
Contents
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Introduction Introduction
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Global Health as Development Global Health as Development
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Origins of the Concept of Targeting Disease Origins of the Concept of Targeting Disease
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Cases of Targeted Disease Approaches Cases of Targeted Disease Approaches
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Smallpox: Mission Accomplished Smallpox: Mission Accomplished
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Polio: The Challenge of the “Last Mile” Polio: The Challenge of the “Last Mile”
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HIV/AIDS: From Emergency to Mainstream HIV/AIDS: From Emergency to Mainstream
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Key Debates Key Debates
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“Exceptionalizing” a Disease “Exceptionalizing” a Disease
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Diseases and Health Systems Diseases and Health Systems
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Future of Health as Development Future of Health as Development
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Finite Resources and Critical Choices Finite Resources and Critical Choices
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Long-term Impact on Health Systems Long-term Impact on Health Systems
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Agendas, Accountability, and Ownership Agendas, Accountability, and Ownership
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References References
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Cite
Abstract
Global health has emerged as a core component of global development, and financing for global health has increased dramatically. Yet despite the growing recognition that poor health status is both a cause and an effect of poverty, and that the greatest gains in health can be achieved with relatively low-cost interventions, funding has continued to target infectious diseases. The history and practice of disease targeting is explored to identify lessons from notable examples of targeting, including smallpox, polio, and HIV/AIDS. The targeting of diseases is shown to remain an important development concept, especially for new and emerging health challenges, but one that should be applied appropriately and for long-term results. Invariably, targeted approaches will require strong and functioning health systems to “walk that last mile” toward lasting impact.
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