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Mshamu S, Meta J, Sanga C, Day N, Mukaka M, Adhikari B, Deen J, Knudsen J, Pell C, von Seidlein L. Care seeking for childhood illnesses in rural Mtwara, south-east Tanzania: a mixed methods study. Trans R Soc Trop Med Hyg 2024; 118:465-473. [PMID: 38700078 PMCID: PMC11224983 DOI: 10.1093/trstmh/trae022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 12/12/2023] [Accepted: 03/22/2024] [Indexed: 05/05/2024] Open
Abstract
BACKGROUND Care seeking was assessed in preparation for a study of the health impact of novel design houses in rural Mtwara, Tanzania. METHODS A total of 578 residents of 60 villages participated in this mixed-methods study from April to August 2020. Among them, 550 participated in a healthcare-seeking survey, 17 in in-depth interviews and 28 in key informant interviews. RESULTS The decision to seek care was based on symptom severity (95.4% [370]). Caregivers first visited non-allopathic healthcare providers or were treated at home, which led to delays in seeking care at healthcare facilities. More than one-third (36.0% [140]) of respondents took >12 h seeking care at healthcare facilities. The majority (73.0% [282]) visited healthcare facilities, whereas around one-fifth (21.0% [80]) sought care at drug stores. Treatment costs deterred respondents from visiting healthcare facilities (61.4% [338]). Only 10 (3.6%) of the households surveyed reported that they were covered by health insurance. CONCLUSIONS Quality of care, related to institutional factors, impacts timely care seeking for childhood illnesses in Mtwara, Tanzania. Ensuring accessibility of facilities is therefore not sufficient.
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Affiliation(s)
- Salum Mshamu
- CSK Research Solutions, Mtwara, Tanzania
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | | | | | - Nicholas Day
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Mavuto Mukaka
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Bipin Adhikari
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | | | - Jakob Knudsen
- Royal Danish Academy – Architecture, Design, Conservation, Copenhagen, Denmark
| | - Christopher Pell
- Amsterdam University Medical Center, University of Amsterdam, Department of Global Health, Amsterdam, the Netherlands
- Amsterdam Institute for Global Health and Development, Amsterdam, the Netherlands
- Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Lorenz von Seidlein
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
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Suarez-Herrera JC, Abeldaño Zúñiga RA, Díaz-Castro L. Strategic Alliances in Global Health: Innovative Perspectives in the Era of Sustainable Development. Healthcare (Basel) 2024; 12:1198. [PMID: 38921312 PMCID: PMC11204177 DOI: 10.3390/healthcare12121198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2024] [Revised: 05/23/2024] [Accepted: 06/12/2024] [Indexed: 06/27/2024] Open
Abstract
This article discusses current challenges in the field of global health and the World Health Organization's (WHO) strategies to address them. It highlights the importance of measuring the health impacts of global recession and globalization and the need for human-centered approaches to sustainable development. Emphasis is placed on commitment to health equity and the use of strategic partnerships for health at global, national, and local levels. Improving the health and well-being of populations, as well as public health equity, are core principles of the 2030 Agenda for the Sustainable Development Goals (SDGs). These principles are expressed in SDG 3, which promotes universal access to health services and systems and recognizes global health as a basic human right. It highlights the importance of strategic partnerships to combat emerging health crises, improve public health indices, and address the burden of chronic disease. These partnerships are contemplated in SDG 17 and are manifested in different modalities, such as network governance, cross-sector collaboration, public-private partnership, and social participation. This diversity of alliances has played an important role in scaling up and strengthening universal health systems around the world, including in Latin America and the Caribbean. The text concludes by presenting the essential characteristics of these inter-organizational and inter-institutional alliances in the field of global health.
