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Health care delivery refers to the effective local provision of medical care services, covering infectious diseases, chronic illness, mental health, and primary care. Effective health delivery must include provider access, quality of care, and affordability.

Size/Magnitude of Problem

There has been significant progress on Health-Millennium Development Goals, with global under-five mortality rate and maternal mortality rate roughly halved between 1990 and 2015.i Despite this progress, challenges remain.

  • The World Health Organization estimates that the world will be short of 12.9 healthcare workers by 2035 with the figure standing at 7.2 million in 2013.ii The shortage is more pronounced in poor countries, which are served by one-tenth as many doctors and nurses per capita as high-income areas.iii
  • 25% of health inequalities are due to poor access to effective health services.iv
  • Billions in economic activity are lost as a result of death and illness. The World Bank estimates that the Zika virus will cost the world $3.5 billion in 2016.v
  • Illness has a debilitating effect on families and communities, adversely affecting household income, schooling, and the well-being of family members.
Desired Equilibrium

Functional and lasting health care systems that provide effective, affordable access to the full spectrum of health care services to keep all people healthy.

Ways Skoll social entrepreneurs are addressing the issue:
  • Filling gaps in the health system infrastructure to help achieve optimal efficiency (Medic Mobile, PIH, Riders for Health, Village Reach)
  • Training nonprofessional providers to extend care to under-served populations (Living Goods, mothers2mothers, PIH, VisionSpring, WHP)
  • Continuing the provision of care at home and in the community (Basic Needs, Health Leads, Living Goods, PIH, Saudé Criança)
  • Using an integrated approach to address social and economic factors affecting health (Health Leads, Living Goods, Saudé Criança)
  • Utilizing modern technology to empower health systems and providers (Medic Mobile, Village Reach, WHP)

i United Nations Millennium Development Goals Report (link)
ii WHO (link)
iii World Bank (link)
iv Public Health Reports (link)
v World Bank (link)

Critical Geographies
Nutrition and Basic Care1

As defined by SPI (< 60/100 score)
Central African Republic, Sierra Leone, Chad, Haiti, Zambia, Liberia

Health and Wellness2

As defined by SPI (< 50/100 score)
Kazakhstan, Guyana, Lesotho, Russia, Swaziland, Turkmenistan, Mongolia, Belarus, Ukraine, South Africa, Moldova, Trinidad and Tobago, Lithuania