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But if the Global Fund's diagonal intentions were undertaken without additional resources and without preserving long-term, sustained foreign assistance and if a diagonal approach could not continue to bypass IMF policies, the Global Fund could be sucked into the swamp of past failed health development efforts.
In some cases partners have played an advocacy and technical role to promote human resources for health development at the highest political levels, but usually they still focus on the provision of ad hoc training within their programmes, which may not be in line with national human resources for health development efforts or may even be counterproductive to them.
Similarly, only a few encompassed the contributions of a range of health development efforts, research programs, and RCS initiatives, to the gradual emergence of a health research system, as has been possible in case studies taking a longer term view [ 48].
But if the Global Fund's diagonal intentions were undertaken without additional and sustained contributions or if a diagonal approach could not continue to bypass IMF policies, the Global Fund could be sucked into the swamp of past failed health development efforts.
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It is not without reason that four out of eight MDGs focus on child health and education – areas where international public health and development efforts so far have failed to address even the most pressing needs; but also areas where improvements may have the greatest benefit for human development and poverty reduction.
I work at the intersection of traditional health and development efforts and entrepreneurship and business development, and have seen extraordinary and accelerating progress in this nation.
These results are troubling considering that resources available for health and development efforts are limited and may not be reaching the most disadvantaged populations.
Historically, Afghanistan's health system development efforts were uncoordinated and focussed on major cities, while most of the population was rural.
Oftentimes, this model is adopted by particularly large and well-supported visiting partners with perhaps a longer-term interest in supporting health and development efforts in the community in question.
· Resources are reallocated according to countries' needs and priorities – among countries, programmes and populations – for greatest results while ensuring that responses promote human rights as well as synergies with other health and development efforts.
Ensuring that more and more countries follow the path of placing health workforce development at the centre of their health and broader development efforts through effective inter-sectoral collaboration is what we do at the Global Health Workforce Alliance.
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