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Amanda Glassman, Denizhan Duran and Andy Sumner Global Health and the New Bottom Billion: What do Shifts in Global Poverty and Disease Burden Mean for Donor Agencies? Global Policy 4

Article first published online: 8 OCT 2012 | DOI: 10.1111/j.1758-5899.2012.00176.x

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‘In 1990, 93 per cent of the world’s poor lived in low income countries (LICs). Now, more than 70 per cent – up to a billion of the world’s poorest people or a ‘new bottom billion’– live in middle income countries, and most of them in stable, non fragile middle income countries.’ The authors of this article examine how the distribution of global poverty and disease has changed, arguing that global health agencies will need to adjust their outlook to remain effective, looking at their approaches to eligibility, partnerships and staffing.

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