title: The post-2015 development agenda: keeping our focus on the worst off.
abstract: Non-communicable diseases now account for the majority of the global burden of disease and an international campaign has emerged to raise their priority on the post-2015 development agenda. We argue, to the contrary, that there remain strong reasons to prioritize maternal and child health. Policy-makers ought to assign highest priority to the health conditions that afflict the worst off. In virtue of how little healthy life they have had, children who die young are among the globally worst off. Moreover, many interventions to deal with the conditions that cause mortality in the young are low-cost and provide great benefits to their recipients. Consistent with the original Millennium Development Goals, the international community should continue to prioritize reductions in communicable diseases, neonatal conditions, and maternal health despite the shifts in the global burden of disease.
authors.affiliation: Clinical Center Department of Bioethics, National Institutes of Health, Bethesda, Maryland; Fogarty International Center, National Institutes of Health, Bethesda, Maryland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Sharp
authors.affiliation: Clinical Center Department of Bioethics, National Institutes of Health, Bethesda, Maryland; Fogarty International Center, National Institutes of Health, Bethesda, Maryland joseph.millum@nih.gov.
authors.forename: Joseph
authors.initials: J
authors.lastname: Millum
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002669:Child Welfare; D002908:Chronic Disease / Q000517:prevention & control; D003906:Developing Countries; D014943:Global Health; D006292:Health Priorities; D040361:Healthy People Programs; D006801:Humans
references.citation: Br Med Bull. 2010;93:7-26
references.pmid: 20007188
references.citation: Lancet. 2013 Feb 16;381(9866):566-74
references.pmid: 23410606
references.citation: Health Econ. 1999 Feb;8(1):25-39
references.pmid: 10082141
references.citation: Lancet. 2012 Dec 15;380(9859):2129-43
references.pmid: 23245605
references.citation: Lancet. 2011 Apr 23;377(9775):1438-47
references.pmid: 21474174
references.citation: Lancet. 2010 Nov 13;376(9753):1689-98
references.pmid: 21074260
references.citation: Lancet. 2014 Jan 4;383(9911):3-4
references.pmid: 24388297
references.citation: J Med Ethics. 2013 Mar;39(3):175-80
references.pmid: 23204320
references.citation: Glob Heart. 2012 Mar;7(1):53-60
references.pmid: 25691168
references.citation: Lancet. 2013 Sep 21;382(9897):1049-59
references.pmid: 24054535
references.citation: Soc Sci Med. 2011 May;72(10):1711-6
references.pmid: 21531492
references.citation: Health Econ. 2005 Feb;14(2):197-208
references.pmid: 15386656
references.citation: Health Policy. 2009 Dec;93(2-3):77-84
references.pmid: 19712990