Ending Neglected Surgical Diseases (NSDs): Definitions, Strategies, and Goals for the Next Decade.

Ending Neglected Surgical Diseases (NSDs): Definitions, Strategies, and Goals for the Next Decade.
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DOI:
10.34172/ijhpm.2020.140
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发表时间:
2022-09-01
影响因子:
3.5
通讯作者:
Jani P
Jani P
中科院分区:
医学4区
文献类型:
--
作者:
Henry JA;Volk AS;Kariuki SK;Murungi K;Firmalo T;Masha RL;Henry O;Arimi P;Mwai P;Waiguru E;Mwiti E;Okoro D;Langat A;Mugambi C;Anastasi E;Slinger G;Lavy C;Owen R;Stieber E;Suntay ML;Haddad D;Lane R;Buenaventura J;Parsan N;Abdullah F;Nebeker M;Nebeker L;Mock C;Hollier L;Jani P

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虽然在解决全世界缺乏手术护理的问题方面取得了总体进展,但发展中国家未经治疗的手术状况仍然是一个未得到充分重视的问题。被称为被忽视的外科疾病(NSD)的晚期外科疾病的大量积压是由于获得高质量外科护理的巨大差距。我们的目标是讨论一个以公共卫生权利为基础的倡议框架,以防止和消除发展中国家国家可持续发展报告的积压。我们定义了NSD,并提出了六项标准,重点是实施一项计划的适用性和实用性,该计划旨在消除44项疾病控制优先事项第3版(DCP 3)外科干预措施清单中六项目标NSD的积压。基于人权的方针被用来澄清国家可持续发展在全球卫生中的作用。进行了文献综述,以确定全球疾病负担、估计的全球积压、每次治疗的平均成本、避免治疗的残疾调整生命年(DSDs)、投资回报以及确定的NSD的潜在收益和经济影响。确定了六个指标NSD,包括被忽视的唇腭裂、马蹄内翻足、白内障、疝和鞘膜积液、损伤和产科瘘。有人提出全球定义,作为防止和消除国家统计数据积压的起点。界定被忽视的外科疾病的一个子集,说明社会在解决这些问题方面的作用和责任,通过立足人权的方针透镜为最终根除这些疾病提供了一个框架。
While there has been overall progress in addressing the lack of access to surgical care worldwide, untreated surgical conditions in developing countries remain an underprioritized issue. Significant backlogs of advanced surgical disease called neglected surgical diseases (NSDs) result from massive disparities in access to quality surgical care. We aim to discuss a framework for a public health rights-based initiative designed to prevent and eliminate the backlog of NSDs in developing countries. We defined NSDs and set forth six criteria that focused on the applicability and practicality of implementing a program designed to eradicate the backlog of six target NSDs from the list of 44 Disease Control Priorities 3rd edition (DCP3) surgical interventions. The human rights-based approach (HRBA) was used to clarify NSDs role within global health. Literature reviews were conducted to ascertain the global disease burden, estimated global backlog, average cost per treatment, disability-adjusted life-years (DALYs) averted from the treatment, return on investment, and potential gain and economic impact of the NSDs identified. Six index NSDs were identified, including neglected cleft lips and palate, clubfoot, cataracts, hernias and hydroceles, injuries, and obstetric fistula. Global definitions were proposed as a starting point towards the prevention and elimination of the backlog of NSDs. Defining a subset of neglected surgical conditions that illustrates society’s role and responsibility in addressing them provides a framework through the HRBA lens for its eventual eradication.
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