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269 Comments
The strengthening of Primary Care must rest on good research in primary care and there should also be the dedication of 15% of research funds to primary care research.
La médecine familale est importane et doit être une priorité pour le gouvernement canadien.
It is critical that the international community invest in coordinated, compassionate, cost-effective primary care, espcially for prevention.
I support this petition.
Pierre
The tide is turning. Help us help our patients. thank you!
Supporting viable, accessible, responsive primary care must be added to individual disease programmes and public health initiatives in order to improve health across the globe. It is true in the developing world and it is perhaps even more true in countries like the U.S. with huge disparities of access to primary care.
Strongly support petition.
561 W Logwood Lane
Columbia MO 65203
this is a foundational step. Strategic investment is basic to progress.
Very much in agreement to address the primary causes.
Primary care physicians are so important–we badly need more of them
Funding should be for people not parts of them. Some people have more than one condition affecting more than one system.
A very important initiative. Please sign the petition
I teach physician learners..and have done so on two continents. I have witnessed a decline in primary care physicians over 2 decades which in my opinion has several causes. Briefly two stand out: the way we teach physician learners in tertiary care environments and the reductionist model of medicine which communicates the primacy of the disease and not the patient. The second reason is the erosion of family medicine as a respected discipline and its declining numbers.. Students who might be interested see community doctors with limited access to medical (and social) resources and at the scientific research funding level the lack of appreciation for alternate research methodologies better suited to primary care. There is then a domino effect.. lack of funding for primary care research, which leads to lack of outcomes and evidence based research being done and a depletion of the factual evidence based research to argue for change in health care delivery and funding.
This is very important.
I support this initiative
excellent initiative
Hello! kagegce interesting kagegce site!
Aloha! ybt
I support 15 by 2015!
A primary instance demonstrating the merit of this petition’s strategy in Africa, to ‘tax’ vertical health donations to support integration of services and neglected disease, is that of the SmartCare EHR.
(As background, SmartCare: was developed in Zambia (and later localized in Ethiopia and still later also in RSA); has been designated the national system in Zambia and Ethiopia by Ministries of Health; is in pilot in Eastern Cape, South Africa, with MOH approval; was designed in Africa as an integrated population level EHR solution addressing the African context; is free to other countries for this use. It is used in private, public, and military sectors. It employs touch screens, smart cards, a distributed data model, and ‘sneaker-net’ to succeed in a context of human resource and internet infrastructure deficits. This low cost, right-sized tech approach successfully addresses challenges in clinician-user learning and data capture burden curves, and in EHR (electronic health record) confidentiality, portability, and POS access methods.)
Although PRIMARILY FUNDED via LARGE VERTICAL HIV PROGRAM donations (primarily PEPFAR, & more recently, GFATM, the MOH, and some in-kind from private sector) the application of a % of these HIV funds was committed to building a general purpose national EHR solution in Zambia. The case made, and apparently accepted, was that: 1) HIV impacts every part of primary care, 2) every HIV+ person has need of quality integrated primary health services of every possible kind, 3) life-time risk of dying of AIDS was 50% in Zambia ~2004 (and the current or future HIV+ person is not identifiable when they walk in the door). And, it was rapidly demonstrated that 4) it was impossible to provide quality ART services in Zambia clinics without an electronic system, but most of all, that 5) electronic records were necessary to address the M&E (cohort analysis) requirements of the ‘run it like a business’ donors. Yes, for donors, donor reporting requirements trump client care requirements. So SmartCare (MOH’s name for it, BTW, not mine), in an effort to be ‘smart’ about this reality, was designed to provide the former as a nearly ‘free’ spin-off of routine health data generated from the latter – but a population level implementation is required for this horizontal service integration plus vertical reporting integration to be complete and most useful.