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Affiliation(s)
- José Carlos Suarez-Herrera
- Office of Research and Knowledge Transfer, Mid-Atlantic University, 35017 Las Palmas de Gran Canaria, Spain;
| | - Roberto Ariel Abeldaño Zúñiga
- Yhteiskuntadatatieteen Keskus, Valtiotieteellinen Tiedekunta, Helsingin Yliopisto, 00150 Helsinki, Finland
- Postgraduate Department, University of Sierra Sur, Oaxaca 70800, Mexico
| | - Lina Díaz-Castro
- Direction of Epidemiological and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, México City 14370, Mexico;
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Rai BD, Tessema GA, Fritschi L, Pereira G. The application of the One Health approach in the management of five major zoonotic diseases using the World Bank domains: A scoping review. One Health 2024; 18:100695. [PMID: 39010967 PMCID: PMC11247293 DOI: 10.1016/j.onehlt.2024.100695] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 02/13/2024] [Indexed: 07/17/2024] Open
Abstract
The international authorities, such as the Food and Agriculture Organization of the United Nations, World Health Organization, World Organization for Animal Health, United Nations Environment Programme, and World Bank, have endorsed the One Health concept as an effective approach to optimize the health of people, animals, and the environment. The One Health concept is considered as an integrated and unifying approach with the objective of sustainably balancing and optimizing the health of people, animals, and ecosystems. Despite variations in its definitions, the underlying principle remains consistent - recognizing the interconnected and interdependent health of humans, animals, and the environment, necessitating interdisciplinary collaboration to optimize health outcomes. The One Health approach has been applied in numerous countries for detecting, managing, and controlling diseases. Moreover, the concept has found application in various areas, including antimicrobial resistance, food safety, and ecotoxicology, with a growing demand. There is a growing consensus that the One Health concept and the United Nations Sustainable Development Goals mutually reinforce each other. The World Bank has recommended five domains as foundational building blocks for operationalising the One Health approach, which includes: i) One Health stakeholders, roles, and responsibilities; ii) financial and personal resources; iii) communication and information; iv) technical infrastructure; and v) governance. The domains provide a generalised overview of the One Health concept and guide to its application. We conducted a scoping review following the five-staged Arksey and O'Malley's framework. The objective of the review was to map and synthesise available evidence of application of the One Health approach to five major zoonotic diseases using the World Bank domains. Publications from the year 2004, marking the inception of the term 'One Health,' to 2022 were included. Information was charted and categorised against the World Bank domains identified as a priori. We included 1132 records obtained from three databases: Embase, Medline, and Global Health; as well as other sources. After excluding duplicates, screening for titles and abstracts, and full text screening, 20 articles that contained descriptions of 29 studies that implemented the One Health approach were selected for the review. We found that included studies varied in the extent to which the five domains were utilised. Less than half the total studies (45%) used all the five domains and none of the studies used all the sub-domains. The environmental sector showed an underrepresentation in the application of the One Health approach to zoonotic diseases as 14 (48%) studies in 10 articles did not mention it as a stakeholder. Sixty two percent of the studies mentioned receiving support from international partners in implementing the One Health approach and 76% of the studies were supported by international donors to conduct the studies. The review identified disparate funding mechanisms employed in the implementation of the One Health approach. However, there were limited discussions on plans for continuity and viability of these funding mechanisms in the future.
