Health Affairs regularly explores global health policy matters in journal articles, Health Affairs Blog posts, and in thematic issues.

September 21, 2017     HEALTH AFFAIRS BLOG
Addressing The Gap In Noncommunicable Disease Data With Technology And Innovation
As the noncommunicable disease epidemic reaches all countries, government officials and public health professionals need high-quality, accessible data about NCD risk factors to make informed decisions. Bloomberg Philanthropies' $100 million Data for Health initiative focuses on twenty low- and middle-income countries.
Kelly Henning

Most Recent On Global Health Policy

September 26, 2017     HEALTH AFFAIRS BLOG
Fighting For Breath: Access To Oxygen Therapy Should Not Be A Matter Of Location Or Luck
It is imperative that the global community promotes the importance of oxygen and takes action to ensure equitable, predictable access.
David C. Kaslow

September 05, 2017     HEALTH AFFAIRS JOURNAL
Mortality In Rural China Declined As Health Insurance Coverage Increased, But No Evidence The Two Are Linked
Maigeng Zhou et al.

August 07, 2017     HEALTH AFFAIRS JOURNAL
A Voucher System To Speed Review Could Promote A New Generation Of Insecticides To Fight Vector-Borne Diseases
In response to the prevalence of insect-borne diseases like malaria, dengue fever, and Zika, David Ridley and coauthors recommend the creation of a new type of incentive for the development and commercialization of safe new insecticide.
David B. Ridley, Jeffrey L. Moe, and Nick Hamon

August 07, 2017     HEALTH AFFAIRS JOURNAL
In Madagascar, Use Of Health Care Services Increased When Fees Were Removed: Lessons For Universal Health Coverage
Fewer than one-third of people in need of health care in a rural area of Madagascar accessed treatment when point-of-service fees were in place. However, when fee exemptions were introduced for targeted services, health care use increased dramatically.
Andres Garchitorena et al.

August 07, 2017     HEALTH AFFAIRS JOURNAL
Health Insurance In China: After Declining In The 1990s, Coverage Rates Rebounded To Near-Universal Levels By 2011
In this analysis of health insurance coverage rates in China in the period 1991-2011, neither the prevalence of diabetes nor that of hypertension was significantly associated with health insurance coverage.
Yanping Li, Vasanti Malik, and Frank B. Hu

August 02, 2017     HEALTH AFFAIRS BLOG
How The Private Sector Can Empower Entrepreneurs To Improve Global Health
The private sector should seek to empower local innovators, not just with cash and product donations, but also with the technical support and mentorship needed to grow their ideas into solutions to improve the health and well-being of people for generations to come.
Caroline T. Roan and Zubaida Bai

July 26, 2017     HEALTH AFFAIRS BLOG
What US Budget Cuts To Global Health Could Mean For Future Funding
While future funding by the United States for global health remains unknown, our analysis finds that any cuts by the United States now would significantly reduce development assistance for health going forward.
Jennifer Kates, Nafis Sadat, Adam Wexler, and Joseph Dieleman

Disparities In Cancer Care And Costs At The End Of Life: Evidence From England's National Health Service
Disparities in end-of-life treatment costs for cancer patients in England are driven largely by the greater use of emergency inpatient care among patients of lower socioeconomic status, this study finds.
Brendan Walsh, and Mauro Laudicella

Analysis Of End-Of-Life Care, Out-Of-Pocket Spending, And Place Of Death In 16 European Countries And Israel
Martina Orlovic and colleagues examine spending on and site of care for people nearing death in sixteen European countries and Israel, finding large variations across countries.
Martina Orlovic, Joachim Marti, and Elias Mossialos

End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported
Eric French and colleagues examine spending at the end of life in eight countries and Quebec. Medical spending for people in the last twelve months of life ranges from 8.5 percent of total medical spending in the US to 11.2 percent in Taiwan.Martina Orlovic and colleagues examine spending on and site of care for people nearing death in sixteen European countries and Israel, finding large variations across countries.
Eric B. French et al.