Annual funding battle cycles within vertical donor programs have put this Zambia national health infrastructure at risk 7 times so far – I will assert, leaving the proof to the reader, that this is NOT actually a sane donor approach; just half of the 15% proposed would allow engineers to focus on a multi-year integrated EHR development and deployment process, instead of multiple vertical systems that increase burden and lower sustainability and ownership . Zambia’s been lucky 7 funding years straight, through 4 ambassadors, 6(?) Permanent Secretaries and Ministers of Health, and 4 Presidents -and yet entire funding is again at risk for 2011 - even though the EHR is (2010) servicing over 500,000 clients in over 600 facilities in 3 countries, and growing quickly.
This benefit would not have ensued without a consistent and meaningful % of the vertical disease funding being directed to address this KEY cross-cutting primary care infrastructure problem over time. The absence of continuity of clinical care and the M&E of the quality of services is the consequence of the absence of a standard and portable EHR. This is a deadly serious yet eminently solvable health problem in Africa today, with even half of this 15%, IF done right, done at scale, and with sufficient MOH authority and staying power to keep all noses pointed in one direction for the duration.
Establishing a consistent funding stream for this and other primary care infrastructure represents a nod toward continuity of ‘donor care’ by the donor community, and an intelligent acknowledgment that health funding has and will continue to have, foci and fads; but that vertical funding is known to have negative consequences for public health and public health systems.
- Mark Shields, CDC, Zambia
Horizontal programmes / primary care are proven to be much more cost effective than vertical ones in improving healthcare
This is a terrific idea!
We join the global efforts.
Primary health care is the way forward and it behoves on well meaninig government to pursue this strategy with renewed zeal and commitment especially in developing nation like my country of birth, Nigeria
Very nice site!
Very nice site!
observational cost cosmic lime societies security governments
I support this movement, If organization really help PHC in their environment, then 2015 goals on PHC is achivable. Please Firms help the PHC……….Help the common Man to have free access to health, atleast we believe that Health is Wealth……………..
15 by 2015 is a must and all primary health care givers should remain committed
I strongly believe this is the way to go. Vertical programmes can only succeed if the primary care giver is involved and this may be the begining of committing the primary care giver to these programs
it’s good idea
Implementation of primary health care has to be the first approach specially in developing countries. Thus, stakeholders has to work on.
Mabuhay
YES I would like to help
proceed
Enough with hypocrisy !
Read access to a coordinated system of primary healthcare should be available to everyone in both developed and developing communities
This is a great cause. Strengthening health systems will streamline the potential for efficacy in foreign aid.
Its a great plan.
Education for Health from the basic School Systems and a main effort over the Medical Education on Family Medicine and Integrative Therapeutics, is the way.
It’s a commendable initiative.
We all working in health sector should support this.
This is so important! I hope action is taken, the word gets out and people that desire to help take a better look at what is best for who they are trying to help. Then do what is needed.
I highly support this cause
Sustainable, preventative health care is how we make tomorrow better than today.
Please include me in this petition which should be addressed!
Non-commuicable diseases have been neglected in developed countries yet they are turning into pidemic soon.
I support this urgent move, there should be massive from support for these companies such as Information Communication Technology Firms,oil companies e.t.c
I worked on the roles of primary health care programmes on the society development in 2006 and presently on the challenges of PHC in 21st century. It was deduce from the research work that there were improvement comparing it to 1980s.There were a great deal of community participation.
But there are some shortcomings in terms off accessibility for all and affordability. I felt the companies here have contributions in Tertiary health institutions, they should please help in PHC settings. Because the massess are suffering, the healthcares services are not very effective and efficient, and that is why alot of massess run to General hospital for help thereby creating much workload on the Secondary health institutions.
The priciples of PHC must be effective by year 2015 and this will reduce morbidity conditions to tiny or 0.001% and Mortality rate will be greatly reduced!
I believe a lot can be achieved in the area of nutrition education and primary health care through religious institutions, especially through churches. Pastors can be sensitized to bring in specialits in these area to educate members, mostly women who are home makers need such health and nutrition education.