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Affiliation(s)
- Bir Doj Rai
- Curtin School of Population Health, Curtin University, 400 Kent St, Bentley, Perth, Western Australia 6102, Australia
| | - Gizachew A Tessema
- Curtin School of Population Health, Curtin University, 400 Kent St, Bentley, Perth, Western Australia 6102, Australia
- enAble Institute, Curtin University, 400 Kent St, Bentley, Perth, Western Australia 6102, Australia
| | - Lin Fritschi
- Curtin School of Population Health, Curtin University, 400 Kent St, Bentley, Perth, Western Australia 6102, Australia
| | - Gavin Pereira
- Curtin School of Population Health, Curtin University, 400 Kent St, Bentley, Perth, Western Australia 6102, Australia
- enAble Institute, Curtin University, 400 Kent St, Bentley, Perth, Western Australia 6102, Australia
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Bajpai D, Hailu W, Bagasha P, Chika OU, Hafiz E, Tannor EK, Wijewickrama E, Kalyesubula R, Karam S, Calice-Silva V, Ethier I, Sandal S. Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece. Can J Kidney Health Dis 2024; 11:20543581241246835. [PMID: 38774488 PMCID: PMC11107313 DOI: 10.1177/20543581241246835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Indexed: 05/24/2024] Open
Affiliation(s)
- Divya Bajpai
- Department of Nephrology, King Edward (VII) Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India
| | - Workagegnehu Hailu
- Unit of Nephrology, Department of Internal Medicine, University of Gondar, Ethiopia
| | - Peace Bagasha
- Directorate of Internal Medicine, Mulago National Specialized Hospital, Kampala, Uganda
| | | | - Ehab Hafiz
- Electron Microscopy Department, Clinical Laboratory Division, Theodor Bilharz Research Institute, Giza, Egypt
| | - Elliot Koranteng Tannor
- Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Renal Unit, Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Eranga Wijewickrama
- Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Sri Lanka
| | - Robert Kalyesubula
- Department of Physiology, Makerere University and Mulago Hospital, Kampala, Uganda
| | - Sabine Karam
- Division of Nephrology and Hypertension, Department of Internal Medicine, University of Minnesota, Minneapolis, USA
- Division of Nephrology and Hypertension, Department of Medicine, American University of Beirut, Lebanon
| | - Viviane Calice-Silva
- Research Department, Pro-rim Foundation and School of Medicine, UNIVILLE, Joinville, Brazil
| | - Isabelle Ethier
- Division of Nephrology, Centre Hospitalier de l’Université de Montréal, Québec, Canada
- Health Innovation and Evaluation hub, Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Québec, Canada
| | - Shaifali Sandal
- Divisions of Nephrology and Experimental Medicine, Department of Medicine, McGill University, Montreal, Quebec, Canada
- MEDIC, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
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Hopkins SR, Lafferty KD, Wood CL, Olson SH, Buck JC, De Leo GA, Fiorella KJ, Fornberg JL, Garchitorena A, Jones IJ, Kuris AM, Kwong LH, LeBoa C, Leon AE, Lund AJ, MacDonald AJ, Metz DCG, Nova N, Peel AJ, Remais JV, Stewart Merrill TE, Wilson M, Bonds MH, Dobson AP, Lopez Carr D, Howard ME, Mandle L, Sokolow SH. Evidence gaps and diversity among potential win-win solutions for conservation and human infectious disease control. Lancet Planet Health 2022; 6:e694-e705. [PMID: 35932789 PMCID: PMC9364143 DOI: 10.1016/s2542-5196(22)00148-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/21/2022] [Accepted: 06/14/2022] [Indexed: 06/08/2023]
Abstract
As sustainable development practitioners have worked to "ensure healthy lives and promote well-being for all" and "conserve life on land and below water", what progress has been made with win-win interventions that reduce human infectious disease burdens while advancing conservation goals? Using a systematic literature review, we identified 46 proposed solutions, which we then investigated individually using targeted literature reviews. The proposed solutions addressed diverse conservation threats and human infectious diseases, and thus, the proposed interventions varied in scale, costs, and impacts. Some potential solutions had medium-quality to high-quality evidence for previous success in achieving proposed impacts in one or both sectors. However, there were notable evidence gaps within and among solutions, highlighting opportunities for further research and adaptive implementation. Stakeholders seeking win-win interventions can explore this Review and an online database to find and tailor a relevant solution or brainstorm new solutions.
