Africa is the most affected continent with energy poverty. Wood fuel is the main source of energy for remote and rural populations. At the same time, most parts of Africa are endowed with abundant solar energy. Togeth...Africa is the most affected continent with energy poverty. Wood fuel is the main source of energy for remote and rural populations. At the same time, most parts of Africa are endowed with abundant solar energy. Together with a highly developed global solar industry and ever declining cost of solar systems, solar has unprecedented potential to combat energy poverty in Africa. However, dissemination of solar systems is faced with a number of barriers and challenges amongst where sustainable financing and lack of technological support for installation, maintenance and repair of systems are the most significant. This paper discusses the cases of Botswana and Namibia where financing schemes based on different partnership models have been successfully implemented. These schemes have the potential for success and adaptation by countries with similar socio-economic conditions. We conclude with recommendations on training programs for different levels of intervention to overcome the lack of technological support.展开更多
Background： At the present time, the government is considering to establish the independent financing system for essential medicines （EMs）. However, it is still in the exploration phase. The objectives of this stud...Background： At the present time, the government is considering to establish the independent financing system for essential medicines （EMs）. However, it is still in the exploration phase. The objectives of this study were to calculate and estimate financing amount of EMs in China in 2014 and to provide data evidence for establishing financing mechanism of EMs. Methods： Two approaches were adopted in this study. First, we used a retrospective research to estimate the cost of EMs in China in 2014. We identified all the 520 drugs listed in the latest national EMs list （2012） and calculated the total sales amount of these drugs in 2014. The other approach included the steps that first selecting the 109 most common diseases in China, then identifying the EMs used to treat them, and finally estimating the total cost of these drugs. Results： The results of the two methods, which showed the estimated financing amounts of EMs in China in 2014, were 17,776.44 million USD and 19,094.09 million USD, respectively. Conclusions： Comparing these two results, we concluded that the annual budget needed to provide for the EMs in China would be about 20 billion USD. Our study also indicated that the irrational drug use continued to plague the health system with intravenous fluids and antibiotics being the typical examples, as observed in other studies.展开更多
文摘Africa is the most affected continent with energy poverty. Wood fuel is the main source of energy for remote and rural populations. At the same time, most parts of Africa are endowed with abundant solar energy. Together with a highly developed global solar industry and ever declining cost of solar systems, solar has unprecedented potential to combat energy poverty in Africa. However, dissemination of solar systems is faced with a number of barriers and challenges amongst where sustainable financing and lack of technological support for installation, maintenance and repair of systems are the most significant. This paper discusses the cases of Botswana and Namibia where financing schemes based on different partnership models have been successfully implemented. These schemes have the potential for success and adaptation by countries with similar socio-economic conditions. We conclude with recommendations on training programs for different levels of intervention to overcome the lack of technological support.
基金This study was supported by grants from the general program of National Natural Science Foundation of China:Studies on dynamic financing mechanisms of basic medical insurance system for urban residents in China，program of National Health and Family Planning Commission of China:Studies on financing mechanism of essential medicines in China
文摘Background： At the present time, the government is considering to establish the independent financing system for essential medicines （EMs）. However, it is still in the exploration phase. The objectives of this study were to calculate and estimate financing amount of EMs in China in 2014 and to provide data evidence for establishing financing mechanism of EMs. Methods： Two approaches were adopted in this study. First, we used a retrospective research to estimate the cost of EMs in China in 2014. We identified all the 520 drugs listed in the latest national EMs list （2012） and calculated the total sales amount of these drugs in 2014. The other approach included the steps that first selecting the 109 most common diseases in China, then identifying the EMs used to treat them, and finally estimating the total cost of these drugs. Results： The results of the two methods, which showed the estimated financing amounts of EMs in China in 2014, were 17,776.44 million USD and 19,094.09 million USD, respectively. Conclusions： Comparing these two results, we concluded that the annual budget needed to provide for the EMs in China would be about 20 billion USD. Our study also indicated that the irrational drug use continued to plague the health system with intravenous fluids and antibiotics being the typical examples, as observed in other studies.
