Community-driven interventions can revolutionise control of neglected tropical diseases

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• 作者：Uche V. Amazigo¹ ; ^{amazigo4@yahoo.com} ; Stephen G.A. Leak² ; Honorat G.M. Zoure² ; Ngozi Njepuome³ ; Paul-Samson Lusamba-Dikassa²
• 关键词：neglected tropical diseases ; NTDs ; community-directed treatment ; mass drug administration ; onchocerciasis ; lymphatic filariasis ; soil-transmitted helminths ; schistosomiasis
• 刊名：Trends in Parasitology
• 出版年：2012
• 期刊代码：87_14714922
• 类别：imm
• 出版时间：June, 2012
• 卷：28
• 期：6
• 页码：231-238
• 文件大小：793 K

摘要

Whether global health interventions target diseases (vertical), systems (horizontal) or both (diagonal), they must address the challenge of delivering services in very remote areas of poor countries with inadequate infrastructure. The primacy of this challenge has been underscored by persistent service-delivery difficulties despite several large financial commitments - the latest, US $363 million in the January 2012 London Declaration. Community-driven approaches, pioneered in river blindness control, show that engaging communities can maximise access and performance. This experience should inform a paradigm shift in disease control whereby communities are empowered to extend health service access themselves.