>Within each of the countries, including Bangladesh, case studies were built from document reviews, interviews with key informants, and focus group discussions in order to produce a detailed description of the development, innovation and contextual factors that changed the health and circumstances within the nation.\u00a0 Health outcomes and indicators that we were reviewing\u00a0 revolve around the more traditional big ticket items like maternal mortality, infant mortality, and childhood immunisation rates.<\/p>\n<p>On the first day of the three day meeting, each country gave an overview that included the key messages emerging from their work. Over and over again, the countries noted that \u201cPolitical Commitment\u201d or political will was an important contributor.<\/p>\n<p>Four countries &#8211; Ethiopia, Bangladesh, Kyrgyzstan, and Thailand\u2014have seen political parties and leaders come and go as well as drift in and out of different less-than-democratic forms of government, yet amazingly\u00a0 the interest in improving the health of the population was constant.<\/p>\n<p>\u201cPolitical will\u201d is a vague statement. The challenge is how to break it down into the individuals, institutions, policies and contextual factors that create the right environment for continued improvement in the health sector. How do you create political will if it does not exist\u2014and are there examples of countries that have political will for health improvement but have not been successful in improving health outcomes?<\/p>\n<p>Of course, there is no neat solution\u2014and the writing and synthesis will go on for the next several months. We hope that the book will be launched globally before mid-2011 so that the lessons of creating health improvements with limited financial resources can be shared.<\/p>\n<p><em><strong>Tracey Koehlmoos<\/strong> is programme head for health and family planning systems at ICDDR,B and adjunct professor at the James P. Grant School of Public Health, BRAC University.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Almost any student of global public health will be familiar with the seminal work Good Health at Low Cost.\u00a0 In honor of the 25th anniversary of the release of the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/08\/27\/tracey-koehlmoos-good-health-at-low-cost-the-importance-of-political-commitment\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223,1753],"tags":[],"class_list":["post-3747","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers","category-tracey-koehlmoos"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tracey Koehlmoos: Good Health at Low Cost: the importance of political commitment - 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