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Published in: Globalization and Health 1/2013

Open Access 01-12-2013 | Review

Health technology assessments as a mechanism for increased value for money: recommendations to the Global Fund

Authors: Yot Teerawattananon, Kate McQueston, Amanda Glassman, Jomkwan Yothasamut, Chaw Yin Myint

Published in: Globalization and Health | Issue 1/2013

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Abstract

The Global Fund is experiencing increased pressure to optimize results and improve its impact per dollar spent. It is also in transition from a provider of emergency funding, to a long-term, sustainable financing mechanism. This paper assesses the efficacy of current Global Fund investment and examines how health technology assessments (HTAs) can be used to provide guidance on the relative priority of health interventions currently subsidized by the Global Fund. In addition, this paper identifies areas where the application of HTAs can exert the greatest impact and proposes ways in which this tool could be incorporated, as a routine component, into application, decision, implementation, and monitoring and evaluation processes. Finally, it addresses the challenges facing the Global Fund in realizing the full potential of HTAs.
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Literature
1.
go back to reference Kazatchkine MD: Increased resources for the Global Fund, but pledges fall short of expected demand. Lancet. 2010, 376: 1439-40. 10.1016/S0140-6736(10)61970-8.CrossRefPubMed Kazatchkine MD: Increased resources for the Global Fund, but pledges fall short of expected demand. Lancet. 2010, 376: 1439-40. 10.1016/S0140-6736(10)61970-8.CrossRefPubMed
2.
go back to reference Mccoy D, Kinyua K: Allocating scarce resources strategically–an evaluation and discussion of the Global Fund’s pattern of disbursements. PLoS One. 2012, 7: e34749-10.1371/journal.pone.0034749.PubMedCentralCrossRefPubMed Mccoy D, Kinyua K: Allocating scarce resources strategically–an evaluation and discussion of the Global Fund’s pattern of disbursements. PLoS One. 2012, 7: e34749-10.1371/journal.pone.0034749.PubMedCentralCrossRefPubMed
4.
go back to reference The Value for Money Working Group: More Health for the Money: A Practical Agenda for the Global Fund and Its Partners (Consultation Draft). A Report of the Center for Global Development Working Group on Value for Money in Global Health. Edited by: GLASSMAN A. 2013, Washington DC: Center for Global Development The Value for Money Working Group: More Health for the Money: A Practical Agenda for the Global Fund and Its Partners (Consultation Draft). A Report of the Center for Global Development Working Group on Value for Money in Global Health. Edited by: GLASSMAN A. 2013, Washington DC: Center for Global Development
7.
go back to reference Biesma RG, Brugha R, Harmer A, Walsh A, Spicer N, Walt G: The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control. Health Policy Plan. 2009, 24: 239-52. 10.1093/heapol/czp025.PubMedCentralCrossRefPubMed Biesma RG, Brugha R, Harmer A, Walsh A, Spicer N, Walt G: The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control. Health Policy Plan. 2009, 24: 239-52. 10.1093/heapol/czp025.PubMedCentralCrossRefPubMed
8.
go back to reference Katz I, Komatsu R, Low-Beer D, Atun R: Scaling up towards international targets for AIDS, tuberculosis, and malaria: contribution of Global Fund-supported programs in 2011–2015. PLoS One. 2011, 6: e17166-10.1371/journal.pone.0017166.PubMedCentralCrossRefPubMed Katz I, Komatsu R, Low-Beer D, Atun R: Scaling up towards international targets for AIDS, tuberculosis, and malaria: contribution of Global Fund-supported programs in 2011–2015. PLoS One. 2011, 6: e17166-10.1371/journal.pone.0017166.PubMedCentralCrossRefPubMed
9.
go back to reference Feachem RG, Sabot OJ: An examination of the Global Fund at 5 years. Lancet. 2006, 368: 537-40. 10.1016/S0140-6736(06)69163-0.CrossRefPubMed Feachem RG, Sabot OJ: An examination of the Global Fund at 5 years. Lancet. 2006, 368: 537-40. 10.1016/S0140-6736(06)69163-0.CrossRefPubMed
10.