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Affiliation(s)
- Skylar R Hopkins
- Department of Applied Ecology, North Carolina State University, Raleigh, NC, USA; National Center for Ecological Analysis and Synthesis, Santa Barbara, CA, USA.
| | - Kevin D Lafferty
- Western Ecological Research Center, US Geological Survey at Marine Science Institute, University of California, Santa Barbara, CA, USA
| | - Chelsea L Wood
- School of Aquatic and Fishery Sciences, University of Washington, Seattle, WA, USA
| | - Sarah H Olson
- Wildlife Conservation Society, Health Program, Bronx, NY, USA
| | - Julia C Buck
- Department of Biology and Marine Biology, University of North Carolina Wilmington, Wilmington, NC, USA
| | - Giulio A De Leo
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Kathryn J Fiorella
- Department of Population Medicine and Diagnostic Sciences and Master of Public Health Program, Cornell University, Ithaca, NY, USA
| | - Johanna L Fornberg
- Department of Ecology, Evolution, and Marine Biology, University of California, Santa Barbara, CA, USA
| | - Andres Garchitorena
- MIVEGEC, Université Montpellier, Centre National de la Recherche Scientifique, Institut de Recherche pour le Développement, Montpellier, France; NGO PIVOT, Ranomafana, Madagascar
| | - Isabel J Jones
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Armand M Kuris
- Department of Ecology, Evolution, and Marine Biology, University of California, Santa Barbara, CA, USA
| | - Laura H Kwong
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | | | - Ariel E Leon
- Department of Biological Sciences, Virginia Tech, Blacksburg, VA, USA; US Geological Survey, National Wildlife Health Center, Madison, WI, USA
| | - Andrea J Lund
- Department of Environmental and Occupational Health, University of Colorado School of Public Health, Aurora, CO, USA
| | - Andrew J MacDonald
- Bren School of Environmental Science and Management, University of California, Santa Barbara, CA, USA
| | - Daniel C G Metz
- Scripps Institution of Oceanography, University of California, San Diego, CA, USA
| | - Nicole Nova
- Department of Biology, Stanford University, Stanford, CA, USA
| | - Alison J Peel
- Centre for Planetary Health and Food Security, Griffith University, Nathan, QLD, Australia
| | - Justin V Remais
- Division of Environmental Health Sciences, University of California, Berkeley, CA, USA
| | | | - Maya Wilson
- Department of Biological Sciences, Virginia Tech, Blacksburg, VA, USA
| | - Matthew H Bonds
- Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
| | - Andrew P Dobson
- Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA
| | - David Lopez Carr
- Department of Geography, University of California, Santa Barbara, CA, USA
| | - Meghan E Howard
- Department of Biology, Stanford University, Stanford, CA, USA
| | - Lisa Mandle
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | - Susanne H Sokolow
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
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7
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Odoch WD, Senkubuge F, Hongoro C. How has sustainable development goals declaration influenced health financing reforms for universal health coverage at the country level? A scoping review of literature. Global Health 2021; 17:50. [PMID: 33892757 PMCID: PMC8066969 DOI: 10.1186/s12992-021-00703-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Accepted: 04/15/2021] [Indexed: 11/16/2022] Open
Abstract
Background Achieving universal health coverage (UHC) requires health financing reforms (HFR) in many of the countries. HFR are inherently political. The sustainable development goals (SDG) declaration provides a global political commitment context that can influence HFR for UHC at national level. However, how the declaration has influenced HFR discourse at the national level and how ministries of health and other stakeholders are using the declaration to influence reforms towards UHC have not been explored. This review was conducted to provide information and lessons on how SDG declaration can influence health financing reforms for UHC based on countries experiences. Methods We conducted a rapid review of literature and followed the preferred reporting items for systematic review and meta-analysis (PRISMA) guideline. We conducted a comprehensive electronic search on Ovid Medline, PubMed, EBSCO, Scopus, Web of Science. In searching the electronic databases, we combined various conceptual terms for “sustainable development goals” and “health financing” using Boolean operators. In addition, we conducted manual searched using google scholar. Results Twelve articles satisfied our eligibility criteria. The included articles were analyzed thematically, and the results presented narratively. The SDG declaration has provided an enabling environment for putting in place necessary legislations, reforming health financing organization, and revisions of national health polices to align to the country’s commitment on UHC. However, there is limited information on the process; how health ministries and other stakeholders have used SDG declaration to advocate, lobby, and engage various constituencies to support HFR for UHC. Conclusion The SDG declaration can be a catalyst for health financing reform, providing reference for necessary legislations and policies for financing UHC. However, to facilitate better cross-country learning on how SDG declaration catalyzes HFR for UHC there, is need to examine the processes of how stakeholders have used the declaration as window of opportunity to accelerate reforms. Supplementary Information The online version contains supplementary material available at 10.1186/s12992-021-00703-6.
