Araştırma Makalesi
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The Relationship Between the Budget Allocated to Health and the Density of Health Workers and Communicable Diseases in the Context of Sustainable Development Goals

Yıl 2024, Cilt: 19 Sayı: 3, 127 - 134, 04.11.2024
https://doi.org/10.17517/ksutfd.1383139

Öz

Objective: The United Nations has set 17 goals under the title of "Sustainable Development Goals (SDGs)", and aimed to end the epidemics of AIDS, tuberculosis, and combat hepatitis. Healthcare budgets and the number of health workers play an important role in preventing and treating these diseases. We aimed to examine the relationship between the budget allocated to health services (indicator SDG 1. a) the number of health workers per population (indicator SDG 3. c) and the prevalence of HIV, tuberculosis, and hepatitis B (indicator SDG 3.3).
Materials and Methods: This is a descriptive correlational study. SDG indicator data were obtained from WHO's World Health Statistics 2022 report. Data from 194 countries were included. The relationships between SDG indicators were evaluated using Spearman correlation analysis and p<0.05 was accepted as statistical significance value.
Results: SDG 1. a and SDG 3. c indicators had a moderate negative correlation with New HIV infections and a strong negative correlation with Tuberculosis incidence and Hepatitis B surface antigen (HBsAg) prevalence under 5 years. Most of the countries with the worst indicators were in the African region.
Conclusion: Raising the level of welfare, the budget allocated to health, and the number of health professionals to an adequate level should be among the main tasks of all governments.

Kaynakça

  • Our Work | United Nations [Internet]. 2023 [cited 2023 Mar 20]. Available from: https://www.un.org/en/our-work.
  • Millennium Development Goals (MDGs) [Internet]. 2018 [cited 2023 Mar 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/millennium-development-goals-(mdgs).
  • Millennium Development Goals Report 2015 [Internet]. 2015 [cited 2023 Mar 20]. Available from: https://www.un.org/en/development/desa/publications/mdg-report-2015.html.
  • Martin. The Sustainable Development Agenda [Internet]. United Nations Sustainable Development. 2022 [cited 2023 Mar 20]. Available from: https://www.un.org/sustainabledevelopment/development-agenda/.
  • World Health Statistics [Internet]. 2023 [cited 2023 Mar 20]. Available from: https://www.who.int/data/gho/data/themes/world-health-statistics.
  • Measuring Distance to the SDG Targets - OECD [Internet]. 2022 [cited 2023 Apr 5]. Available from: https://www.oecd.org/wise/measuring-distance-to-the-sdgs-targets.htm.
  • World Health Organization. The world health report : 2006 : working together for health [Internet]. World Health Organization; 2006 [cited 2023 Mar 20]. Available from: https://apps.who.int/iris/handle/10665/43432.
  • Global Tuberculosis Report [Internet]. 2022 [cited 2023 Mar 30]. Available from: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022.
  • Global HIV & AIDS statistics — Fact sheet [Internet]. 2022 [cited 2023 Mar 30]. Available from: https://www.unaids.org/en/resources/fact-sheet.
  • Hepatitis B [Internet]. 2022 [cited 2023 Mar 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/hepatitis-b.
  • Cassini A, Colzani E, Pini A, Mangen MJJ, Plass D, McDonald SA, et al. Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013. Eurosurveillance [Internet]. 2018 Apr 4 [cited 2023 Apr 3];23(16). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5915974/.
  • Bein MA, Unlucan D, Olowu G, Kalifa W. Healthcare spending and health outcomes: evidence from selected East African countries. Afr Health Sci. 2017 Mar;17(1):247–54.
  • Maruthappu M, Da Zhou C, Williams C, Zeltner T, Atun R. Unemployment, public–sector health care expenditure and HIV mortality: An analysis of 74 countries, 1981–2009. J Glob Health. 5(1):010403.
  • Dye C, Lönnroth K, Jaramillo E, Williams BG, Raviglione M. Trends in tuberculosis incidence and their determinants in 134 countries. Bull World Health Organ. 2009 Sep;87(9):683–91.
  • Castillo-Laborde C. Human resources for health and burden of disease: an econometric approach. Hum Resour Health. 2011 Jan 26;9:4.
  • Talbert-Slagle KM, Canavan ME, Rogan EM, Curry LA, Bradley EH. State variation in HIV/AIDS health outcomes: the effect of spending on social services and public health. AIDS Lond Engl. 2016 Feb 20;30(4):657–63.
  • Li Q, Liu M, Zhang Y, Wu S, Yang Y, Liu Y, et al. The spatio-temporal analysis of the incidence of tuberculosis and the associated factors in mainland China, 2009-2015. Infect Genet Evol. 2019 Nov 1;75:103949.
  • Anderson ST, Laxminarayan R, Salant SW. Diversify or focus? Spending to combat infectious diseases when budgets are tight. J Health Econ. 2012 Jul;31(4):658–75.

