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Instituciones Internacionales, Iniciativas de Salud Global y retos de sostenibilidad: lecciones del programa brasilero de SIDA
Author(s) -
Le Loup G.,
Fleury S.,
Camargo K.,
Larouzé B.
Publication year - 2010
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2009.02411.x
Subject(s) - sustainability , demobilization , economic growth , public health , global health , political science , politics , business , health care , medicine , nursing , economics , ecology , law , biology
Summary The sustainability of successful public health programmes remains a challenge in low and middle income settings. These programmes are often subjected to mobilization–demobilization cycle. Indeed, political and organizational factors are of major importance to ensure this sustainability. The cooperation between the World Bank and the Brazilian AIDS programme highlights the role of international institutions and global health initiatives (GHI), not only to scale up programmes but also to guarantee their stability and sustainability, at a time when advocacy is diminishing and vertical programmes are integrated within health systems. This role is critical at the local level, particularly when economic crisis may hamper the future of public health programmes. Political and organizational evolution should be monitored and warnings should trigger interventions of GHI before the decline of these programmes.