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The future of international public health in an era of austerity 

The future of international public health in an era of austerity
The future of international public health in an era of austerity

Margaret Chan

and Mary Kay Kindhauser

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date: 18 May 2022

This chapter provides an overview of the remarkable progress in public health achieved during the first decade of the twenty-first century, despite setbacks from crises, and summarizes the challenges and potential opportunities. It explores some complex and pressing threats to health such as growing inequalities, demographic changes, expanding disease patterns, resource limitations, and climate change, amid an increasingly complex global health arena. The final part illustrates some over-arching trends in the way public health is conceived, organized, and delivered, as reflected in new approaches to health development and governance. This includes new instruments for accountability, global health governance, universal healthcare, and improving access to medicines, translating research into practice, and multisectoral collaboration. These recent developments give cause for optimism that the striking momentum for better health that marked the start of this century will be maintained.

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