go back to reference Lu C, Michaud CM, Khan K, Murray CJ: Absorptive capacity and disbursements by the Global Fund to Fight AIDS, Tuberculosis and Malaria: analysis of grant implementation. Lancet. 2006, 368: 483-8. 10.1016/S0140-6736(06)69156-3.CrossRefPubMed Lu C, Michaud CM, Khan K, Murray CJ: Absorptive capacity and disbursements by the Global Fund to Fight AIDS, Tuberculosis and Malaria: analysis of grant implementation. Lancet. 2006, 368: 483-8. 10.1016/S0140-6736(06)69156-3.CrossRefPubMed
11.
go back to reference Radelet S, Siddiqi B: Global Fund grant programmes: an analysis of evaluation scores. Lancet. 2007, 369: 1807-13. 10.1016/S0140-6736(07)60818-6.CrossRefPubMed Radelet S, Siddiqi B: Global Fund grant programmes: an analysis of evaluation scores. Lancet. 2007, 369: 1807-13. 10.1016/S0140-6736(07)60818-6.CrossRefPubMed
12.
go back to reference Samb B, Evans T, Dybul M, Atun R, Moatti JP, Nishtar S, Wright A, Celletti F, Hsu J, Kim JY, Brugha R, Russell A, Etienne C: An assessment of interactions between global health initiatives and country health systems. Lancet. 2009, 373: 2137-69.CrossRefPubMed Samb B, Evans T, Dybul M, Atun R, Moatti JP, Nishtar S, Wright A, Celletti F, Hsu J, Kim JY, Brugha R, Russell A, Etienne C: An assessment of interactions between global health initiatives and country health systems. Lancet. 2009, 373: 2137-69.CrossRefPubMed
13.
go back to reference Piot P, Kazatchkine M, Dybul M, Lob-Levyt J: AIDS: lessons learnt and myths dispelled. Lancet. 2009, 374: 260-3. 10.1016/S0140-6736(09)60321-4.CrossRefPubMed Piot P, Kazatchkine M, Dybul M, Lob-Levyt J: AIDS: lessons learnt and myths dispelled. Lancet. 2009, 374: 260-3. 10.1016/S0140-6736(09)60321-4.CrossRefPubMed
14.
go back to reference Brugha R, Donoghue M, Starling M, Ndubani P, Ssengooba F, Fernandes B, Walt G: The Global Fund: managing great expectations. Lancet. 2004, 364: 95-100. 10.1016/S0140-6736(04)16595-1.CrossRefPubMed Brugha R, Donoghue M, Starling M, Ndubani P, Ssengooba F, Fernandes B, Walt G: The Global Fund: managing great expectations. Lancet. 2004, 364: 95-100. 10.1016/S0140-6736(04)16595-1.CrossRefPubMed
15.
go back to reference Zhao J, Lama M, Sarkar S, Atun R: Indicators measuring the performance of malaria programs supported by the Global Fund in Asia, progress and the way forward. PLoS One. 2011, 6: e28932-10.1371/journal.pone.0028932.PubMedCentralCrossRefPubMed Zhao J, Lama M, Sarkar S, Atun R: Indicators measuring the performance of malaria programs supported by the Global Fund in Asia, progress and the way forward. PLoS One. 2011, 6: e28932-10.1371/journal.pone.0028932.PubMedCentralCrossRefPubMed
16.
go back to reference Martins JS, Zwi AB, Kelly PM: Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste?. Malar J. 2012, 11: 237-10.1186/1475-2875-11-237.PubMedCentralCrossRefPubMed Martins JS, Zwi AB, Kelly PM: Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste?. Malar J. 2012, 11: 237-10.1186/1475-2875-11-237.PubMedCentralCrossRefPubMed
17.
