The Lancet NCDI Poverty Commission: bridging a gap in universal health coverage for the poorest billion

The Lancet
Oct 03, 2020 Volume 396 Number 10256 p935-1044, e53-e56
https://www.thelancet.com/journals/lancet/issue/current

 

The Lancet Commissions
The Lancet NCDI Poverty Commission: bridging a gap in universal health coverage for the poorest billion
Gene Bukhman, et al for the Lancet NCDI Poverty Commission Study Group
Key messages
:: For the poorest of our world, non-communicable diseases and injuries (NCDIs) account for more than a third of their burden of disease; this burden includes almost 800 000 deaths annually among those aged younger than 40 years, more than HIV, tuberculosis, and maternal deaths combined
:: Despite already living in abject poverty, between 19 million and 50 million of the poorest billion spend a catastrophic amount of money each year in direct out-of-pocket costs on health care as a :: :: :: Progressive implementation of affordable, cost-effective, and equitable NCDI interventions between 2020 and 2030 could save the lives of more than 4·6 million of the world’s poorest, including 1·3 million who would otherwise die before the age of 40 years
:: To avoid needless death and suffering, and to reduce the risk of catastrophic health spending, essential NCDI services must be financed through pooled, public resources, either from increased domestic funding or external funds
:: National governments should set and adjust priorities based on the best available local data on NCDIs and the specific needs of the worst off
:: International development assistance for health should be augmented and targeted to ensure that the poorest families affected by NCDIs are included in progress towards universal health care