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Italy’s contribution to global health

The need for a paradigm shift

Bibliographic Data

ID19535163
AuthorsEduardo Missoni (0000-0003-2296-4145, Bocconi University), Fabrizio Tediosi (0000-0001-8671-9400, Swiss Tropical and Public Health Institute), Guglielmo Pacileo (0000-0002-0787-6430, Bocconi University), Lara Gautier (0000-0002-9515-295X, Bocconi University)
Year2014
Volume10
Issue1
Pages25
Publication date2014-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobalization and Health (JOURNAL)
Journal identifiersISSN: 1744-8603 • E-ISSN: 1744-8603
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/1744-8603-10-25
PMID24708890
PMCIDPMC4233622
OpenAlexW2097281388
LanguageEN
Citations received1
References cited3

This paper reviews Italian Development Assistance for Health and overall contribution to Global Health from 2001 to 2012. It analyses strategies and roles of central and decentralized authorities as well as those of private non-profit and corporate actors. The research illustrates a very low and unstable official contribution that lags far behind internationally agreed upon objectives, a highly fragmented institutional scenario, and controversial political choices favouring "vertical" global initiatives undermining national health systems, and in contrast with Italian deep-rooted principles, traditional approaches and official guidelines. Italy's contribution to global health goes beyond official development aid, however. The raising movement toward Universal Health Coverage may offer an extraordinary opportunity for a leading role to a country whose National Health System is founded on the principles of universal and equitable access to care. At the same time, the distinctive experience of Italian decentralized cooperation, with the involvement of a multiplicity actors in a coordinated effort for cooperation in health with homologous partners in developing countries, may offer--if adequately harnessed--new opportunities for an Italian "system" of development cooperation. Nevertheless, the indispensable prerequisite of a substantial increase in public funding is challenged by the current economic crisis and domestic political situation. For a renewed Italian role in development and global health, a paradigm shift is needed, requiring both conceptual revision and deep institutional and managerial reforms to ensure an appropriate strategic direction and an efficient and effective use of resources

Development aid · Economic growth · Economics · Global health · Health care · Health services research · Paradigm shift · Political science · Politics · Public health · Public relations · Global Health Care Issues · Healthcare Systems and Reforms · HIV/AIDS Impact and Responses · Law · Medicine · Public Administration · Health Policy

  • Medical education

    Open Access•Giulia Civitelli, G Tarsitani et al.•Globalization and Health•2020

  • The Italian fight against world hunger. A critical analysis of Italian aid for development in the 1980s

    Open Access•Paola Bollini, Michael R Reich•Social Science & Medicine•1994

Unique citing works1
Citations per year0,17
Citation span2020 - 2020 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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