Årets World Health Report fokuserade i huvudsak på hur den grundläggande sjukvården är organiserad, finansierad och genomförd i rika och fattiga länder runt om i världen.
"I huvudsak" stämmer visserligen, men första kapitlet handlar om utvecklingen senaste decennierna - ur senaste World Health Report (pdf):
Overall, progress in the world has been considerable. If children were still dying at 1978 rates, there would have been 16.2 million deaths globally in 2006. In fact, there were only 9.5 million such deaths. This difference of 6.7 million is equivalent to 18 329 children’s lives being saved every day.
Mirroring the overall trends in child survival, global trends in life expectancy point to a rise throughout the world of almost eight years between 1950 and 1978, and seven more years since: a refl ection of the growth in average income per capita.
Firstly, the Preston curve continues to shift. An income per capita of I$ 1000 in 1975 was associated with a life expectancy of 48.8 years. In 2005, it was almost four years higher for the same income. This suggests that improvements in nutrition, education, health technologies, the institutional capacity to obtain and use information, and in society’s ability to translate this knowledge into effective health and social action, allow for greater production of health for the same level of wealth.
Och två diagram ur rapporten [klickbara för förstoring]:
Vidare ur SvD-artikeln:Den andra rapporten "Stoppa klyftorna inom en generation" redovisar en treårig undersökning av skillnaderna mellan och inom länderna, sade WHO i ett uttalande.
Jag hittar inte den rapporten bland WHO:s publikationer, men hittar någon den får vederbörande gärna länka så ska jag läsa igenom den. Jag hittade däremot rapporten World Health Statistics 2009 (pdf), en märklig rapport som definitivt hade mått bra av diagram i samband med tabellerna, men sammanfattningen är i alla fall läsbar - ur sammanfattningen:
In 2007, there were an estimated 9 million child deaths, significantly fewer than the 12.5 million estimated in 1990, with a 27% decline in the under-5 mortality rate over that period to 67 per 1000 live births in 2007.
Over the period 2000–2008, 65% of births globally were attended by skilled health personnel, 4% more than in 1990–1999.
Globally, the contraceptive prevalence rate increased from 59% in 1990–1995 to 63% in 2000–2006.
Although it is still too early to register global changes in impact, 27 countries (including five in Africa) have reduced reported cases of the disease and/or deaths resulting from it by up to 50% between 1990 and 2006.
Tuberculosis prevalence and death rates per 100 000 population declined from 296 in 1990 to 206 in 2007 for the former, and from 28 in 1990 to 25 in 2006 for the latter.
The percentage of adults living with HIV globally has remained stable since 2000. Use of antiretroviral therapy has increased; in the course of 2007, about one million more people living with HIV received antiretroviral therapy.
Only 9585 cases of dracunculiasis (guinea-worm disease) were reported in the five countries in which the disease is endemic, compared with an estimated 3.5 million reported in 20 such countries in 1985. The global prevalence of leprosy at the beginning of 2008 stood at 212 802 reported cases, down from 5.2 million cases in 1985.
Globally, the proportion of the population with access to improved drinking-water sources increased from 76% to 86% between 1990 and 2006. Since 1990, the number of people in developing regions using improved sanitation facilities has increased by 1100 million.
Eller i SvD:s sammanfattning:
"Skillnaderna i hälsotillstånd och tillgång till vård är mycket större i dag än de var 1978", konstaterar WHO:s Kinachef, svensken Hans Troedsson.
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