Dr Mark Dybul. Photo supplied.

Dr Mark Dybul, Executive Director of The Global Fund to Fight AIDS, Tuberculosis and Malaria. Photo supplied.

Exciting and frightening times in health development

More than 25 years on the frontline of HIV and public health has led DR MARK DYBUL to tackle some of the biggest health crises across the world.

However, the former diplomat - who is now Executive Director of The Global Fund to Fight AIDS, Tuberculosis and Malaria - has only noticed a shift in tackling public health emergencies since the start of this century.

He believes global health crises were often costed in terms of dollars spent, rather than outcomes produced.

"It's not terribly surprising that if you got back 15 years ago, before the revolution of how we look at development, and ask anyone in the world what was happening in nutrition, or health, the answer would be: 'We are spending x amount of money'," Dybul says.

"It wasn't that we are achieving, we are supporting, we are partnering. It was purely in the spending of money.

"It was an extraordinarily paternalistic view and largely built into impulses to feel better about yourself and to make people feel good about you."

A shift in funding and outcomes means situations such as the recent Ebola outbreak in Africa have become much more containable.

Dybul spoke at ANU about challenges and opportunities of global health development at the 2016 Harold Mitchell Development Policy Lecture, which you can watch in full below.