Applying Quality Indicators For Administrative Databases To Evaluate End-Of-Life Care For Cancer Patients In Belgium
This study of patients in Belgium who die of cancer suggests a need to focus policy on reducing aggressive and inappropriate care at the end of life and an opportunity to increase the proportion of people who receive specialist palliative care and die at home.
Robrecht De Schreye et al

June 19, 2017     HEALTH AFFAIRS BLOG
New Leader, New Era: Five Building Blocks For A Reinvigorated World Health Organization
The World Health Assembly's election of Tedros Adhanom Ghebreyesus to serve as its 9th Director-General may be the most momentous in the Organization's 70 years for reasons far beyond electing the first African.
Lawrence O. Gostin

The United States Leads Other Nations In Differences By Income In Perceptions Of Health And Health Care
A review of survey data from thirty-two middle- and high-income countries finds that the United States is an outlier in the very large share of its citizens who believe that many people do not have access to the care they need, yet a relatively low share of people consider that phenomenon to be unfair.
Joachim O. Hero, Alan M. Zaslavsky and Robert J. Blendon

Trends In Inequalities In Mortality Amenable To Health Care In 17 European Countries
Thirty years of trend data from Europe show that higher health care expenditure was associated with a narrowing of absolute inequalities in deaths that are potentially preventable given effective and timely health care.
Johan P. Mackenbach et al.

Vast Majority Of Development Assistance For Health Funds Target Those Below Age Sixty
Development assistance for health targets younger more than older age groups, relative to their disease burden. This disparity increased between 1990 and 2013.
Vegard Skirbekk et al.

Mongolia's Public Spending On Noncommunicable Diseases Is Similar To The Spending Of Higher-Income Countries
Translating awareness of noncommunicable diseases into resources for action requires better data than typically available in low- and middle-income countries. One middle-income country that does have good-quality information is Mongolia.
Otgontuya Dugee, Enkhtuya Munaa, Ariuntuya Sakhiya and Ajay Mahal

Improving Allocation And Management Of The Health Workforce In Zambia
In Zambia a demand-based workload model was developed to calculate the number of health workers required to meet demands for essential health services and inform a rational and optimized strategy for deploying new public-sector staff members to the country's health facilities.
Fiona J. Walsh, Mutinta Musonda, Jere Mwila, Margaret Lippitt Prust, Kathryn Bradford Vosburg, Gunther Fink, Peter Berman and Peter C. Rockers

April 17, 2017     HEALTH AFFAIRS BLOG
The Future Of Investment In PEPFAR: Understanding PEPFAR's Multiple Economic, Health, And Diplomatic Impacts
There is much concern about the future of PEPFAR under the new administration. Health Affairs' published research demonstrates the program's contributions to economic stability in recipient countries, support for strengthened health systems and governance, and increased access to health services.
Margaret K. Saunders

April 17, 2017     HEALTH AFFAIRS BLOG
Why President Trump Should Use Foreign Aid For Health To Make America Great
While health aid consumes a mere 0.25 percent of the federal budget, it is a great investment with tremendous returns for the American people.
Robert Hecht and Sten Vermund

April 06, 2017     HEALTH AFFAIRS BLOG
A Race To Restore Confidence In The World Health Organization
The election for the next Director General of the World Health Organization has stirred a quiet but important conversation: do we really need a WHO and, if yes, what do we really need the WHO to do?
Ashish Jha

Industry-Led Access-To-Medicines Initiatives In Low- And Middle-Income Countries: Strategies And Evidence
Global biopharmaceutical companies are increasingly establishing access-to-medicines initiatives in low- and middle-income countries. The authors reviewed the initiatives of twenty-one research-based global biopharmaceutical companies.
Peter C. Rockers, Veronika J. Wirtz, Chukwuemeka A. Umeh, Preethi M. Swamy and Richard O. Laing

