The Right to Reject the Downsizing of the Public Health Right in Global Economic Recession

Thursday, April 26, 2012
G: Yohannes Tsigie Hall (Millennium Hall)
Mei-Ling Wang University of the Sciences, Pennsylvania, USA
The problem

The global economic crisis has affected the progress for the MDGs, especially for Africa. An inclusive community approach is urgently needed.  Facing global economic crisis, the OECD countries have reduced the aid for the vulnerable populations.  It has generated a very negative impact on global public health, specifically in increasing the chronic poverty for 100 million people.  In the US, the reduction has affected the nutritional status of 1 million children, the HIV treatment for 500,000 people, and the provision of mosquito nets for 200,000 people.  The goal of this study is to analyze the causes and impact of this crisis on global public health and generate a public health solution.

Research Design

A case analysis was conducted on the agreements, policies, and media reports related to global health and development and the interviews with vulnerable communities.  It focuses on: 1. the indicators of wealth disparity, food (in)security and  health care;  2. the trend of global aid; and 3. population health status. 

Results: The main cause of today’s inequities is an erroneous development agenda.  It is operated through misplaced macro policies; inequitable wealth structure; unsustainable, speculative economies, and an exogenous change model. The negative consequences are indicated by chronic poverty, malnourishment, and a lack of access to (affordable and quality) health care and means to fulfill basic life necessities.

Conclusion

A public health-oriented inclusive community model means:  For the short-term, an immediate relief (in accessing food, water, and life-saving medicines) is necessary to avoid famines and disease outbreaks for the vulnerable populations. In the mid-term, we need capacity building for the supply and demand effectiveness, e.g., in regulatory bodies, health systems, transportation, and production facilities, to fulfill public health needs. In the long term, we need a new development/rights-based model to address the social determinants of health.


Learning Objectives: Learning objectives: 1. describe the causes of worsening public health inequities in the face of the global economic crisis. 2. explicate the impact of global economic recession on global public health on the macro-level. 3. analyze the specific impact of decreased global aide to the vulnerable populations, especially in Africa. 4. demonstrate the use of a public health model in support the MDGs and achieve global public health goals.