I fully agree with he proposed 15% of vertical programmes to be used for horizontal PHC investments.
Improve the health of the youth of Africa by strengthening community-oriented primary health care that is inclusive and participatory.
I totally agree to spend more money for HSS rather than disease specific programme, but programme priority should be clearly given such as by defining essential basic package.
Vertical programmes subtract from whole body/mind care as performed by GPs and nurse practitioners. Primary Health Care must be strengthened if we are to improve mortality and morbidity rates worldwide.
The failing of public health and notably, primary care, is an issue that gains little press worldwide. However it must be addressed if we are to see real progress in the health of populations in the developing and developed parts of the world.
The Medical Women’s International Association believes that primary health care is the most cost effective and efficient method of health care, with specialist referral made after assessment by the primary health care practitioner
I’m currently working in Liberia and I agree wholeheartedly.
I support your vision and mission!
signing the petition in the spirit of Alma Ata 1978
Good idea
great cause and hope the objective is achieved
Even in a developed country like Sweden where we have well organized and extensive primary health care we have to fight for resourses to be able to cope with constant new assignments put on our desks. We’d like to do as much as possible since the care we give close to the patiens home reaches most and is also less expensive than equivalent care in a highly specialized hospital. But we can’t take an ulimited amount of patients and assignments from the specialised carewithout also getting some of the resurses.
I have learned that primary health care is almost non existing in many places of the world. To me this is horriffic and a waste of resources. It is easy for me to sign and support this petition.
Let this be a goal that is not compromised
Very important for equity of health care.
This is indeed very important considering the poor state of the primary healthcare in most developing countries.
Noble cause
go health! we really need this world to be healthier, and we need to educate people too.
In asmuch as African governments have,nt won the world’s trust, it still remains true that seeing eye to eye with them on health programmes will make these interventions more effective in their implementation
can i have more information about primary health care
Very good idea to orient one’s mind to deal with primary care.
Regards
Think globally, act locally …
This is very important because disease usually occurs in the community and unless we emphasise primary care we shall always miss the opportunity to prevent disease both primary and secondary prevention and World health indicators will get worse and worse.
This should be arequirement and a great opportunity
This is very important and worth supporting
Strengthening Primary health care is an aspect that should be taken with keen interest by donors. As a matter of fact there remains a huge gap between healthcare worker to patient(clieent) ratio leave alone the many lives that are lost due to lack of access to health care due to social economic factors. Infact in most casses the wider community does not feel the impact of the money donated because many rural health units lack medicine,proffessional healthworkers,proper referral system and alot more that increasing donor funding and designing proper monitoring system could help improve.
Well, definitivelly, the same situation we have with mental health programs in developing cuntries where we are trying to support integration of mental health into primary care, instead of encouraging so called vertical programs, e.g. separate program for PTSD.
I absolutely agree that we need to strengthen primary health care especially in remote places, and of course misfinancing has to be handled if this is to work.
The infra structure for ongoing care is crucial.
Thank you for your great work!
What a true picture!
Please include fully maternity services in het package of primary health care !!
promote to improve the conditions for a decent living for medical staff worldwide.
very good and necessary initiative
Vertical programms are only valuable if they are integrated into horizontal programms.
that’s a great initiative. How can I support it?
This is a chance to give more, in a committed long-standing fashion, beyond our own profits. Let’s stand by it.
This the greatest initiative to tackle head on the donor countries,funding agencies and the pharmaceutical industry who make billions of $ without any shame in developing countries from sick and dying poor people.
Heath Primary Care is key to the development .
This is a great cause; I’m currently working in Santiago, Chile with a non-profit organization that serves over 30,000 poor and sick people with educational and health care services. Keep up the good work!
Former 1987-1989) acting DMO Bikita District, Zimbabwe
very important item!