Prevalence, Disparities, And Determinants Of Primary Cesarean Births Among First-Time Mothers In Mexico
Enrollees in Seguro Popular, the public health insurance program introduced in 2003, had a cesarean rate of 40 percent, while women insured through the Social Security Institute for Civil Servants had a rate of 78 percent.
Sylvia Guendelman, Alison Gemmill, Dorothy Thornton, Dilys Walker, Michael Harvey, Julia Walsh and Ricardo Perez-Cuevas

March 22, 2017     HEALTH AFFAIRS BLOG
What Can US Policymakers Learn About Essential Health Benefits From Israel?
The Israeli system rests on the concept of competing private health plans selling care in a market of empowered consumers. But one crucial difference is how Israel approaches the question of what it means to be covered.
Rachel Nisanhotz, David Chinitz, and Sara Rosenbaum

March 17, 2017     HEALTH AFFAIRS BLOG
How Should We Measure The Distribution Of Health In A Population?
No one metric can capture the intricate and complex nature of population health. Instead, we need a matrix of indicators to gain a full picture of health and how it is changing.
Sabine Vuik, Sue Siegel, and Ara Darzi

Primary Health Care That Works: The Costa Rican Experience
Costa Rica reformed its primary health care system in 1994 using a model that, despite its success, has been generally understudied: basic integrated health care teams.
Madeline Pesec, Hannah L. Ratcliffe, Ami Karlage, Lisa R. Hirschhorn, Atul Gawande, and Asaf Bitton

March 03, 2017     HEALTH AFFAIRS BLOG
Reproductive Health Under Assault
The outcome of the 2016 elections has set into motion an expected but nonetheless deeply damaging anti-abortion agenda that is slowly taking form in the Trump administration's early days -- aided by the Republican majority House and Senate.
Aziza Ahmed

February 24, 2017     HEALTH AFFAIRS BLOG
Syrian Doctors And The American Dream: Practicing Medicine In A New Immigration Landscape
Becoming a physician is a lifelong dream for many. Having the opportunity to train in the United States is also a deeply held ambition for countless aspiring doctors around the globe. We are living out that dream.
Fares Alahdab, Maria Diab, Abdulrahman Masrani, Belal Firwana, Ahmad Al-Moujahed, Bassel Atassi, Abdulghani Sankari, Haitham Arabi, and Mohammad Arabi

February 22, 2017     WEB FIRST
In Mexico, Evidence Of Sustained Consumer Response Two Years After Implementing A Sugar-Sweetened Beverage Tax
In an effort to combat the obesity epidemic, Mexico implemented a 1 peso per liter excise tax on sugar-sweetened beverages at the beginning of 2014. This study estimated changes in beverage purchases in Mexico for 2014 and 2015.
M. Arantxa Colchero, Juan Rivera-Dommarco, Barry M. Popkin, and Shu Wen Ng

February 21, 2017     HEALTH AFFAIRS BLOG
Economic Benefit Of Vaccines Highlighted In 2017 Bill And Melinda Gates Annual Letter
In their new Annual Letter, Bill and Melinda Gates are optimistic about progress in global health. And the most important factor in reducing childhood deaths is increasing global vaccination rates, they say.
Margaret K. Saunders

February 16, 2017     HEALTH AFFAIRS BLOG
Hospitals, Hospital Medicine, And Health For All
The field of hospital medicine---which combines knowledge in acute care and inpatient medicine with expertise in hospital care delivery---can steward the valuable resource of hospital care toward high performance. The global community should manage and cultivate it across health care contexts.
Arian Hatefi, Madhavi Dandu, and Robert Wachter

February 09, 2017     HEALTH AFFAIRS BLOG
What Three Decades Of Pandemic Threats Can Teach Us About The Future
The U.S. government will need to continue its investment to combat pandemic diseases wherever they emerge, and to conduct crucial research and development of medical countermeasures to rapidly respond to emerging infectious disease threats.
Anthony S. Fauci

