Neglected diseases of neglected populations: thinking to reshape the determinants of health in Latin America and the Caribbean.

Neglected diseases of neglected populations: thinking to reshape the determinants of health in Latin America and the Caribbean.
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被忽视的人群的疾病:考虑重塑拉丁美洲和加勒比海的健康决定因素。

DOI:
10.1186/1471-2458-5-119
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发表时间:
2005-11-11
期刊:
影响因子:
4.5
通讯作者:
Ault, SK
Ault, SK
中科院分区:
医学2区
文献类型:
--
作者:
Ehrenberg, JP;Ault, SK

文献摘要

参考文献

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整个发展中世界的穷人都深受被忽视的传染病之害,往往被卫生部门边缘化。这些疾病目前被称为被忽视人群的被忽视疾病。被忽视的疾病给个人、家庭、社区和国家造成社会和财政负担。已经发表了许多关于成功的个别干预措施的研究,以管理各种类型社区的传染病决定因素,但很少有以综合协调的方式应用多种干预措施。我们已经确定了一系列成功的干预措施,并制定了三个假设的情况下,这些干预措施可以应用在一个综合的,多疾病,跨方案,和/或跨部门的方法,预防和控制被忽视的疾病在三个不同的人群:一个贫民窟,一个土著社区,和一个城市的混合人口。本文件的目的是通过突出被忽视疾病的主要风险和保护因素的例子,确定解决被忽视疾病、改善社区健康和促进被忽视人口可持续发展的新机会,这些因素可以通过基于多种疾病的综合、方案间和/或部门间办法加以管理和实施。基于文献回顾,分析和发展的情况下,我们可视化如何多种干预措施可以管理多种疾病的问题,并提出这些可能的策略进行测试。我们力求促进部门内和部门间的对话,这将有助于根据可持续性原则和对健康的关键决定因素的了解,为被忽视的疾病(特别是寄生虫病)制定新的战略,使穷人和边缘化群体受益,并导致制定有助于实现千年发展目标的试点项目和活动。
People living in poverty throughout the developing world are heavily burdened with neglected communicable diseases and often marginalized by the health sector. These diseases are currently referred to as Neglected Diseases of Neglected Populations. The neglected diseases create social and financial burdens to the individual, the family, the community, and the nation. Numerous studies of successful individual interventions to manage communicable disease determinants in various types of communities have been published, but few have applied multiple interventions in an integrated, coordinated manner. We have identified a series of successful interventions and developed three hypothetical scenarios where such interventions could be applied in an integrated, multi-disease, inter-programmatic, and/or inter-sectoral approach for prevention and control of neglected diseases in three different populations: a slum, an indigenous community, and a city with a mix of populations. The objective of this paper is to identify new opportunities to address neglected diseases, improve community health and promote sustainable development in neglected populations by highlighting examples of key risk and protective factors for neglected diseases which can be managed and implemented through multi-disease-based, integrated, inter-programmatic, and/or inter-sectoral approaches. Based on a literature review, analysis and development of scenarios we visualize how multiple interventions could manage multiple disease problems and propose these as possible strategies to be tested. We seek to stimulate intra- and inter-sectoral dialogue which will help in the construction of new strategies for neglected diseases (particularly for the parasitic diseases) which could benefit the poor and marginalized based on the principle of sustainability and understanding of key determinants of health, and lead to the establishment of pilot projects and activities which can contribute to the achievement of the Millennium Development Goals.
DOI: 10.1023/a:1012740832558
发表时间: 2001-12-01
影响因子: 1.7
作者:
Dessie, T;Ogle, B
通讯作者: Ogle, B
DOI: 10.1038/sj.jea.7500355
发表时间: 2004-04-01
期刊: JOURNAL OF EXPOSURE ANALYSIS AND ENVIRONMENTAL EPIDEMIOLOGY
影响因子: --
作者:
Bruce, N;McCracken, J;West, C
通讯作者: West, C
DOI: 10.1093/jn/133.5.1485s
发表时间: 2003-05-01
影响因子: 4.2
作者:
Black, RE
通讯作者: Black, RE
DOI: 10.1016/s0001-706x(02)00030-x
发表时间: 2002-04-01
期刊: ACTA TROPICA
影响因子: 2.7
作者:
Babu, BV;Nayak, AN;Mallick, G
通讯作者: Mallick, G
DOI: 10.1016/s0277-9536(02)00409-4
发表时间: 2003-08-01
影响因子: 5.4
作者:
Curtis, V;Biran, A;Drasar, B
通讯作者: Drasar, B