Se si parla di economia e salute sono ben consapevoli del fatto che il costo è inferiore a promuovere la prevenzione e riabilitazione, vogliono il successo di questa campagna, mi auguro che il Perù si integra uno di 15 a 2015.
Cordiali saluti
Lic.Nancy Garay Robles
very important action!
Great if some of the former political will could also be claimed, both at the global and local levels.
Hand in hand,we can make a difference…please help…
I agree with all the comments that was mentioned. ours is also a poor country that needs all the help that it can get from within and outside
Totally for it.
I, just returned from Zambia working 5 years in charge of a rural district government hospital and as the director of a HIV/AIDS treatment centre in the capital(PEPFAR funded). So I have experienced both sides of the coin. At least 50% of the budget should be allocated to horizontal primairy care in order to be competitive with the vertical programs. Also the funding should be entering the system at the bottom of the pyramid, at grass root level in order to reduce bureaucracy and improve salaries of the staff that delivers the service. And must be output based with simple transparant monitoring systems.
peace
Zuidzijde 1
7874 TD Odoornerveen
Health for all, aids for none aid for all
I suport the petition
I can’t think of anything more important than allowing everyone the chance to be healthy.
I have spent and worked in a number of developing countries during some 7 years. Our COBES (Community based experience and service) programme in Nigeria became one of the first examples of medical education in the community (Bollag U, Schmidt HG, Lawani JO, Fryers T. Medical Education in Action. Community based experience and service in Nigeria. Medical Education 1982;16:282-89.)
Human rights movements, relevant effective preventive health interventions and public action MUST be continue amidst market and neoliberal forces. The marginalised need their voice to be hard more than ever before.
i strongly believe that CPHC IS THE ONLY WAY TO ACHIEVE THE MDGs
I have worked as a Primary Health Care/Community Based Health Care Co-ordinator in Kenya for 11 years and I quite agree with what you are proposing. I have real life testimonies and experiences on how PHC/CBHC has assisted communities in the areas I worked. I fully support the campaign. Please keep me updated.
Thank you very much for registering me an Iam looking foward for a continued support and collaboration.
It’s urgent to think that way!
Am proud of what your doing, thats why i wan to be part of it.
I totally agree with you.
The Rationale stated are well
understood and supported.
With our visions the three P’s for Peace(Prayers ,Passion and patience)
We the Mothers.. Walk the Talk…
I firmly recommend primary donor organizations to allocate 15% of
their disease specific (vertical) funding towards sustainable comprehensive health
care that is accessible and affordable in all regions of the world by the year
2015.
toward PHC better Srevices
I hope in this action for a good health in the world.
thanks a lot for it; may GOD bless you for it
J’espère que d’autres gens signeront aussi…
salutations
marie josé Baquero
excellent idea!
all the best to you
On my WEB
http://www.ischi.biz/ruth/ruth/?news_%7C
http://www.ischi.biz/ruth/ruth/?news%96archiv_%7C:2008_%7C:petition%2715by2015%27
and I sent 415 mails
herzlich und viel Erfolg
Ruth Kissling de Bâle-Suisse
very good idea
I hope this will be feasible in future
I stongly endorse this appoach given the need to build health systems capacity as a means of ensuring the sustaibability of disease and condition-specific programs.
In many countries there is big need to support the primary health care in order to improve health and prevent major illnesses.
This is the only way of getting closer to achieving health for all,with the current vertical programmes health is viewed without looking at the actual causes.
Good luck!
good idea
It’s a very good decision also for pacients and medical staff
Primary Health Care is the foundation of all health care systems
It is becoming increasingly unbearable to be working for ever improving medicine for the rich while the many who do not have money can not get even the most basic medical care and are left alone by us doctors to lose their dignity, children and lives.
“If you want to raise the death tall, destroy the limited fund for health service in the low-income country and be popular to the people, invest money in secondary or tertiary care health service and build visible establishment. If you want to serve the people in reality and save money, invest it in primary care service.
