Richard Horton

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Number crunchers say the evidence is: Transparency strengthens global health

Flickr, withassociates

A lot of people working in global health talk about the need for “transparency” and public accountability, but what does that mean? Why does it matter?

At the UW’s Institute for Health Metrics and Evaluation, it includes allowing journalists like me to sit in on even the most contentious internal debates and policy discussions. Last week, the IHME held its annual Board of Directors meeting — and I sat in for some of the closing remarks.

I’m highlighting this practice because, as I wrote yesterday regarding the editor of Lancet boycotting Seattle’s Pacific Health Summit, it still seems acceptable to many in the global health community to exclude the public — or at least keep them at an arm’s length from the true debates and discussions.

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Lancet editor Richard Horton says global health getting weird, or maybe a little too American

The editor of the British medical journal The Lancet, Richard Horton, gave the closing speech at the Global Health Metrics and Evaluation meeting in Seattle on Wednesday.

Horton said: “There’s something weird going on in the field of global health science.”

What’s weird, he says, is that the center of gravity in global health research is increasingly shifting away from the traditional multilateral institutions of public health based in Europe (like the World Health Organization?) and is increasingly dominated by American academic institutions (like the Gates Foundation-funded Institute for Health Metrics and Evaluation here in Seattle?). Continue reading