@article{cd87ae4e51494291a157bba389e461e9,
title = "Accelerating the health impact of the Gates Foundation",
author = "Black, \{Robert E.\} and Bhan, \{Maharaj K.\} and Mickey Chopra and Igor Rudan and Victora, \{Cesar G.\}",
note = "Funding Information: Another imbalance is the poor correlation between funding and childhood disease burden. In particular, funding for research on pneumonia and diarrhoea, which cause about 40\% of global child deaths, 8 and maternal and child undernutrition, which is the underlying cause of 35\% of child deaths, 9 are relatively underfunded by the Foundation. For global research into the development of new products, funding for pneumonia and diarrhoea is much lower than justified by their high disease burden. 10,11 For these diseases, selective new vaccines and drugs would be useful, but there are effective preventive measures, such as breastfeeding and treatments, including antibiotics for pneumonia and oral rehydration therapy and zinc for diarrhoea. These crucial interventions have inadequate coverage in low-income countries and research can help identify and overcome barriers to correct practices. 12,13 Inexplicably such research that could lead to rapid improvements in child survival programmes and mortality reduction within 6 years rather than 20 years, has received only a few percent of the grant funding from the Gates Foundation. 1 Funding Information: The Bill \& Melinda Gates Foundation is setting a new standard for financial investment and influence on global health. We applaud its commitment, which has changed the landscape for the better, but suggest that the Foundation examine and seek feedback on the urgency and means of attainment of its mission. A modest shift of the balance of the Foundation's funding from purchase of commodities to research, from discovery and development to delivery research, from heavily funded diseases to truly neglected diseases (such as pneumonia and diarrhoea), and from the high-income-country institutions to those in settings where the problems exist, would make enormous additional contributions to global health. Funding Information: REB, MC, IR, and CV have received research funding from the Bill \& Melinda Gates Foundation. MKB declares that he has no conflicts of interest. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2009",
doi = "10.1016/S0140-6736(09)60886-2",
language = "English (US)",
volume = "373",
pages = "1584--1585",
journal = "The Lancet",
issn = "0140-6736",
publisher = "Elsevier B.V.",
number = "9675",
}