I agree with your Pettition.
It is becoming increasingly unbearable to be part of our ever improving medicine machine while leaving most people out there to suffer and die of the basest diseases alone and unaided.
This is an important step in achieving effective and efficient health care in developing countries
thank you. looking for cooperation with you.
thank you. i am ready for your support and looking for cooperation with you.
I agree
15% is even to low!
I full agree with this petition, because when the humanity is make an effort to preserve the general health of all her members, she will not able too to care about her welfare and her scientific development too.
A fair trade, is what the earth needs…
I agree perhaps also because I’m a pediatrician.
Prevention and primary care are essential.
Antonio Scorletti
Comprehensive primary health care has the greatest potential for health systems to face today’s most critical health development issues, every effort to advance its implementation is the wellcome
Well done
I Agree
Primary health is the base for the future
That’s a good idea!
Great initiative!!!
it just necessary!!!
We also know, that the demand of geriatric services will increase extremely in the next following years, esp. in developing countries
Why wait till 2015?
I am recognize the need for your campaign because I see the problems every day.
I am agree
I’m learning more about social justice. This initative falls in line with the idea about caring for one another. Thank you for attempting to hold everyone accountable for strengthening health care.
For a humanized world
Congratulated to organisers of this excellent idea. perhaps could change the approach in our respective countries respect family medicine. Lucky
I am very interested by this initiative and I am willing to be part of its operations.
I support the means, it gets frustated that health always become the lowest in priority of bugdet. Nobody appreciate health.
congratulations!
Fully endorsed. It is also important to allocate a certain persentage to all other horizontal health management systems which keep a health service efficient. It is important PHC is not seen as a thing apart ie another programme or project but as a philosophy of health delivery which should be the fabric of any health programme. For example, there is a PHC philosophy to neurosurgery or cardiovascular surgery or control of tuberculosis. PHC should go beyond the medical model and into the homes where the people are seen as the more important 60 -70 % of the health workers and providers work force.
I call upon all donnor countries and Internation organisations to direct their resources to poor countries like Tanzania,much more direct to support those community based Health initiatives.
Congratulations on this initiative. Are you interested in having other organizations join this alliance?
This is great. I support the petition. Bilateral support in health care in many developing countries has not yielded much. Let’s go to where the real problems are.
A welcome new focus
At least 15%… In the end (by 2015?), it should be 100%, but 100% of an amount that is sufficient to integrate the responses to priority diseases within primary health care, without ‘robbing Peter to pay Paul’.
I support the effort. It will tremendously uplift health standards
we are community oriented organisation working to improve health care,so working with you is of utmost importance to the people of bushenyi district. hope to work with us.
We could do it…
Being an Environmental Health Officer, I think I can contribute to the improvement of Community’s health. Pl’se Enroll me on the list of commited workers.
Its heartening to know about the campaign. I endorse the objective of the campaign in word and spirit.
Read about this campaign at http://www.chieforganizer.org - looks like great work!
I strongly support this initiative
There is no doubt we need to change the priorities for health care promotion in Africa from the current insistence on supporting vertical programs to more population-inclusive horizontal strategies.
Delighted to see support for community based and grass roots health care!
This campaign is a good initiative and I hope that the cash will be donate.
I agree with the campaign
This blog is simply smashing. In my humble opinion of course. As this post is rather debatable I don’t think all your blog visitors are going to agree with it.
we have to strive to defeat these diseases, let’s go for it!!!
I strongly agree with the initiative. Health is a human righ.
In my country ,also ,disease specific programs lead to increased shortage of human resources in the general health care by employing local health care workers in their own projects for salaries often 2-4 times the normal salaries, creating an internal “brain-drain”.
I also agree that Community-oriented primary health care is a cost-effective way to integrate health care for individuals with a broader public health perspective.