February 06, 2017     HEALTH AFFAIRS JOURNAL
Evidence Points To 'Gaming' At Hospitals Subject To National Health Service Cleanliness Inspections
In what is thought to be the first study of its kind, authors looked for evidence of possible gaming effects surrounding "unannounced" hospital inspections for cleanliness in the National Health Service in England.
Veronica Toffolutti, Martin McKee, and David Stuckler

January 12, 2017     HEALTH AFFAIRS BLOG
The Framework Convention On Global Health: A Call For Leadership From The Global Health Trio
In the current issue of Health Affairs, we explore a pivotal moment of opportunity and peril in global health, while identifying the leadership challenges of "the global health trio" -- the World Health Organization, the United Nations, and the World Bank.
Eric A. Friedman and Lawrence O. Gostin

January 09, 2017     HEALTH AFFAIRS JOURNAL
Global Health: A Pivotal Moment Of Opportunity And Peril
New global health leaders should prioritize global health security, including antimicrobial resistance, health system strengthening, and action on mass migration and climate change, say the authors in this Commentary & Analysis in the journal.
Lawrence O. Gostin and Eric A. Friedman

January 09, 2017     HEALTH AFFAIRS JOURNAL
Large Reductions In Amenable Mortality Associated With Brazil's Primary Care Expansion And Strong Health Governance
This study investigates whether the expansion of the Brazilian family health strategy reduced deaths which might be avoidable with timely and effective health care and whether this association varied by municipal health governance.
Thomas Hone, Davide Rasella, Mauricio Barreto, Rifat Atun, Azeem Majeed, and Christopher Millett

January 05, 2017     HEALTH AFFAIRS BLOG
Working Together Around The World To Kick The Big Tobacco Habit
We must boldly communicate the importance of tobacco control to keep it on the global public health agenda, says this author, who directs Bloomberg Philanthropies' work in reducing use of tobacco.
Kelly Henning

December 21, 2016     HEALTH AFFAIRS BLOG
Global Vaccine Development: Lessons From The Road To A New HIV Vaccine Trial
This latest step in a global effort to develop an effective HIV vaccine builds on a legacy of failure, hubris, and reinvention. Each stage of this history has much to teach us about the development of preventive vaccines in general.
Tim Lahey

November 16, 2016     WEB FIRST
Eleven-Country Health Survey Finds US Lags Behind
A survey of adults in eleven countries found that American respondents reported poor health compared to their counterparts in other countries. This study, which was supported by The Commonwealth Fund, will also appear in the December issue of Health Affairs.
Robin Osborn, David Squires, Michelle M. Doty, Dana O. Sarnak, and Eric C. Schneider
November 09, 2016     HEALTH AFFAIRS JOURNAL
Measuring Social Deprivation in New Zealand and the UK
The United Kingdom and New Zealand use census and administrative to measure socioeconomic variation across communities, assess community needs, inform research, adjust clinical funding, allocate community resources, and determine policy impact. The authors propose a similar index for the United States.
Robert L. Phillips, Winston Liaw et al.

November 09, 2016     BOOK REVIEW
Issues in Governance
Health Affairs' Deputy Editor for Global Health, Margaret Saunders, reviews the book, Governing Health Systems: For Nations And Communities Around The World.
Margaret K. Saunders

November 04, 2016     HEALTH AFFAIRS BLOG
A Top Global Health Issue as More Countries Reach Middle-Income Status
Large numbers of countries that have achieved middle-income status are in the process of transitioning away from significant donor aid that they have been receiving for their health programs. Millions of lives are in the balance. This is going to be one of the top issues in global health.
Robert Hecht and Sara Bennett

October 04, 2016     BOOK REVIEW
China: One-Child's Ripple Effects
Two new books explore the one-child policy and its impact on the Chinese people and China’s future social and economic developments.
Tsung-Mei Cheng

Theme Issues On Global Health Policy