The health impact fund
Abstract
Introduction: severe poverty persists on a massive scale and could be greatly reduced at low cost Many more people – some 360 million – have died from hunger and remediable diseases in peacetime in the 20 years since the end of the cold war than have perished from wars, civil wars, and government repression over the entire twentieth century. And poverty continues unabated, as the official statistics amply confirm: 1020 million human beings are chronically undernourished (FAO, 2009), 884 million lack access to safe water (WHO & UNICEF, 2008, p. 30), and 2500 million lack access to improved sanitation (WHO & UNICEF, 2008, p. 7), while 2000 million lack access to essential medicines (Fogarty Center for Advanced Study in the Health Sciences, n.d.), 924 million lack adequate shelter (UN-Habitat, 2003, p. vi) and 1600 million lack electricity (UN-Habitat, n.d.). About 774 million adults are illiterate (UNESCO, 2008) and 218 million children are child laborers (ILO, 2006, p. 6). Roughly one-third of all human deaths, 18 million annually, are due to poverty-related causes, straightforwardly preventable through better nutrition, safe drinking water, cheap rehydration packs, vaccines, antibiotics and other medicines. People of color, females and the very young are heavily over-represented among the global poor, and hence also among those suffering the staggering effects of severe poverty. Children under 5 account for half, or 8.8 million, of the annual death toll from poverty-related causes (UNICEF, 2009). The over-representation of females is clearly documented (UNDP, 2003, pp. 310–330).