I suscribe to call upon all donor organizations to allocate 15% of their budgets for vertical disease oriented programs towards strengthening local horizontal primary health care systems. We, as developing cuntries, we need very much to develop the primary health care sistem.
We are now in a very begining.
The community nursing allmost dosen’t exist.
I appreciate this initiative as beeing needed. Furthermore, Romanian nurses need specific training in primary health care/community nursing.
This campaign \”15by 2015\” is a move to the right direction. well done.
I fully support comprehensive PHC to ensure equity and social justice in health and health care for poor people at the grassroots level.
I fully support comprehensive PHC to ensure equity and social justice in health and health care for the poor people at the grassroots level.
International organizations like WHO are dependent upon the funding and priorities directed by national governments and other donors. Donor countries and foundations must lead this movement. Individuals in all countries can help put pressure to ensure equity and health for all.
as long as you consider the first line referral district hospital as part of phc I agree with the petition
For the past 4 years I have worked training Family Doctors in Tajikistan, the poorest ex-soviet republic. Different vertical programs are plentiful, but there is a great need for continuing development in primary care. Particularly in ex-soviet republics, health care is focused on secondary care, and vertical programs are attractive to ministry’s of health as it props up the existing specialist system as they can develop HIV specialists, TB specialists etc. The problems is, in this country there is already high rates of mortality and morbidity unrelated to these specific conditions. For example childhood mortality is linked to poverty with malnutrition, and illnesses such as pneumonia and diarrhoea. The development of primary care and horizontal programs are essential to truly improve the health of developing nations.
Despite substantial improvement in urban healthcare, the rural areas remain neglected. Majority of population in developing countries live in villages which have poor infrastructure, connectivity, and availability of technical manpower. We must strive hard to improve PHC based healthcare delivery.
HIV/AIDS came and overtook all the efforts that were being made to curb all the other medical conditions.But we always ask ourselves,aren’t the deaths caused by these other conditions real?
It is very important because it will support research projets for advancing in models of Primary Health
We need a global deployment of telemedicine, telehealth and e-health.
well done!
Primary health care cuts across diseases in a systemic way. Investing in improving the quality of primary health care (infrastructure, human resources and equipment) is a broad-based and sustainable investment that should be accessible and affordable for all.in kenya where i come from, out of 90% of child deaths, 63% of these deaths could be prevented if eficient and effective primary health care services were in place. The most prevalent health care problems in kenya are HIV,TB, malaria, respiratory illnesses, diarrhoea and complications of labour and delivery all which can be managed and controled if we had a good primary health care system in place.
This is a brilliant idea! I wouldn’t however advocate for the 15% to go to a central government common fund, but rather to support local communities’ capacity to manage and control issues related to their health. Primary Care in Tanzania is largely decentralized, and this appears to work well, given the vast geographical size and limitations in transport and communication infrastructure. Local Communities (through their health committees from village to district level) participate in the planning and prioritization of their health care
needs, using policy guidelines from the Ministry of Health which also oversees quality issues. However, the greatest limitation is always scarcity of resources (human resources, finances, equipment etc). Of all the limitations, the human resource crisis is currently the most crippling.
The idea in general about supporting the health system is brilliant, and I’m in full agreement with it. If there is anything I can do to put more strength in the movement to make 15by2015 a success, I am ready.
a very important step, thank you for this initiative
AT LEAST 15%! But do we need at all those “vertical” initiatives? “Health is not the mere absence of disease”
Primary health care is human right.
I do acknowledge the value of Alma Ata Declaration as still valid strategy for the health of people in the world
Congratulation! 15 by 2015 is focus in one big problem! Let´s do it!
Vertical Programmes can be feasible only as part of a comprehensive appreoach
It is now time to give proper support to primary health care — not just vertical interventions
I WANT TO BE WITH YOU IN THIS PROGRAMME
This is not only the right path to achieving our health sector millenium goals but also the cornerstone of improving quality of life.
If donor agencies project would have concentrated on improving health of our communities, health indicators wouldn’t have been the same!