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Affiliation(s)
- Walter Denis Odoch
- African Centre for Health Systems Development (ACHSD), Plot 2703, Block 208 Bombo rd., P.O Box 21743, Kampala, Uganda. .,East Central and Southern Africa Health Community, Plot 157 Njiro Rd Arusha, P.O Box 1009, Arusha, Tanzania. .,School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Gauteng Province, 0028, South Africa.
| | - Flavia Senkubuge
- School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Gauteng Province, 0028, South Africa
| | - Charles Hongoro
- School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Gauteng Province, 0028, South Africa.,Development, Capable and Ethical State (DCE) Division, Human Sciences Research Council of South Africa, Private Bag X41, Pretoria, 0001, South Africa
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Bressan S, Da Dalt L, Chamorro M, Abarca R, Azzolina D, Gregori D, Sereni F, Montini G, Tognoni G. Paediatric emergencies and related mortality in Nicaragua: results from a multi-site paediatric emergency registry. Emerg Med J 2020; 38:338-344. [PMID: 33355304 DOI: 10.1136/emermed-2019-209324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 11/13/2020] [Accepted: 11/15/2020] [Indexed: 11/04/2022]
Abstract
BACKGROUND We aim to describe the characteristics and outcomes of the severe spectrum of paediatric emergency visits using a multi-site registry developed as part of an international cooperation project. METHODS This observational registry-based study presented descriptive statistics of clinical and outcome data on urgent-emergency paediatric visits from 7 Nicaraguan hospitals, including the national referral paediatric hospital, between January and December 2017. Extensive piloting to ensure data collection feasibility, sustainability and accuracy was carried out in 2016 with substantial input and feedback from local stakeholders. RESULTS Overall, 3521 visits of patients <15 years of age, of whom two-thirds <5 years, met predefined inclusion criteria of urgent-emergency visits. Respiratory (1619/3498; 46%), gastrointestinal (407/3498; 12%) and neurological (368/3498; 11%) complaints were the most common symptoms. Malnutrition was reported in 18% (610/3448) of presentations. Mortality was 7% (233/3521); 52% (120/233) of deaths occurred in the <1-year subgroup; 32% (71/3521) of deaths occurred within the first 24 hours of presentation. The most common immediate causes of death were septic shock (99/233; 43%), respiratory failure (58/233; 25%) and raised intracranial pressure (24/233; 10%). CONCLUSIONS The mortality rate of urgent-emergency paediatric visits in Nicaragua is high, with younger children being most at risk and the majority of deaths being eventually caused by septic shock or respiratory failure. Our data provide useful information for the development of a Paediatric Emergency Care network to help direct training efforts, resources and logistic/organisational interventions to improve children's health in an emergency setting in Nicaragua.
