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Breast and Gynecological Cancers pp 229–272Cite as

Funding for Global Healthcare Intervention: Initiatives Aimed at Controlling Cancer in Women in Low-Resource Countries

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Abstract

This chapter explores funding for the prevention and control of breast and cervical cancer in low and middle income countries (LMIC), including: existing patterns of financing for cancer within the context of global health financing trends; the challenges to resource mobilization for cancer control; and recommendations for diversifying and strengthening resource mobilization to ensure more robust, effective, and efficient cancer control efforts. Domestic financing for health in LMICs—government and out-of-pocket payments—is the primary source of global health financing. Multilateral and bilateral funding provides the second main source of global health financing. International and domestic private funding—both corporate and not-for-profit sources—accounts for a less significant proportion of global health financing, yet plays an important role in driving policy and systems changes. Cancer control has been severely underfunded in LMICs: cancer control financing is marked by severe inequities between countries, and cancer has received extremely limited support from development donors and major global philanthropic organizations. As a result, cancer prevention and control resources have been very limited and, where existent, more strongly beholden to domestic sources than other major global health challenges. In order to redress the grave disparities in cancer control financing and strengthen resource mobilization for cancer control, there is a need to fortify global and national cancer control policies, develop innovative domestic models for health financing cancer and other chronic diseases, more strongly leverage existing global and national health financing mechanisms to foster synergistic women’s health and health systems strengthening initiatives, and cultivate greater engagement of corporate, nonprofit, and individual donors in global and domestic spheres. These multiple and complementary efforts will help ensure that resources are more equitable and adequate to the cancer burden, that resources are mobilized more effectively and efficiently, that resources are utilized in a manner better aligned with local stakeholder priorities, that resources limit redundancies and duplication of efforts, and that resources promote sustainability to ensure longer term progress on cancer control and global health.

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Acknowledgments

Special thanks to the Susan G. Komen Global Health Team (Ms. Chelsea Kelley) for their contribution to this chapter.

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Authors and Affiliations

  1. Diagnostic Radiologist, Locum Tenens, McGovern Center for Humanities and Ethics, University of Texas, Houston, TX, 77030, USA

    Kelli A. Cohen

  2. Department of Global Health, American Cancer Society, New York, NY, 10001, USA

    Gustavo S. Azenha & Alessandra Durstine

  3. Department of Radiology, Harrington Memorial Hospital—BIDMC, Harvard Medical School, Boston, MA, 02115, USA

    Rola M. S. K. Shaheen

  4. Woman’s Center for Breast Care and MRI, Woman’s Hospital of Texas, Houston, TX, 77054, USA

    Mahesh K. Shetty

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    Mahesh K. Shetty

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Cohen, K.A., Azenha, G.S., Durstine, A., Shaheen, R.M.S.K., Shetty, M.K. (2013). Funding for Global Healthcare Intervention: Initiatives Aimed at Controlling Cancer in Women in Low-Resource Countries. In: Shetty, M. (eds) Breast and Gynecological Cancers. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1876-4_13

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