go back to reference Laxminarayan R, Mills AJ, Breman JG, Measham AR, Alleyne G, Claeson M, Jha P, Musgrove P, Chow J, Shahid-Salles S, Jamison DT: Advancement of global health: key messages from the Disease Control Priorities Project. Lancet. 2006, 367: 1193-208. 10.1016/S0140-6736(06)68440-7.CrossRefPubMed Laxminarayan R, Mills AJ, Breman JG, Measham AR, Alleyne G, Claeson M, Jha P, Musgrove P, Chow J, Shahid-Salles S, Jamison DT: Advancement of global health: key messages from the Disease Control Priorities Project. Lancet. 2006, 367: 1193-208. 10.1016/S0140-6736(06)68440-7.CrossRefPubMed
18.
go back to reference Bridge J, Hunter BM, Atun R, Lazarus JV: Global Fund investments in harm reduction from 2002 to 2009. Int J Drug Policy. 2012, 23: 279-85. 10.1016/j.drugpo.2012.01.013.CrossRefPubMed Bridge J, Hunter BM, Atun R, Lazarus JV: Global Fund investments in harm reduction from 2002 to 2009. Int J Drug Policy. 2012, 23: 279-85. 10.1016/j.drugpo.2012.01.013.CrossRefPubMed
19.
go back to reference Guinness L, Vickerman P, Quayyum Z, Foss A, Watts C, Rodericks A, Azim T, Jana S, Kumaranayake L: The cost-effectiveness of consistent and early intervention of harm reduction for injecting drug users in Bangladesh. Addiction. 2010, 105: 319-28. 10.1111/j.1360-0443.2009.02755.x.CrossRefPubMed Guinness L, Vickerman P, Quayyum Z, Foss A, Watts C, Rodericks A, Azim T, Jana S, Kumaranayake L: The cost-effectiveness of consistent and early intervention of harm reduction for injecting drug users in Bangladesh. Addiction. 2010, 105: 319-28. 10.1111/j.1360-0443.2009.02755.x.CrossRefPubMed
20.
go back to reference Alistar SS, Owens DK, Brandeau ML: Effectiveness and cost effectiveness of expanding harm reduction and antiretroviral therapy in a mixed HIV epidemic: a modeling analysis for Ukraine. PLoS Med. 2011, 8: e1000423-10.1371/journal.pmed.1000423.PubMedCentralCrossRefPubMed Alistar SS, Owens DK, Brandeau ML: Effectiveness and cost effectiveness of expanding harm reduction and antiretroviral therapy in a mixed HIV epidemic: a modeling analysis for Ukraine. PLoS Med. 2011, 8: e1000423-10.1371/journal.pmed.1000423.PubMedCentralCrossRefPubMed
21.
go back to reference Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A: Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial. PLoS Med. 2005, 2: e298-10.1371/journal.pmed.0020298.PubMedCentralCrossRefPubMed Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A: Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial. PLoS Med. 2005, 2: e298-10.1371/journal.pmed.0020298.PubMedCentralCrossRefPubMed
22.
go back to reference Avdeeva O, Lazarus JV, Aziz MA, Atun R: The Global Fund's resource allocation decisions for HIV programmes: addressing those in need. J Int AIDS Soc. 2011, 14: 51-10.1186/1758-2652-14-51.PubMedCentralCrossRefPubMed Avdeeva O, Lazarus JV, Aziz MA, Atun R: The Global Fund's resource allocation decisions for HIV programmes: addressing those in need. J Int AIDS Soc. 2011, 14: 51-10.1186/1758-2652-14-51.PubMedCentralCrossRefPubMed
23.
go back to reference Pattanaphesaj J, Teerawattananon Y: Reviewing the evidence on effectiveness and cost-effectiveness of HIV prevention strategies in Thailand. BMC Public Health. 2010, 10: 401-10.1186/1471-2458-10-401.PubMedCentralCrossRefPubMed Pattanaphesaj J, Teerawattananon Y: Reviewing the evidence on effectiveness and cost-effectiveness of HIV prevention strategies in Thailand. BMC Public Health. 2010, 10: 401-10.1186/1471-2458-10-401.PubMedCentralCrossRefPubMed
24.
