In 2015, member states of the United Nations adopted the ambitious Sustainable Development Goals (SDGs), which included 17 global goals that targeted economic and social development. Goal 3, “to ensure healthy lives and promote well-being for all at all ages,” targets specifically marked progress in universal health coverage; improved access to safe, effective, and affordable medicines; and the end of the HIV, malaria, and tuberculosis epidemics by 2030. Although these goals can spur innovation, social and political commitment, and a drive to achieve greater health gains for less money, financial support is necessary to achieve them.
Biography
Angela Esi Micah, PhD, is an Assistant Professor at the Institute for Health Metrics and Evaluation (IHME) at the University of Washington. In this role, she co-leads the Development Assistance for Health resource tracking team, which produces global estimates of resource flows from high-income countries to low and middle-income countries aimed at the maintenance and improvement of health. Dr. Micah's research focuses on tracking development assistance for health and evaluating health financing policies in low and middle-income countries.
Dr. Micah holds a PhD in Global Health Management and Policy with specialization in Health Economics from Tulane University's School of Public Health, an M.A. in International and Development Economics from Yale University and a B.A. in Economics from Oberlin College. She is an alumnus of the World Bank Africa Fellowship Program.
IHME was established at the University of Washington in Seattle in 2007. Its mission is to improve health through better health evidence.
Global Burden of Disease 2020 Health Financing Collaborator Network. Tracking development assistance for health and for COVID-19: a review of development assistance, government, out-of-pocket, and other private spending on health for 204 countries and territories, 1990–2050. The Lancet. 22 September 2021. doi: 10.1016/S0140-6736(21)01258-7.
Schneider MT, Chang AY, Crosby SW, Gloyd S, Harle AC, Lim S, Lozano R, Micah AE, Tsakalos G, Su Y, Murray CJL, Dieleman JL. Trends and outcomes in primary health care expenditures in low-income and middle-income countries, 2000–2017. BMJ Global Health. 12 August 2021. doi: 10.1136/bmjgh-2021-005798.
Ikilezi G, Bachmeier SD, Cogswell IE, Maddison ER, Stutzman HN, Tsakalos G, Brenzel L, Dieleman JL, Micah AE. Tracking government spending on immunization: The joint reporting forms, national health accounts, comprehensive multi-year plans and co-financing data. Vaccine. 8 June 2021. doi: 10.1016/j.vaccine.2021.04.047.
Moitra M, Cogswell I, Maddison E, Simpson K, Stutzman H, Tsakalos G, Dieleman J, Micah AE. Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017. BMJ Global Health. 23 April 2021. doi:10.1136/bmjgh-2020-004858.
Global Burden of Disease Health Financing Collaborator Network. Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3. The Lancet. 23 April 2020. doi:10.1016/S0140-6736(20)30608-5.
Su Y, Baena IG, Harle AC, Crosby SW, Micah AE, Siroka A, Sahu M, Tsakalos G, Murray CJL, Floyd K, Dieleman JL. Tracking total spending on tuberculosis by source and function in 135 low-income and middle-income countries, 2000–17: a financial modelling study. The Lancet Infectious Diseases. 23 April 2020. doi:10.1016/S1473-3099(20)30124-9.
Micah AE, Zhao Y, Chen CS, Zlavog BS, Tsakalos G, Chapin A, Gloyd S, Jonas J, Lee PH, Liu S, Ng MTA, Phillips MR, Rubagotti E, Tang K, Tang S, Younis M, Zhang Y, Murray CJL, Dieleman JL. Tracking development assistance for health from China, 2007–2017. BMJ Global Health. 8 October 2019. doi:10.1136/bmjgh-2019-001513.
Feachem RGA, Chen I, Akbari O, Bertozzi-Villa A, Bhatt S, Binka F, Boni MF, Buckee C, Dieleman J, Dondorp A, Eapen A, Feachem NS, Filler S, Gething P, Gosling R, Haakenstad A, Harvard K, Hatefi A, Jamison D, Jones KE, Karema C, Kamwi RN, Lal A, Larson E, Lees M, Lobo NF, Micah AE, Moonen B, Newby G, Ning X, Pate M, Quiñones M, Roh M, Rolfe B, Shanks D, Singh B, Staley K, Tulloch J, Wegbreit J, Woo HJ, Mpanju-Shumbusho W. Malaria eradication within a generation: ambitious, achievable, and necessary. The Lancet. 8 September 2019. doi:10.1016/S0140-6736(19)31139-0.
Dieleman JL, Cowling K, Agyepong IA, Alkenbrack S, Bollyky TJ, Bump JB, Chen CS, Grépin KA, Haakenstad A, Harle AC, Kates J, Lavado RF, Micah AE, Ottersen T, Tandon A, Tsakalos G, Wu J, Zhao Y, Zlavog BS, Murray CJL. The G20 and development assistance for health: historical trends and crucial questions to inform a new era. The Lancet. 27 June 2019. doi:10.1016/S0140-6736(19)31333-9.
Global Burden of Disease Health Financing Collaborator Network. Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050. The Lancet. 24 April 2019. doi: http://dx.doi.org/10.1016/S0140-6736(19)30841-4
Haakenstad A, Harle AC, Tsakalos G, Micah AE, Tao T, Anjomshoa M, Cohen J, Fullman N, Hay S, Mestrovic T, Mohammed S, Mousavi SM, Nixon MR, Pigott D, Tran K, Murray CJL, Dieleman JL. Tracking spending on malaria by source in 106 countries, 2000–16: an economic modelling study. The Lancet Infectious Disease. 24 April 2019. doi: http://dx.doi.org/10.1016/S1473-3099(19)30165-3
Micah AE, Chen SC, Zlavog BS, Hashimi G, Chapin A, Dieleman JL. Trends and drivers of government health spending in sub-Saharan Africa, 1995–2015. BMJ Global Health. 13 Jan 2019;4(1):e001159. doi:10.1136/bmjgh-2018-001159.
Micah AE, Zlavog BS, Chen CS, Chapin A, Dieleman JL. Donor financing of human resources for health, 1990–2016: an examination of trends, sources of funds, and recipients. Globalization and Health. 17 Oct 2018;14(1):98. doi:10.1186/s12992-018-0416-z.
Global Burden of Disease Health Financing Collaborator Network. Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995–2015. The Lancet. 17 Apr 2018.
Global Burden of Disease Health Financing Collaborator Network. Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995–2015. The Lancet. 17 Apr 2018.
Global Burden of Disease Health Financing Collaborator Network. Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016–40. The Lancet. 17 Apr 2018.
Micah AE, Zlavog B, Friedman S, Reynolds A, Chapin AL, Schneider MT, Dieleman JL. The US provided $13 billion in development assistance for health in 2016, less per person than many peer nations. Health Affairs. 4 Dec 2017; 36:12. doi:10.1377/hlthaff.2017.1055.
Global Burden of Disease Health Financing Collaborator Network. Future and potential spending on health 2015–2040: development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries. The Lancet. 19 April 2017. http://dx.doi.org/10.1016/S0140-6736(17)30873-5
Global Burden of Disease Health Financing Collaborator Network. Evolution and patterns of global health financing 1995–2014: development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries. The Lancet. 19 April 2017. http://dx.doi.org/10.1016/S0140-6736(17)30874-7