Explore the vast range of titles available.

National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.

On returning to the UK, Pillay went to Birmingham where he won the bid to run the national reference laboratory for antiviral drug resistance on behalf of the Public Health Laboratory Service (now Public Health England). In the organisational arena Pillay led the UCL side of an infectious disease research partnership with the London School of Hygiene and Tropical Medicine (LSHTM).

In this article, the question in focus is the church and Christianity’s prophetic responsibility towards society, and how in the specific case of the South African-born theologian Gerald John Pillay, his prophetic voice should be characterised. The question is addressed as to whether he was an activist at the barricades or a soft-spoken intellectual in his views on society. After a brief discussion on his bio, the focus is on the phenomenon of being a prophet towards society. Then, the focus, largely based on a literature study, moves to Pillay’s perspectives on the South African and New Zealand contexts, and then a discussion of some of Pillay’s writings on being a prophetic voice follows. Finally, in the conclusion, his specific style and model of being a prophetic voice are analysed.

This article challenges a few assumptions about emerging international norms pertaining to sexual orientation and gender identity (SOGI). First, although UN experts and expert bodies were the first to address SOGI issues at the UN, they have not been the most progressive. Second, social movement actors have not always been the most effective norm entrepreneurs. Third, although states are often accused of failing to take action on SOGI issues, there is a clear, emerging pattern of state involvement and progress. The norms constructed by states are less radical than those constructed by UN experts and civil society organizations, but they are more effective.

Between the late 1940s and the early 1990s, Vella Pillay made a major contribution to South Africa's liberation struggle. This article focuses on three aspects of his contribution: as a revolutionary procuring funds and training for the ANC's military struggle, as a leader of the anti-apartheid and boycott movements, and as a highly trained intellectual producing economic policy analyses. In the mid 1960s, Pillay was suddenly prevented from holding leadership positions in the Congress Alliance; and, in the mid 1990s, he was again humiliated when the report of the Macroeconomic Research Group, of which he was Director, was dumped without any debate of its policy recommendations. This article aims to provide some reasons for the sidelining from history of someone so committed to the economic and political liberation of South Africans.

Professor Heyns's report says that in some cases authorities failed to provide medical treatment urgently needed by people in custody, carry out postmortem examinations, or provide details of any investigations. The report, presented last week to the UN Human Rights Council, documents serious breaches in more than 50 countries, including hot spots such as Afghanistan, Libya, Syria, Egypt, Iran, China, Colombia, Pakistan, Yemen, Bahrain, and North Korea.