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- Micah, Angela E., et al.
(författare)
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Tracking development assistance for health and for COVID-19 : a review of development assistance, government, out-of-pocket, and other private spending on health for 204 countries and territories, 1990-2050
- 2021
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Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 398:10308, s. 1317-1343
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Forskningsöversikt (refereegranskat)abstract
- Background The rapid spread of COVID-19 renewed the focus on how health systems across the globe are financed, especially during public health emergencies. Development assistance is an important source of health financing in many low-income countries, yet little is known about how much of this funding was disbursed for COVID-19. We aimed to put development assistance for health for COVID-19 in the context of broader trends in global health financing, and to estimate total health spending from 1995 to 2050 and development assistance for COVID-19 in 2020. Methods We estimated domestic health spending and development assistance for health to generate total health-sector spending estimates for 204 countries and territories. We leveraged data from the WHO Global Health Expenditure Database to produce estimates of domestic health spending. To generate estimates for development assistance for health, we relied on project-level disbursement data from the major international development agencies' online databases and annual financial statements and reports for information on income sources. To adjust our estimates for 2020 to include disbursements related to COVID-19, we extracted project data on commitments and disbursements from a broader set of databases (because not all of the data sources used to estimate the historical series extend to 2020), including the UN Office of Humanitarian Assistance Financial Tracking Service and the International Aid Transparency Initiative. We reported all the historic and future spending estimates in inflation-adjusted 2020 US$, 2020 US$ per capita, purchasing-power parity-adjusted US$ per capita, and as a proportion of gross domestic product. We used various models to generate future health spending to 2050. Findings In 2019, health spending globally reached $8. 8 trillion (95% uncertainty interval [UI] 8.7-8.8) or $1132 (1119-1143) per person. Spending on health varied within and across income groups and geographical regions. Of this total, $40.4 billion (0.5%, 95% UI 0.5-0.5) was development assistance for health provided to low-income and middle-income countries, which made up 24.6% (UI 24.0-25.1) of total spending in low-income countries. We estimate that $54.8 billion in development assistance for health was disbursed in 2020. Of this, $13.7 billion was targeted toward the COVID-19 health response. $12.3 billion was newly committed and $1.4 billion was repurposed from existing health projects. $3.1 billion (22.4%) of the funds focused on country-level coordination and $2.4 billion (17.9%) was for supply chain and logistics. Only $714.4 million (7.7%) of COVID-19 development assistance for health went to Latin America, despite this region reporting 34.3% of total recorded COVID-19 deaths in low-income or middle-income countries in 2020. Spending on health is expected to rise to $1519 (1448-1591) per person in 2050, although spending across countries is expected to remain varied. Interpretation Global health spending is expected to continue to grow, but remain unequally distributed between countries. We estimate that development organisations substantially increased the amount of development assistance for health provided in 2020. Continued efforts are needed to raise sufficient resources to mitigate the pandemic for the most vulnerable, and to help curtail the pandemic for all. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.
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- Rajasekaran, B., et al.
(författare)
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Effect of detonation gun sprayed Cu-Ni-In coating on plain fatigue and fretting fatigue behaviour of Al-Mg-Si alloy
- 2006
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Ingår i: Surface & Coatings Technology. - 0257-8972 .- 1879-3347. ; 201:3-4, s. 1548-1558
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Tidskriftsartikel (refereegranskat)abstract
- Detonation gun spray technique was employed to coat Al-Mg-Si alloy (AA 6063) specimens with Cu-Ni-In powder. Coated samples were characterized with reference to the microstructure, porosity, residual stresses, microhardness and surface roughness. Plain fatigue (without fretting) and fretting fatigue tests were carried out at room temperature on uncoated and coated specimens. The detonation gun spray process resulted in a dense coating of almost uniform deposition with low porosity (0.3%) and good adhesion between the substrate and the coating. Under plain fatigue loading 40 mu m thick coated samples exhibited superior lives compared with uncoated and 100 mu m thick coated specimens due to the presence of higher surface compressive residual stress in the former. Delamination-induced failure resulted in inferior lives of 100 mu m thick coated specimens. Under fretting fatigue deformation 40 mu m thick coated specimens exhibited superior lives compared with 100 mu m thick coated samples owing to higher compressive residual stress at the surface and better interfacial adhesion. At 120 MPa stress level 40 pm thick coated specimens exhibited superior fretting fatigue life compared with uncoated sample and at stress levels above 120 MPa the converse was true. This was attributed to interface cracking at higher stress levels. (c) 2006 Elsevier B.V. All rights reserved.
