Sep 29, 2018 Volume 392 Number 10153 p1089-1166 e8-e9
Addressing the fragmentation of global health: the Lancet Commission on synergies between universal health coverage, health security, and health promotion
Gorik Ooms, Trygve Ottersen, Albrecht Jahn, Irene Akua Agyepong
Global health is fragmented. Many stakeholders pursue their own agenda while neglecting other important goals for global health. Some global health actors, for example, focus on strengthening health security without attention to universal health coverage (UHC), primary health care (PHC), and population-based health promotion. Prevention is a key part of PHC and UHC, but efforts to ensure PHC or make progress towards UHC often do not include population-based prevention efforts. Proponents often use broad definitions of their agenda in declarations and statements, while applying much narrower definitions in practice. If these tensions are not addressed, fragmentation will continue to make local, national, and global efforts inefficient and opportunities will be lost in terms of lives saved and quality of life.