Nigel Crisp discusses barriers to health in middle-income countries. He outlines both positive dynamics like partnerships and innovations from the Sustainable Development Goals, as well as negative dynamics like conflicts, inequalities, and new diseases. Crisp then examines specific barriers including lack of coherence, insufficient funding, weak national strategies and plans, and limited global commitment and human resources.

1. Turning the World Upside Down
The search for global health in the 21st century
Barriers to health in middle
income countries
THET Annual Conference
24th October 2017
Nigel Crisp

2. The global context
• A positive dynamic – the SDGs with a bio-
psycho-social-environmental perspective,
partnerships, innovations, knowledge and
investment
• A negative dynamic - conflict, inequalities,
environmental pressures, new diseases and
resurgent old ones, demand and cost
constraints
• Political, moral and practical choices
Barriers to health in middle income countries
Nigel Crisp

3. Barriers
• Coherence and consistency
• Funding and investment
• National strategy and plans
• Global commitment
• Human resources
Barriers to health in middle income countries
Nigel Crisp

5. Barriers to health in middle income countries
Nigel Crisp

6. Barriers to health in middle income countries
Nigel Crisp

7. Barriers to health in middle income countries
Nigel Crisp

8. Barriers to health in middle income countries
Nigel Crisp

9. The UK contribution
• UK as a global centre for health
• Industrial strategy
• Prosperity Fund
• UK offering for UHC
• UK offering for education and
training
Barriers to health in middle income countries
Nigel Crisp

10. nigelcrisp.com
@lordnigelcrisp
Barriers to health in middle income countries
Nigel Crisp