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- Rajasekaran, B., et al.
(författare)
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Effect of grinding on plain fatigue and fretting fatigue behaviour of detonation gun sprayed Cu-Ni-In coating on Al-Mg-Si alloy
- 2009
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Ingår i: International Journal of Fatigue. - 0142-1123 .- 1879-3452. ; 31:4, s. 791-796
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Tidskriftsartikel (refereegranskat)abstract
- Uniaxial plain fatigue and fretting fatigue tests were carried out on detonation gun sprayed Cu-Ni-In coating on Al-Mg-Si alloy samples, The samples in three conditions were considered: uncoated, as- coated and ground after coating. Ground coated specimens exhibited superior plain fatigue and fretting fatigue lives compared with uncoated and as-coated specimens. The life enhancement has been discussed in terms of surface finish and residual compressive stresses at the surface. (C) 2008 Elsevier Ltd. All rights reserved.
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- Rajasekaran, B., et al.
(författare)
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Effect of microarc oxidised layer thickness on plain fatigue and fretting fatigue behaviour of Al-Mg-Si alloy
- 2008
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Ingår i: International Journal of Fatigue. - 0142-1123 .- 1879-3452. ; 30:7, s. 1259-1266
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this work was to investigate the performance of microarc oxide coatings of two different thicknesses (40 and 100 mu m) on Al-Mg-Si alloy samples under plain fatigue and fretting Fatigue loadings. Tensile residual stress present in the substrate of 40 mu m thick coated samples induced early crack initiation in the substrate and so their plain fatigue lives were shorter than those of untreated specimens. Presence of more pores and tensile surface residual stress in 100 mu m thick coated samples caused early crack initiation at the surface leading to their inferior plain fatigue lives compared with 40 mu m thick coated samples. While the differences between the lives of coated and uncoated specimens were significant under plain fatigue loading, this was not the case under fretting fatigue loading. This may be attributed to relatively higher surface hardness of coated specimens. The performance of 40 mu m thick coated samples was better than that of 100 mu m thick coated specimens under both plain fatigue and fretting fatigue loadings. (C) 2007 Elsevier Ltd. All rights reserved.
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- Rajasekaran, B., et al.
(författare)
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Influence of detonation gun sprayed alumina coating on AA 6063 samples under cyclic loading with and without fretting
- 2008
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Ingår i: Tribology International. - 0301-679X .- 1879-2464. ; 41:4, s. 315-322
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Tidskriftsartikel (refereegranskat)abstract
- The influence of detonation gun sprayed alumina coating on Al-Mg-Si alloy (AA 6063) test samples subjected to cyclic loading with and without fretting was studied in the present work. Coated samples were grounded to have coatings of two different thickness values, 40 and 100 mu m. Both 40- and 100-mu m-thick coated specimens experienced almost the same but slightly higher friction force compared with uncoated samples. Under plain fatigue loading, 100 pm coated specimens exhibited inferior lives due to the presence of lower surface compressive residual stress compared with uncoated and 40-mu m-thick coated samples. Under fretting fatigue loading, uncoated specimens exhibited inferior lives compared with coated samples owing to the very low hardness of the uncoated specimens (80 against 1020 HV0.2). The reason for the superior fretting fatigue lives of 40-mu m-thick coated samples compared with 100-mu m-thick coated samples was the presence of relatively higher surface compressive residual stress in 40-pm-thick coated specimens. (c) 2007 Elsevier Ltd. All rights reserved.
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- Rajasekaran, B., et al.
