Programmes, partnerships, and governance for elimination and control of neglected tropical diseases

Summary 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 eliminat...

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Bibliographic Details
Published in:The Lancet (British edition) 2010, Vol.375 (9708), p.67-76
Main Authors: Liese, Bernhard, Dr, Rosenberg, Mark, MD, Schratz, Alexander, MA
Format: Article
Language:English
Subjects:
Animals
Attitude of Health Personnel
Biological and medical sciences
Disease Vectors
General aspects
Humans
Internal Medicine
International Cooperation
Medical sciences
Terminology as Topic
Tropical Medicine - economics
Tropical Medicine - methods
Tropical Medicine - trends
World Health Organization
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Summary:Summary 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.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(09)61749-9