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Center for Integration Science in Global Health Equity

Gene Bukhman, MD, PhD

Gene Bukhman, MD, PhD

Executive Director

Associate Professor of Medicine, Global Health, and Social Medicine, Harvard Medical School

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The mission of the Center for Integration Science (CIS) Brigham and Women’s Hospital (BWH) is to accelerate the just redistribution of resources in the interest of global health equity by identifying integrated units of operational effectiveness in health care delivery and scaling their implementation through collective action.

The CIS is a joint initiative of the Program in Global Noncommunicable Disease and Social Change at Harvard Medical School, the NCD Synergies project at Partners In Health, and the Fellowships in NCDs and Global Health Equity at BWH.

Much of the historical progress on global health equity has been driven by vertical initiatives around priority infectious diseases. In the 21st century, however, there remains a “long tail” of infectious and non-infectious conditions that are seldom lethal in high-income countries, but are still a death-sentence for the poorest children and young adults in lower-income countries. This long-tail of severe conditions includes diseases such as type 1 diabetes, rheumatic heart disease, sickle cell disease, and multi-drug resistant tuberculosis for example.

The Lancet Commission on Reframing Noncommunicable Diseases and Injuries for the Poorest Billion identified illustrative integrated teams that could bridge this vast gap in care if they were financed and implemented at scale. In order to act on the recommendations of this Lancet Commission, a group of 21 countries (and growing) have organized an NCDI Poverty Network. The CIS – together with the Universidade Eduardo Mondale in Mozambique – serves as the co-secretariat for the NCDI Poverty Network, supporting Network countries to progress through a 4-phase theory of change, ultimately leading to national implementation of integrated delivery models.

The CIS and the full CIS website will launch formally in the late 2022.

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