Refining the Health
Priorities Matrix
Eimear Barrett
Queen’s University Belfast
[email protected]
Health Priorities from
Scenario Planning Exercise






Infectious disease
Maternal Health
Food Security
HIV/AIDS
Climate Change
Gender and Health
Validation of Priorities

Mapping exercise
– Health strategies
– National Health
Plans
– Development
Assistance
Strategies

Expert Interviews
NATIONAL
INTERNATIONAL
CONTINENTAL
GLOBAL
Global
Continental
National
21st Century for the African Region
2007)
NEPAD – Health Strategy 2003
Malawi Growth and Development
Strategy 2006
G8 (Africa Action Plan 2002)
AMREF – Strategy 2007 - 2017
Mozambique Strategic Plan for the
Health Sector 2009 – 2015
World Bank (Strategy for Health,
African Union – The Africa Health
Strategy 2007 - 2015
Tanzanian National Health Policy
2003
WHO - Health for All (Policy for the
Nutrition and Population 2007)
Mathers & Loncar 2006 (Projections
of Global Mortality and Burden of
Disease)
Irish Aid (Health Policy + Country
Strategy Papers for Tanzania,
Uganda and Mozambique)
DFID (Research Strategy 2008 –
2013)
DANIDA (Development Assistance
to the Health Sector 2003)
Sida (Policy for Health and
Development 2002)
Ugandan Health Sector Strategic
Plan 2005/06 – 2009/10
Emerging Themes from
Literature Review
Global
Continental
National
Health for all
Reduction of disease burden
Improving population
health
Reduction of poverty
Gender equality
Reduction of morbidity and
mortality
Chronic and
infectious disease
Health systems strengthening
Capacity building
Gender
Health promotion and prevention
Health systems reform
HIV/AIDS
Child and maternal health
Reduction of disease
burden
Promotion of
research
Malnutrition
MDGs
Projected deaths by cause and income, 2004 to 2030
30
Intentional injuries
Other unintentional
Road traffic accidents
Deaths (millions)
25
Other NCD
20
Cancers
15
CVD
10
Mat//peri/nutritional
5
Other infectious
HIV, TB, malaria
0
2004
2015
2030
High income
2004
2015
2030
Middle income
2004
2015
2030
Low income
12
Global projections for selected causes,
2004 to 2030
Cancers
Deaths (millions)
10
Ischaemic HD
Stroke
8
6
Acute respiratory
infections
4
Road traffic
accidents
Perinatal
HIV/AIDS
TB
Malaria
2
0
2000
2005
2010
2015
2020
2025
2030
Updated from Mathers and Loncar, PLoS Medicine, 2006
Emerging Themes from
Literature Review
Global
Continental
National
Health for all
Reduction of disease burden
Improving population
health
Reduction of poverty
Gender equality
Reduction of morbidity and
mortality
Chronic and
infectious disease
Health systems strengthening
Capacity building
Gender
Health promotion and prevention
Health systems reform
HIV/AIDS
Child and maternal health
Reduction of disease
burden
Promotion of
research
Malnutrition
MDGs
Expert Interviews
Individuals were members of the following
organisations:
Irish
Aid
Sida-Sarec
NEPAD (The New Partnership for Africa’s
Development)
ACOSHED (African Council for Sustainable Health
Development)
Muhimbili University College of Health Sciences
Academy of Medical Sciences
Emerging Themes from
Expert Interviews





Health systems
Building capacity
Building research systems and making
research more strategic
Specific disease priorities
Community engagement
How do the IAPRCB priorities
compare?
IAPRCB
Global
Continental
National
Infectious
Disease
X
X
X
X
X
X
X
X
X
X
Maternal
Health
Food
Security
HIV/AIDS
X
X
Climate
Change
Gender &
Health
Irish Aid
Other
Agencies
Experts
X
X
X
X
X
X
X
X
X
X
X
X
MDGs
Conclusions





IAPRCB priorities echoed in reviewed
sources
Other areas of importance e.g. chronic
disease and malnutrition
Specific disease priorities only small piece of
the puzzle
Paradigm shift towards systems thinking
IAPRCB list of priorities should be expanded
Expanded List of Health
Priorities
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Infectious/Endemic disease
Maternal health
Food security
HIV/AIDS
Climate change
Gender and health/ gender
equality
Action Research
Reproductive health
Health literacy/promotion
Health equity/reduction in
disparities
11.
12.
13.
14.
15.
16.
17.
18.
19.
Human resources for health
Health resources
Financial
management/monitoring
Health systems governance
Health in humanitarian
crises
Chronic diseases
Malnutrition
Health and ICT
Traditional medicine
Adult mortality rates by major cause group and region, 2004
Cardiovascular diseases
High income
Cancers
Other noncommunicable diseases
Western Pacific
Injuries
HIVAIDS
Americas
Other infectious and parasitic diseases
Maternal and nutritional conditions
Eastern Mediterranean
South East Asia
Europe
Africa
0
2
4
6
8
10
Death rate per 1000 adults aged 15–59 years
12