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Ethical dilemmas in current planning for polio eradication

Author

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  • Taylor, C.E.
  • Cutts, F.
  • Taylor, M.E.

Abstract

Intensification of polio eradication efforts worldwide raises concerns about costs and benefits for poor countries. A major argument for global funding is the high benefit-cost ratio of eradication; however, financial benefits are greatest for rich countries. By contrast, the greatest costs are borne by poor countries; the Pan American Health Organization has estimated that host countries bore 80% of costs for polio eradication in the Americas. The 1988 World Health Assembly resolution setting up the Polio Eradication Initiative carried the proviso that programs should strengthen health infrastructures. Drastic cuts in donor funding for health make this commitment even more important. Two international evaluations have reported both positive and negative effects of polio and Expanded Programme on Immunization programs on the functioning and sustainability of primary health care. Negative effects were greatest in poor countries with many other diseases of public health importance. If poor countries are expected to divert funds from their own urgent priorities, donors should make solid commitments to long-term support for sustainable health development.

Suggested Citation

  • Taylor, C.E. & Cutts, F. & Taylor, M.E., 1997. "Ethical dilemmas in current planning for polio eradication," American Journal of Public Health, American Public Health Association, vol. 87(6), pages 922-925.
    • Handle: RePEc:aph:ajpbhl:1997:87:6:922-925_4
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    Cited by:

    1. Barrett, Scott & Hoel, Michael, 2007. "Optimal disease eradication," Environment and Development Economics, Cambridge University Press, vol. 12(5), pages 627-652, October.
    2. Bonu, Sekhar & Rani, Manju & Razum, Oliver, 2004. "Global public health mandates in a diverse world: the polio eradication initiative and the expanded programme on immunization in sub-Saharan Africa and South Asia," Health Policy, Elsevier, vol. 70(3), pages 327-345, December.
    3. Gauri, Varun & Khaleghian, Peyvand, 2002. "Immunization in Developing Countries: Its Political and Organizational Determinants," World Development, Elsevier, vol. 30(12), pages 2109-2132, December.
    4. Hardon, Anita & Blume, Stuart, 2005. "Shifts in global immunisation goals (1984-2004): unfinished agendas and mixed results," Social Science & Medicine, Elsevier, vol. 60(2), pages 345-356, January.
    5. Renne, Elisha, 2006. "Perspectives on polio and immunization in Northern Nigeria," Social Science & Medicine, Elsevier, vol. 63(7), pages 1857-1869, October.
    6. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    7. Scott Barrett, 2007. "The Smallpox Eradication Game," Public Choice, Springer, vol. 130(1), pages 179-207, January.

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