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NEGLECTED TROPICAL DISEASES IN BIOSOCIAL PERSPECTIVE
Melissa Parker1, Katja Polman2, Tim Allen3
1*Department of Global Health and Development,London School of Hygiene and Tropical Medicine,UK.
Neglected tropical diseases (NTDs) require a biosocial approach, integrating social factors into control programs. Current mass drug administration strategies overlook critical social dimensions for sustainable NTD control.
Area of Science:
- Public Health
- Social Sciences
- Tropical Medicine
Background:
- Neglected tropical diseases (NTDs) are often viewed solely as biological issues.
- The social dimensions of 'neglect' significantly impact disease control program design and effectiveness.
- Preventive chemotherapy, a common strategy, is a technical approach that may overlook crucial social contexts.
Purpose of the Study:
- To analyze the emergence of the NTD 'brand' and its implications.
- To critically evaluate the disengagement from social insights regarding mass drug administration (MDA).
- To propose a more adequate, evidence-based biosocial approach for sustainable NTD control.
Main Methods:
- Reflection on the branding of NTDs.
- Critical commentary on the consequences of mass drug administration.
- Synthesis of biosocial scholarship for health and disease.
- Delineation of an evidence-based, iterative approach.
Main Results:
- The current focus on preventive chemotherapy for NTDs neglects essential social factors.
- There is a disquieting disengagement from critical insights into the effects of mass drug administration.
- A biosocial perspective is crucial for developing effective and sustainable NTD control strategies.
Conclusions:
- Sustainable control of NTDs necessitates overcoming theoretical, methodological, and political challenges.
- An iterative approach integrating biological and social insights is essential.
- Addressing the social dimensions of neglect is critical for advancing NTD control.
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