忘れられた熱帯病の撲滅と制御のためのプログラム,パートナーシップ,ガバナンス
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
まとめ
忘れられた熱帯病 (NTD) は,公衆衛生上の大きな課題となっています. このレビューでは,制御プログラム,ガバナンス,および資金調達について検討し,課題を強調し,NTDの排除のための将来の方向性を提案します.
科学分野:
- 公衆衛生は公衆衛生である.
- トロピカル・メディシン (熱帯医学)
- グローバル・ヘルス・ポリシー
背景:
- 忽略された熱帯病 (NTD) は,世界的な健康上の重大な負担を担っています.
- 費用対効果の高い治療法にもかかわらず,NTDは歴史的に世界保健政策において限られた注意を払ってきた.
- 現在の制御プログラムの断片的性質は,包括的な見直しを必要とします.
研究 の 目的:
- NTDの排除と制御プログラムの構造を見直す.
- 国際的な統制イニシアチブ,その影響,ガバナンス,資金調達を分析する.
- 制御活動を統合するための戦略を探求し,NTD管理における課題に取り組む.
主な方法:
- 忘れられた熱帯病の断片的な排除と制御プログラムのレビュー.
- 薬物提供プログラムを含む,選択された国際的な管理イニシアチブの分析.
- 統治体制,資金調達機構,統合制御戦略の検討.
主要な成果:
- NTDプログラムの定義と構造は,しばしば曖昧で断片化されています.
- 国際的なイニシアチブや医薬品の寄付は,さまざまな程度の影響を示しています.
- 統制活動の統合は,潜在的スケールエコノミーを提供するが,ガバナンス上の課題に直面する.
結論:
- NTDの制御アプローチとガバナンス構造の多様性を扱うことは極めて重要です.
- NTDの制御と排除のための国内および国際的な戦略の改善のための勧告が提供されています.
- 軽視された熱帯病の管理における課題を克服するために,強化された調整と統合されたアプローチが必要である.
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