I have worked in Uganda, Laos, Guatemala and Cambodia. I have taught Primary Care and Urgent care in refugee camps and University hospitals. Without primary health care, the Health crises will only increase in low resource countries. We need to implement lessons learned from USA and European Countries in prevention and Primary care or we are not doing our job.
I FULLY SUPPORT THE PETITION. THIS WILL GO A LONG AY TO IMPROVE HEALTH ACCESS TO THE DEVELOPING COMMUNITIES.
This is an excellent initiative! Vertical programmes leave one trying to fit all PHC improvements under the TB/HIV umbrella for which one may be fortunate to receive some funding. Now we might look at some structural issues surrounding the provision of health care at PHC level. And here at Madwaleni, a very rural hospital in the Eastern Cape South Africa, this sounds like we’re gonna focus on the people rather than just the disease! Bring it on!
I fully support the call for primary care funding to be equitable with disease focussed funding
A very noble idea which I support
It is not sufficient to be helpful to few people if we have vivid outstanding capacity to lend a hand to the majority population. Lets not watch history but make pertinent history by supporting and extending primary health care to the most needy as well as to all people. Otherwise, I am in favour of the idea “15 by 2015″. We require it.
Great initiative!
Expansion of primary health care is the back bone for equitable and accessible health care for all!
I do agree with the initiative and do hope donors will understand and strengthen the health services
This is a life changing campaign, aimed at preserving life, it should be our highest motivation, to which all others are surbodinate.
this is a particularly important initiative as the funding support for specific interests fails to move us towards the most effective form of health intervention and collaboration.
As Assoc. Dir. Of the Vietnam Family Medicine development Project ($6 Million total funding) and Senior Consultant to the Global Health Primary Care Initiative at the Boston Univ. Dept. of Family Medicine I have championed these goals and cited these premises strongly for the past 10 years.
good move ,I hope through such campaigns better health care will be provided to the underserved communities all over the world
This movement is timely and needs support from different stakeholders.
I am very much interested and supportive of this petition
I agree to the proposal. The better pathway for achieving health for all is through primary health care services.
I agree with your petition and findings. This confims my observations in our health system. A more comprehensive and integrated quality health services with community participation is a better pathway to achieve health for all.
To improve health delivery in developing countries,then the issue of brain drain has to be dealt with first in order to retain specialists in the health sector and this can be done by reducing the salary gap between government employees and those in private sector.
let’s achieve this!!!
I fully agree with the point that difference in salaries among workers of primary health care and vertical health programs creates frustration in the employees. Vertical programs must donate around 25% of their funds to PHC Programs.
I full suppor the petition. Let us keep advocating fot increase in the budgets.
It is so well proven to be cost effective one has to wonder why the politians of the world just don’t get it!
strongly agree
I expect a 20% effort … in 2020 !
We beleive that the best way to reduce maternal mortality & improving maternal & child health services is through sterngthening PHC
I am a member and convenor of the Coalition of PHC Advocates in the Philippines
I am particularly concerned because the the vertical disease oriented programs do not address women’s health and pregnancy related health issues, which affect almost every woman.
great start to a very long (and winding?) road!
This is a challenging approach to achieve HFA. Equitable distribution of resources is a very difficult task. The politicians of partner countries must be committed. Other wise it will never be materialized.
Primary health care must be re-instituted to enable sustainable changes that support health.
I am fully in support of this and would add that 15% of research budgets should be allocated to Primary Care Research (see recent JABFM article).
I fully support the petition
Very important and to those who love the human race
As well as waking up to the crisis of climate change we also need to act on the reality of World poverty
Coordination of funding and its administration would be essential.
I fully subscribe to the campaign
It will be important to look for a wide unity with the social movements who are struggling for the same ideas.
Primary health can only be supported when society makes solving socio economic inequities a priority. Primary care providers and preventative health allied providers need the support to be able to have a work-life balance when providing services.
