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Programas, asociaciones y gobernanza para la eliminación y el control de las enfermedades tropicales desatendidas
Bernhard Liese1, Mark Rosenberg, Alexander Schratz
1Department of International Health, Georgetown University, Washington, DC 20007, USA. bhl6@georgetown.edu
Lancet (London, England)
|January 30, 2010
Resumen
Las enfermedades tropicales desatendidas (ENT) representan un importante desafío para la salud pública. Esta revisión examina los programas de control, la gobernanza y la financiación, destacando los desafíos y sugiriendo direcciones futuras para la eliminación de las NTD.
Área de la Ciencia:
- Salud Pública La salud pública.
- La medicina tropical es una medicina tropical.
- Política de salud global Política de salud global.
Sus antecedentes:
- Las enfermedades tropicales desatendidas (ENT) representan una carga sustancial para la salud mundial.
- A pesar de los tratamientos rentables, las ENT han recibido históricamente una atención limitada en la política mundial de salud.
- La naturaleza fragmentada de los programas de control actuales requiere una revisión exhaustiva.
Objetivo del estudio:
- Revisar la estructura de los programas de eliminación y control de las NTD.
- Analizar las iniciativas de control internacional, su impacto, gobernanza y financiamiento.
- Explorar estrategias para integrar las actividades de control y abordar los desafíos en la gestión de NTD.
Principales métodos:
- Revisión de los programas fragmentados de eliminación y control de las enfermedades tropicales descuidadas.
- Análisis de iniciativas seleccionadas de control internacional, incluidos los programas de donación de medicamentos.
- Examen de las disposiciones de gobierno, los mecanismos de financiación y las estrategias de control integrado.
Principales resultados:
- La definición y la estructura de los programas NTD son a menudo ambiguas y fragmentadas.
- Las iniciativas internacionales y las donaciones de medicamentos han mostrado diversos grados de impacto.
- La integración de las actividades de control ofrece economías potenciales de alcance, pero se enfrenta a desafíos de gobernanza.
Conclusiones:
- Es crucial abordar la diversidad de los enfoques de control de NTD y las estructuras de gobernanza.
- Se proporcionan recomendaciones para mejorar las estrategias nacionales e internacionales para el control y la eliminación de las NTD.
- Se necesita una mayor coordinación y enfoques integrados para superar los desafíos en la gestión de las enfermedades tropicales desatendidas.
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