go back to reference Korenromp EL, Glaziou P, Fitzpatrick C, Floyd K, Hosseini M, Raviglione M, Atun R, Williams B: Implementing the global plan to stop TB, 2011–2015–optimizing allocations and the Global Fund’s contribution: a scenario projections study. PLoS One. 2012, 7: e38816-10.1371/journal.pone.0038816.PubMedCentralCrossRefPubMed Korenromp EL, Glaziou P, Fitzpatrick C, Floyd K, Hosseini M, Raviglione M, Atun R, Williams B: Implementing the global plan to stop TB, 2011–2015–optimizing allocations and the Global Fund’s contribution: a scenario projections study. PLoS One. 2012, 7: e38816-10.1371/journal.pone.0038816.PubMedCentralCrossRefPubMed
25.
go back to reference Glassman A, Chalkidou K: Priority-Setting in Health: Building institutions for smarter public spending. 2012, Washington, DC: The Center for Global Development Glassman A, Chalkidou K: Priority-Setting in Health: Building institutions for smarter public spending. 2012, Washington, DC: The Center for Global Development
26.
go back to reference Amole C, Brisebois C, Essajee S, Koehler E, Levin A, Moore M, Ripin DB, Sickler J, Singh I: Optimizing antiretroviral product selection: a sample approach to improving patient outcomes, saving money, and scaling-up health services in developing countries. J Acquir Immune Defic Syndr. 2011, 57: 100-3.CrossRef Amole C, Brisebois C, Essajee S, Koehler E, Levin A, Moore M, Ripin DB, Sickler J, Singh I: Optimizing antiretroviral product selection: a sample approach to improving patient outcomes, saving money, and scaling-up health services in developing countries. J Acquir Immune Defic Syndr. 2011, 57: 100-3.CrossRef
27.
go back to reference Biesma R, Makoa E, Mpemi R, Tsekoa L, Odonkor P, Brugha R: The implementation of a Global Fund grant in Lesotho: applying a framework on knowledge absorptive capacity. Soc Sci Med. 2012, 74: 381-9. 10.1016/j.socscimed.2011.07.020.CrossRefPubMed Biesma R, Makoa E, Mpemi R, Tsekoa L, Odonkor P, Brugha R: The implementation of a Global Fund grant in Lesotho: applying a framework on knowledge absorptive capacity. Soc Sci Med. 2012, 74: 381-9. 10.1016/j.socscimed.2011.07.020.CrossRefPubMed
28.
go back to reference Desai M, Rudge JW, Adisasmito W, Mounier-Jack S, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Indonesia. Health Policy Plan. 2010, 25 (Suppl 1): i43-47.CrossRefPubMed Desai M, Rudge JW, Adisasmito W, Mounier-Jack S, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Indonesia. Health Policy Plan. 2010, 25 (Suppl 1): i43-47.CrossRefPubMed
29.
go back to reference Hanvoravongchai P, Warakamin B, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Thailand. Health Policy Plan. 2010, 25 (Suppl 1): i53-57.CrossRefPubMed Hanvoravongchai P, Warakamin B, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Thailand. Health Policy Plan. 2010, 25 (Suppl 1): i53-57.CrossRefPubMed
30.
go back to reference Mangham LJ, Hanson K: Scaling up in international health: what are the key issues?. Health Policy Plan. 2010, 25: 85-96. 10.1093/heapol/czp066.CrossRefPubMed Mangham LJ, Hanson K: Scaling up in international health: what are the key issues?. Health Policy Plan. 2010, 25: 85-96. 10.1093/heapol/czp066.CrossRefPubMed
31.
go back to reference Mounier-Jack S, Rudge JW, Phetsouvanh R, Chanthapadith C, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Lao People’s Democratic Republic. Health Policy Plan. 2010, 25 (Suppl 1): i37-42.CrossRefPubMed Mounier-Jack S, Rudge JW, Phetsouvanh R, Chanthapadith C, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Lao People’s Democratic Republic. Health Policy Plan. 2010, 25 (Suppl 1): i37-42.CrossRefPubMed
32.
