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Investing in equitable healthy aging: Why Africa must reform social pension schemes to improve Alzheimer's disease and dementia outcomes.
Alzheimers Dement
January 2025
Brain and Mind Institute, Aga Khan University, Nairobi, Kenya.
The eligibility criteria for social pension schemes in Africa hinder equitable and healthy aging. In 2019, women in 14 sub-Saharan African countries had an average life expectancy of 67 years but a healthy life expectancy of only 57 years, leaving them 5 years in poor health before receiving a pension at age 62. Men had a similar situation-a life expectancy of 62 years and a healthy life expectancy of 53 years, spending 10 years in poor health before becoming eligible for pensions at age 63.
View Article and Find Full Text PDFHow Health Systems World-wide Fail Type 2 Diabetics.
Health Syst Reform
December 2025
Independent Consultant, Alexandria, VA, USA.
For over 50 years, health systems the world over have failed people with type 2 diabetes mellitus (T2DM). The WHO documents a quadrupling of people with diabetes in a 34-year period to 422 million in 2014, the overwhelming majority of whom were T2DM. This happened despite extensive scientific literature on the causes of, as well as proven treatments for, this disease.
View Article and Find Full Text PDFBehavioral nudges prevent loan delinquencies at scale: A 13-million-person field experiment.
Proc Natl Acad Sci U S A
January 2025
The Harris School of Public Policy, University of Chicago, Chicago, IL 60637.
Americans collectively hold over $1.6 trillion in student loan debt, and over the last decade millions of borrowers have defaulted on loans, with serious consequences for their financial health. In a 13-million-person field experiment with the U.
View Article and Find Full Text PDFCultural assumptions and the good death: rethinking global frameworks.
Med Humanit
January 2025
Brighton and Sussex Medical School, University of Sussex, Brighton, UK
The concept of a 'good death' remains debated, with research largely focused on the Global North, leaving gaps in understanding its relevance to the Global South. While the concept of a good death is not a strict binary, notable differences exist. In the Global North, emphasis often lies on individual autonomy and preferences, whereas in the Global South, the focus tends to include the perspectives and needs of family and social networks.
View Article and Find Full Text PDFExploring adaptive health technology assessment for evaluating 10 cancer interventions: insights and lessons from a pilot study in India.
BMJ Evid Based Med
January 2025
Center for Global Development, Washington, District of Columbia, USA.
Background: Health technology assessment (HTA) is a valuable tool for informing the efficient allocation of resources in healthcare. However, the resource-intensive nature of HTA can limit its application, especially in low-resource settings. Adapting HTA processes by assessing the available international evidence offers a pragmatic approach to provide evidence for decision-making where resources are constrained.
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