Sürdürülebilir Kalkınma Hedefleri Bağlamında Sağlığa Ayırılan Bütçe ile Sağlık Çalışanlarının Yoğunluğu ve Bulaşıcı Hastalıklar Arasındaki İlişki

Yıl 2024, Cilt: 19 Sayı: 3, 127 - 134, 04.11.2024
https://doi.org/10.17517/ksutfd.1383139

Öz

Amaç: Birleşmiş Milletler, "Sürdürülebilir Kalkınma Amaçları (SDG)" başlığı altında 17 amaç belirleyerek AIDS, tüberküloz salgınlarının sona erdirilmesini ve hepatitle mücadeleyi hedeflemiştir. Sağlık bütçeleri ve sağlık çalışanı sayısı bu hastalıkların önlenmesinde ve tedavisinde önemli rol oynamaktadır. Sağlık hizmetlerine ayrılan bütçe (gösterge SDG 1.a) ile nüfus başına düşen sağlık çalışanı sayısı (gösterge SDG 3.c) ve HIV, tüberküloz ve hepatit B yaygınlığı (gösterge SDG 3.3) arasındaki ilişkiyi incelemeyi amaçladık.
Gereç ve Yöntemler: Tanımlayıcı korelasyonel bir çalışmadır. SDG gösterge verileri DSÖ'nün Dünya Sağlık İstatistikleri 2022 raporundan elde edilmiştir. 194 ülkeden veriler dahil edilmiştir. Sürdürülebilir Kalkınma Amacı göstergeleri arasındaki ilişkiler Spearman korelasyon analizi kullanılarak değerlendirilmiş ve p<0,05 istatistiksel anlamlılık değeri olarak kabul edilmiştir.
Bulgular: SDG 1.a ve SDG 3.c göstergeleri, 5 yaş altı yeni HIV enfeksiyonları ile orta düzeyde negatif korelasyona sahipken, Tüberküloz insidansı ve Hepatit B yüzey antijeni (HBsAg) prevalansı ile güçlü negatif korelasyona sahipti. En kötü göstergelere sahip ülkelerin çoğu Afrika bölgesindeydi.
Sonuç: Refah düzeyinin, sağlığa ayrılan bütçenin ve sağlık çalışanlarının sayısının yeterli seviyeye yükseltilmesi tüm hükümetlerin temel görevleri arasında yer almalıdır.

Kaynakça

  • Our Work | United Nations [Internet]. 2023 [cited 2023 Mar 20]. Available from: https://www.un.org/en/our-work.
  • Millennium Development Goals (MDGs) [Internet]. 2018 [cited 2023 Mar 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/millennium-development-goals-(mdgs).
  • Millennium Development Goals Report 2015 [Internet]. 2015 [cited 2023 Mar 20]. Available from: https://www.un.org/en/development/desa/publications/mdg-report-2015.html.
  • Martin. The Sustainable Development Agenda [Internet]. United Nations Sustainable Development. 2022 [cited 2023 Mar 20]. Available from: https://www.un.org/sustainabledevelopment/development-agenda/.
  • World Health Statistics [Internet]. 2023 [cited 2023 Mar 20]. Available from: https://www.who.int/data/gho/data/themes/world-health-statistics.
  • Measuring Distance to the SDG Targets - OECD [Internet]. 2022 [cited 2023 Apr 5]. Available from: https://www.oecd.org/wise/measuring-distance-to-the-sdgs-targets.htm.
  • World Health Organization. The world health report : 2006 : working together for health [Internet]. World Health Organization; 2006 [cited 2023 Mar 20]. Available from: https://apps.who.int/iris/handle/10665/43432.
  • Global Tuberculosis Report [Internet]. 2022 [cited 2023 Mar 30]. Available from: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022.
  • Global HIV & AIDS statistics — Fact sheet [Internet]. 2022 [cited 2023 Mar 30]. Available from: https://www.unaids.org/en/resources/fact-sheet.
  • Hepatitis B [Internet]. 2022 [cited 2023 Mar 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/hepatitis-b.
  • Cassini A, Colzani E, Pini A, Mangen MJJ, Plass D, McDonald SA, et al. Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013. Eurosurveillance [Internet]. 2018 Apr 4 [cited 2023 Apr 3];23(16). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5915974/.
  • Bein MA, Unlucan D, Olowu G, Kalifa W. Healthcare spending and health outcomes: evidence from selected East African countries. Afr Health Sci. 2017 Mar;17(1):247–54.
  • Maruthappu M, Da Zhou C, Williams C, Zeltner T, Atun R. Unemployment, public–sector health care expenditure and HIV mortality: An analysis of 74 countries, 1981–2009. J Glob Health. 5(1):010403.
  • Dye C, Lönnroth K, Jaramillo E, Williams BG, Raviglione M. Trends in tuberculosis incidence and their determinants in 134 countries. Bull World Health Organ. 2009 Sep;87(9):683–91.
  • Castillo-Laborde C. Human resources for health and burden of disease: an econometric approach. Hum Resour Health. 2011 Jan 26;9:4.
  • Talbert-Slagle KM, Canavan ME, Rogan EM, Curry LA, Bradley EH. State variation in HIV/AIDS health outcomes: the effect of spending on social services and public health. AIDS Lond Engl. 2016 Feb 20;30(4):657–63.
  • Li Q, Liu M, Zhang Y, Wu S, Yang Y, Liu Y, et al. The spatio-temporal analysis of the incidence of tuberculosis and the associated factors in mainland China, 2009-2015. Infect Genet Evol. 2019 Nov 1;75:103949.
  • Anderson ST, Laxminarayan R, Salant SW. Diversify or focus? Spending to combat infectious diseases when budgets are tight. J Health Econ. 2012 Jul;31(4):658–75.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Burak Kurt 0000-0002-8185-2146

Cemal Koçak 0000-0003-4799-5669

Erken Görünüm Tarihi 23 Ekim 2024
Yayımlanma Tarihi 4 Kasım 2024
Gönderilme Tarihi 30 Ekim 2023
Kabul Tarihi 16 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 19 Sayı: 3

Kaynak Göster

AMA Kurt B, Koçak C. The Relationship Between the Budget Allocated to Health and the Density of Health Workers and Communicable Diseases in the Context of Sustainable Development Goals. KSÜ Tıp Fak Der. Kasım 2024;19(3):127-134. doi:10.17517/ksutfd.1383139