Neglected Tropical Diseases 1 Programmes, partnerships, and governance for elimination and control of neglected tropical diseases
Neglected Tropical Diseases 1 Programmes, partnerships, and governance for elimination and control of neglected tropical diseases
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DOI：
10.1016/s0140-6736(09)61749-9
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发表时间：
2010-01-02
期刊：
影响因子：
168.9
通讯作者：
Schratz, Alexander
中科院分区：
文献类型：
--
作者：
Liese, Bernhard;Rosenberg, Mark;Schratz, Alexander
被忽视的热带病是公共卫生最严重的负担之一。许多疾病可以得到经济有效的治疗，但直到最近，它们在全球卫生政策议程上基本上被忽视。在本系列的第一篇论文中，我们从被忽视的热带病的模糊定义开始，审查这些疾病的消除和控制规划的支离破碎的结构。我们描述了选定的国际控制举措，并介绍了它们的效果、治理安排和融资机制，包括大量的药物捐赠计划。我们还讨论了通过整合国家内选定的控制活动来利用这些疾病的共同特征的努力，从而创造范围经济。最后，我们讨论了国内和国际上疾病控制方法和治理结构的多样性所带来的挑战，并为未来的道路提供了一些建议。
Neglected tropical diseases represent one of the most serious burdens to public health. Many can be treated cost-effectively, yet they have been largely ignored on the global health policy agenda until recently. In this first paper in the Series we review the fragmented structure of elimination and control programmes for these diseases, starting with the ambiguous definition of a neglected tropical disease. We describe selected international control initiatives and present their effect, governance arrangements, and financing mechanisms, including substantial drug-donation programmes. We also discuss efforts to exploit shared features of these diseases by integration of selected control activities within countries, thus creating economies of scope. Finally we address the challenges, resulting from the diversity of disease control approaches and governance structures-both nationally and internationally-and provide some suggestions for the way forward.