How to (or not to) integrate vertical programmes for the control of major neglected tropical diseases in sub-Saharan Africa.
How to (or not to) integrate vertical programmes for the control of major neglected tropical diseases in sub-Saharan Africa.
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DOI：
10.1371/journal.pntd.0000755
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发表时间：
2010-06-29
影响因子：
3.8
通讯作者：
Kolaczinski JH
中科院分区：
文献类型：
--
作者：
Kabatereine NB;Malecela M;Lado M;Zaramba S;Amiel O;Kolaczinski JH
综合提供多种保健干预措施有可能最大限度地降低成本，扩大干预措施的覆盖面。因此，在撒哈拉以南非洲地区，由于这些被忽视的热带疾病在地理上有相当大的重叠，因此鼓励将大规模药物管理纳入预防性化疗（PCT）的实施，以控制盘尾丝虫病、淋巴丝虫病、血吸虫病、土传蠕虫病和沙眼。由于只有少数几个国家已开始综合控制NTD，因此在如何制定和实施有效的综合方案方面的经验有限。从历史上看，国家和全球方案只侧重于控制一种疾病，通常采取综合办法，涉及包括PCT在内的几种干预措施。克服由此产生的疾病特异性结构和思维，并确保将综合方案纳入现有的卫生结构，对希望着手综合控制NTD的决策者和执行者提出了相当大的挑战。通过分享来自乌干达、坦桑尼亚、苏丹南部和莫桑比克的经验，这篇研讨会文章旨在概述主要挑战和解决方案，以协助各国建立有效的综合NTD方案。
Combining the delivery of multiple health interventions has the potential to minimize costs and expand intervention coverage. Integration of mass drug administration is therefore being encouraged for delivery of preventive chemotherapy (PCT) to control onchocerciasis, lymphatic filariasis, schistosomiasis, soil-transmitted helminthiasis, and trachoma in sub-Saharan Africa, as there is considerable geographical overlap of these neglected tropical diseases (NTDs). With only a handful of countries having embarked on integrated NTD control, experience on how to develop and implement an efficient integrated programme is limited. Historically, national and global programmes were focused on the control of only one disease, usually through a comprehensive approach that involved several interventions including PCT. Overcoming the resulting disease-specific structures and thinking, and ensuring that the integrated programme is embedded within the existing health structures, pose considerable challenges to policy makers and implementers wishing to embark on integrated NTD control. By sharing experiences from Uganda, Tanzania, Southern Sudan, and Mozambique, this symposium article aims to outlines key challenges and solutions to assist countries in establishing efficient integrated NTD programmes.
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影响因子：
--
作者：
Katabarwa, NM;Mutabazi, D;Richards, FO
通讯作者：
Richards, FO
DOI：
10.4269/ajtmh.2006.75.650
发表时间：
2006-10-01
影响因子：
3.3
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
15.8
作者：
Hotez PJ;Molyneux DH;Fenwick A;Ottesen E;Ehrlich Sachs S;Sachs JD
通讯作者：
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影响因子：
9.6
作者：
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通讯作者：
Brooker, Simon