Childbearing women, mothers and children are the corner stone of society. Preventative health care needs to start before the womb, in the womb and the first 18 years of life. Mothers-to-be and mothers are the gate keepers….
My country Pakistan is a poor country, we certainly need to help poor people of our country
dear sir
you have great and very important role for helping people in their health but i ask what about your project and support for africa country especially Sudan we have a lot of hiv aids cases need help also we need
Good idea. I have never supported vertical programmes and I think the is an over emphasis on HIV/AIDS over more pressing health problems. Will provide details if my opinion is particularly solicited on these. Thank you. Mawuli.
I am a paediatrician from Iran with about 17 years experiences as a lecturer and clinician, I’d like to cooperate with your program world wide.
15by2015 is a long awaiyed strategy. Lets support
Honstly think this is a good cause. Please keep it up. Am in. Kudos.
I fully support primary health care as a systematic way of improving the quality of life for many people.
I strongly support the “15 by 2015″ campaign for donor organizations to allocate 15% of their vertical funding towards sustainable comprehensive primary health care that is accessible and affordable in all regions of the world.May this effort contribute to better quality of life of all people of the world irrespective of their colour, race, religion, gender or age.
Rogayah Jaafar
Chairman, Network:TUFH and Board Member, GHETS
I enthusiastically support this essential initiative to improve people’s health around the world.
I am very much an advocate of primary health care interventions both domestically and internationally as they give by far the greatest value for money, for the greatest number of people.
Primary care close to where people live reaches more people more effectively than big “disease palaces” in major conurbations.
Strengthening Primary Health Care should be every conutry’s priority, and funding from many more sources is an essential. Many countries are currently not coping adequately because of the lack of funding.
I entirely agree with the concept. Some distinct action is desparetely and urgently needed.
I highly appreciate the efforts of the TUFH for recognising the current disparities in Health care system especially in Sub-Saharan Africa. This requires collective efforts if Health challenges are to be tackled globally and meet the 2015 target.
In addition to the above, all medical schools need to improve the training of their students in primary care settings. It would be interesting to find out what percentage of clinical training occurs in a primary care setting under the supervision of competent mentors. Perhaps funding could be linked to working towards a suitable target?
This is hitting the nail on the head of a neglected tragedy in health services delivery in developing countries.
I can but sympathize with this initiative. Since almost five years I have been involved in educational programs for general practitioners in Congo in order to ameliorate the care of diabetic people in Africa.
Primary Health Care for Everybody…
I agree in toto with this campaign.
I support the petition
I agree with all my heart with this action!!
As a primary care physician I support this initiative.
I so support this work.
Hello,
Dear Manager,
Although I amnot a powerful person in allocating budget. But because I work in a province with specific condition in Iran I know the importance and vital effort of 15 by 2015 on peples lives. with best regard, Moudi
I belong to a poor country. Pakistan also need to help poor people and surely we all have to contribute towards this noble cause.
I hope that organizations will listen!
No doubt I fully agree and believe that there is no other option. 2015 is already there!
I do support the idea of requesting all global health donors allocating 15% of their grants towards PHC system of the local country they are working in. A very noble concept.
It’s a timely campaign not only for the disadvantaged but also the advantaged by reinstating the trust/faith in the current least prioritized, overstretched and poorly equipped health care systems in the third world countries.
I agree with the concept of 15by2015.The world need this innovation.
The Primary Health Care movements and initiatives across the globe desperately needs resources and policy support to be able to significantly contribute to the attainment of the MDGs.
Please make a drastic change in your campaign! “10by2010″ then the next step if everyone accepted this.
15by2015 is far more than most countries will accept but with enough campaigning….
And do NOT forget 100% by 2100 meaning 100% health by the year 2100. Like the WHO slogan: “Health for all by 2000″ in the past!
General practitioner, Curacao Netherlands Antillen