go back to reference Rudge JW, Phuanakoonon S, Nema KH, Mounier-Jack S, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Papua New Guinea. Health Policy Plan. 2010, 25 (Suppl 1): i48-52.CrossRefPubMed Rudge JW, Phuanakoonon S, Nema KH, Mounier-Jack S, Coker R: Critical interactions between Global Fund-supported programmes and health systems: a case study in Papua New Guinea. Health Policy Plan. 2010, 25 (Suppl 1): i48-52.CrossRefPubMed
33.
go back to reference Tragard A, Shrestha IB: System-wide effects of Global Fund investments in Nepal. Health Policy Plan. 2010, 25 (Suppl 1): i58-62.CrossRefPubMed Tragard A, Shrestha IB: System-wide effects of Global Fund investments in Nepal. Health Policy Plan. 2010, 25 (Suppl 1): i58-62.CrossRefPubMed
34.
go back to reference Blaya JA, Fraser HS, Holt B: E-health technologies show promise in developing countries. Health Aff (Millwood). 2010, 29: 244-51. 10.1377/hlthaff.2009.0894.CrossRef Blaya JA, Fraser HS, Holt B: E-health technologies show promise in developing countries. Health Aff (Millwood). 2010, 29: 244-51. 10.1377/hlthaff.2009.0894.CrossRef
35.
go back to reference Free C, Phillips G, Watson L, Galli L, Felix L, Edwards P, Patel V, Haines A: The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS Med. 2013, 10: e1001363-10.1371/journal.pmed.1001363.PubMedCentralCrossRefPubMed Free C, Phillips G, Watson L, Galli L, Felix L, Edwards P, Patel V, Haines A: The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS Med. 2013, 10: e1001363-10.1371/journal.pmed.1001363.PubMedCentralCrossRefPubMed
37.
go back to reference Velasco Garrido M, Gerhardus A, Rottingen JA, Busse R: Developing health technology assessment to address health care system needs. Health Policy. 2010, 94: 196-202. 10.1016/j.healthpol.2009.10.002.CrossRefPubMed Velasco Garrido M, Gerhardus A, Rottingen JA, Busse R: Developing health technology assessment to address health care system needs. Health Policy. 2010, 94: 196-202. 10.1016/j.healthpol.2009.10.002.CrossRefPubMed
38.
go back to reference Littlejohns P, Weale A, Chalkidou K, Faden R, Teerawattananon Y: Social values and health policy: a new international research programme. J Health Organ Manag. 2012, 26: 285-92.CrossRefPubMed Littlejohns P, Weale A, Chalkidou K, Faden R, Teerawattananon Y: Social values and health policy: a new international research programme. J Health Organ Manag. 2012, 26: 285-92.CrossRefPubMed
39.
go back to reference Myanmar’s Ministry of Health, World Health Organization & Health Intervention and Technology Assessment Program: A feasibility study of the community health initiative for maternal and child health in Myanmar. 2011, Health Intervention and Technology Assessment Program: Nonthaburi Myanmar’s Ministry of Health, World Health Organization & Health Intervention and Technology Assessment Program: A feasibility study of the community health initiative for maternal and child health in Myanmar. 2011, Health Intervention and Technology Assessment Program: Nonthaburi
40.
go back to reference Tosanguang K, Kingkaew P, Peerapattanapokin W, Teerawattananon Y: Economic Evaluation of comprehensive HIV prevention interventions targeting those most at risk of HIV/AIDs in Thailand (CHAMPION). 2012, Health Intervention and Technology Assessment Program: Nonthaburi Tosanguang K, Kingkaew P, Peerapattanapokin W, Teerawattananon Y: Economic Evaluation of comprehensive HIV prevention interventions targeting those most at risk of HIV/AIDs in Thailand (CHAMPION). 2012, Health Intervention and Technology Assessment Program: Nonthaburi
41.