(författare)
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Influence of microarc oxidation and hard anodizing on plain fatigue and fretting fatigue behaviour of Al-Mg-Si alloy
- 2008
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Ingår i: Surface & Coatings Technology. - 0257-8972 .- 1879-3347. ; 202:8, s. 1462-1469
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Tidskriftsartikel (refereegranskat)abstract
- The present study compares the performance of microarc oxidation (MAO) and hard anodizing (HA) treated Al-Mg-Si alloy (AA6063) test samples under cyclic loading in uniaxial tension with a stress ratio of 0.1 (plain fatigue) and fretting fatigue loading. Fatigue test specimens were treated using MAO and HA techniques. MAO coated specimens were ground to reduce the surface roughness comparable with that in HA coated specimens. In that process the porous outer layer was removed. Characterization of coated and uncoated specimens was done with reference to the coating morphology, microhardness, surface roughness and residual stress. The specimens were tested under plain fatigue and fretting fatigue loading at ambient temperature. While the ground MAO coating exhibited relatively less amount of porosity, HA coating had through thickness cracks. MAO coating had compressive residual stress and it was very hard compared with HA coating. Both types of coated samples exhibited slightly higher friction force than that experienced by the uncoated specimens. Fretted region of the HA coated samples was rougher than that of the MAO coated specimens. Plain fatigue lives of both coated samples were inferior to those of the uncoated specimens. The inferior plain fatigue lives of MAO coated specimens compared with those of the substrate may be attributed to the tensile residual stresses supposedly present in the substrate leading to an early crack initiation in the substrate adjacent to the coating. As friction force of MAO coated samples was higher than that experienced by uncoated specimens, the fretting fatigue lives of MAO coated samples were slightly inferior to those of uncoated samples. As the anodized layer had preexisting through thickness cracks and strong adhesion with the substrate, cracks propagated from HA coating through the interface into the substrate easily. This may be the reason for the HA coated samples exhibiting inferior plain fatigue and fretting fatigue lives compared with MAO coated and uncoated samples. © 2007 Elsevier B.V. All rights reserved.
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- Rajasekaran, B., et al.
(författare)
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Performance of plasma sprayed and detonation gun sprayed Cu-Ni-In coatings on Ti-6Al-4V under plain fatigue and fretting fatigue loading
- 2008
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Ingår i: Materials Science & Engineering. - 0921-5093 .- 1873-4936. ; 479:1-2, s. 83-92
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Tidskriftsartikel (refereegranskat)abstract
- Cu-Ni-In powder was coated on Ti-6Al-4V fatigue test samples using plasma spray and detonation gun (D-gun) spray processes. Coatings were characterized in terms of microstructure, porosity, microhardness, residual stresses and surface roughness. Uniaxial plain fatigue and fretting tests were carried out at room temperature on uncoated and coated specimens. D-gun sprayed coating was dense with lower porosity compared with the plasma sprayed coating. D-gun sprayed coating was harder than the plasma sprayed coating and substrate because of its higher density and cohesive strength. Surfaces were very rough in both the coatings. While D-gun sprayed coating surface had higher compressive residual stresses, plasma sprayed coating surface exhibited lower values of compressive residual stresses and even tensile residual stresses. The ill effect of surface roughness was overcome by the beneficial influence of higher compressive residual stresses on the surface and higher surface hardness and so the D-gun sprayed samples exhibited superior plain fatigue lives compared with uncoated specimens. Though the plasma sprayed samples had relatively lower hardness, higher surface roughness and almost similar values of residual stresses on the surface compared with the uncoated specimens, they exhibited longer plain fatigue lives. This may be attributed to the layered structure of the coating. Though D-gun sprayed samples experienced higher friction forces, they exhibited superior fretting fatigue lives due to the presence of higher compressive residual stresses, higher surface hardness and higher surface roughness compared with uncoated specimens. The very rough surface of plasma sprayed samples enhanced their fretting fatigue lives compared with the uncoated samples. Higher surface hardness and higher compressive residual stress of the D-gun sprayed specimens were responsible for their superior fretting fatigue lives compared with the plasma sprayed specimens. (c) 2007 Elsevier B.V. All rights reserved.
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