title: Achieving a "Grand Convergence" in Global Health by 2035: Rwanda Shows the Way Comment on "Improving the World's Health Through the Post-2015 Development Agenda: Perspectives From Rwanda".
abstract: Global Health 2035, the report of The Lancet Commission on Investing in Health, laid out a bold, highly ambitious framework for making rapid progress in improving global public health outcomes. It showed that with the right health investments, the international community could achieve a "grand convergence" in global health-a reduction in avertable infectious, maternal, and child deaths down to universally low levels-within a generation. Rwanda's success in rapidly reducing such deaths over the last 20 years shows that convergence is feasible. Binagwaho and Scott have argued that 5 lessons from this success are the importance of equity, quality health services, evidence-informed policy, intersectoral collaboration, and effective collaboration between countries and multilateral agencies. This article re-examines these lessons through the lens of the Global Health 2035 report to analyze how the experience in Rwanda might be generalized for other countries to making progress towards achieving a grand convergence.
authors.affiliation: Evidence to Policy initiative (E2Pi), Global Health Group, University of California, San Francisco, CA, USA.
authors.forename: Gavin
authors.initials: G
authors.lastname: Yamey
authors.affiliation: Evidence to Policy initiative (E2Pi), Global Health Group, University of California, San Francisco, CA, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Fewer
authors.affiliation: Evidence to Policy initiative (E2Pi), Global Health Group, University of California, San Francisco, CA, USA.
authors.forename: Naomi
authors.initials: N
authors.lastname: Beyeler
keywords: Aid Effectiveness; Domestic Financing of Health; Equity; Global Health; Grand Convergence; Intersectoral Collaboration; Population, Policy, and Implementation Research; Pro-poor Universal Health Coverage