go back to reference Perez Velasco R, Praditsitthikorn N, Wichmann K, Mohara A, Kotirum S, Tantivess S, Vallenas C, Harmanci H, Teerawattananon Y: Systematic review of economic evaluations of preparedness strategies and interventions against influenza pandemics. PLoS One. 2012, 7: e30333-10.1371/journal.pone.0030333.PubMedCentralCrossRefPubMed Perez Velasco R, Praditsitthikorn N, Wichmann K, Mohara A, Kotirum S, Tantivess S, Vallenas C, Harmanci H, Teerawattananon Y: Systematic review of economic evaluations of preparedness strategies and interventions against influenza pandemics. PLoS One. 2012, 7: e30333-10.1371/journal.pone.0030333.PubMedCentralCrossRefPubMed
42.
go back to reference Mohler R, Bartoszek G, Kopke S, Meyer G: Proposed criteria for reporting the development and evaluation of complex interventions in healthcare (CReDECI): guideline development. Int J Nurs Stud. 2012, 49: 40-6. 10.1016/j.ijnurstu.2011.08.003.CrossRefPubMed Mohler R, Bartoszek G, Kopke S, Meyer G: Proposed criteria for reporting the development and evaluation of complex interventions in healthcare (CReDECI): guideline development. Int J Nurs Stud. 2012, 49: 40-6. 10.1016/j.ijnurstu.2011.08.003.CrossRefPubMed
43.
go back to reference Shiell A, Hawe P, Gold L: Complex interventions or complex systems? Implications for health economic evaluation. BMJ. 2008, 336: 1281-3. 10.1136/bmj.39569.510521.AD.PubMedCentralCrossRefPubMed Shiell A, Hawe P, Gold L: Complex interventions or complex systems? Implications for health economic evaluation. BMJ. 2008, 336: 1281-3. 10.1136/bmj.39569.510521.AD.PubMedCentralCrossRefPubMed
44.
go back to reference Campbell M, Fitzpatrick R, Haines A, Kinmonth AL, Sandercock P, Spiegelhalter D, Tyrer P: Framework for design and evaluation of complex interventions to improve health. BMJ. 2000, 321: 694-6. 10.1136/bmj.321.7262.694.PubMedCentralCrossRefPubMed Campbell M, Fitzpatrick R, Haines A, Kinmonth AL, Sandercock P, Spiegelhalter D, Tyrer P: Framework for design and evaluation of complex interventions to improve health. BMJ. 2000, 321: 694-6. 10.1136/bmj.321.7262.694.PubMedCentralCrossRefPubMed
45.
go back to reference Linnemayr S, Ryan GW, Liu J, Palar K: Value for Money in Donor HIV Funding. 2011, Santa Monica, CA, RAND: Technical ReportCrossRef Linnemayr S, Ryan GW, Liu J, Palar K: Value for Money in Donor HIV Funding. 2011, Santa Monica, CA, RAND: Technical ReportCrossRef
46.
go back to reference Plowman B: How the big three AIDS donors define and useperformance to inform funding decisions. 2008, Background Paper. Center for Global Development Plowman B: How the big three AIDS donors define and useperformance to inform funding decisions. 2008, Background Paper. Center for Global Development
48.
go back to reference List of Arv Pharmaceutical Products classified according to the Global Fund Quality Assurance Policy: Version 93. 2012, Geneva, Switzerland: The Global Fund, [cited 2013 13 July]; available from http://www.theglobal fund.org/documents/psm/PSM_ProductsHIVAIDS_List_en/ List of Arv Pharmaceutical Products classified according to the Global Fund Quality Assurance Policy: Version 93. 2012, Geneva, Switzerland: The Global Fund, [cited 2013 13 July]; available from http://​www.​theglobal fund.org/documents/psm/PSM_ProductsHIVAIDS_List_en/
Metadata
Title
Health technology assessments as a mechanism for increased value for money: recommendations to the Global Fund
Authors
Yot Teerawattananon
Kate McQueston
Amanda Glassman
Jomkwan Yothasamut
Chaw Yin Myint
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Globalization and Health / Issue 1/2013
Electronic ISSN: 1744-8603
DOI
https://doi.org/10.1186/1744-8603-9-35

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