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Affiliation(s)
- Silvia Bressan
- Division of Paediatric Emergency Medicine - Department of Women's and Child's Health, Università degli Studi di Padova, Padova, Veneto, Italy
| | - Liviana Da Dalt
- Division of Paediatric Emergency Medicine - Department of Women's and Child's Health, Università degli Studi di Padova, Padova, Veneto, Italy
| | - Miriam Chamorro
- Department of Pediatric Emergency Medicine, Hospital Infantil La Mascota, Managua, Nicaragua
| | - Raquel Abarca
- Department of Pediatric Emergency Medicine, Hospital Infantil La Mascota, Managua, Nicaragua
| | - Danila Azzolina
- Unit of Biostatistics, Epidemiology and Public Health - Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Università degli Studi di Padova, Padova, Veneto, Italy
| | - Dario Gregori
- Unit of Biostatistics, Epidemiology and Public Health - Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Università degli Studi di Padova, Padova, Veneto, Italy
| | - Fabio Sereni
- Paediatric Nephrology, Dialysis and Transplant Unit- Department of Pediatrics, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico and Universita degli Studi di Milano, Milano, Lombardia, Italy
| | - Giovanni Montini
- Paediatric Nephrology, Dialysis and Transplant Unit- Department of Pediatrics, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico and Universita degli Studi di Milano, Milano, Lombardia, Italy
| | - Gianni Tognoni
- Departement of Anesthesia, Critical care, Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore di Milano Policlinico, Milan, Lombardy, Italy
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Wentworth D, Hampson K, Thumbi SM, Mwatondo A, Wambura G, Chng NR. A social justice perspective on access to human rabies vaccines. Vaccine 2019; 37 Suppl 1:A3-A5. [PMID: 30952501 PMCID: PMC7612387 DOI: 10.1016/j.vaccine.2019.01.065] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 12/24/2018] [Accepted: 01/30/2019] [Indexed: 12/24/2022]
Abstract
Rabies kills tens of thousands of people every year despite being entirely vaccine preventable. Key global health actors have launched a country-driven plan to achieve zero human deaths from dog-mediated rabies by 2030 worldwide. This partnership has recently been strengthened by Gavi, the Vaccine Alliance’s decision to invest in human rabies vaccines for post-exposure prophylaxis (PEP). While nation states are key to rabies elimination, the importance of Gavi’s role cannot be understated. Unlike any other actor, Gavi can directly address an otherwise intractable market failure in the inadequate supply of rabies PEP. In this commentary, we employ the Capabilities Approach to identify the barriers to PEP access that lead to this market failure and, as a result, unnecessary deaths and suffering. We show the role that Gavi can play in reducing exposure of PEP supply to market forces as a matter of social justice, and hence redress the inequity underlying human rabies deaths.
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Affiliation(s)
- Diorbhail Wentworth
- Institute of Health & Wellbeing, College of Social Sciences, University of Glasgow, Glasgow G12 8QQ, UK
| | - Katie Hampson
- Institute of Biodiversity, Animal Health & Comparative Medicine, University of Glasgow, Glasgow G12 8QQ, UK
| | - Samuel M Thumbi
- Center for Global Health Research, Kenya Medical Institute of Research, Kisumu, Kenya; Washington State University - Global Health Program, Nairobi, Kenya; Paul G. Allen School for Global Animal Health, Washington State University, Pullman, USA
| | - Athman Mwatondo
- Zoonotic Disease Unit, Ministry of Health and Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Gati Wambura
- Center for Global Health Research, Kenya Medical Institute of Research, Kisumu, Kenya
| | - Nai Rui Chng
- Institute of Health & Wellbeing, College of Social Sciences, University of Glasgow, Glasgow G12 8QQ, UK.
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Reid MJA, Arinaminpathy N, Bloom A, Bloom BR, Boehme C, Chaisson R, Chin DP, Churchyard G, Cox H, Ditiu L, Dybul M, Farrar J, Fauci AS, Fekadu E, Fujiwara PI, Hallett TB, Hanson CL, Harrington M, Herbert N, Hopewell PC, Ikeda C, Jamison DT, Khan AJ, Koek I, Krishnan N, Motsoaledi A, Pai M, Raviglione MC, Sharman A, Small PM, Swaminathan S, Temesgen Z, Vassall A, Venkatesan N, van Weezenbeek K, Yamey G, Agins BD, Alexandru S, Andrews JR, Beyeler N, Bivol S, Brigden G, Cattamanchi A, Cazabon D, Crudu V, Daftary A, Dewan P, Doepel LK, Eisinger RW, Fan V, Fewer S, Furin J, Goldhaber-Fiebert JD, Gomez GB, Graham SM, Gupta D, Kamene M, Khaparde S, Mailu EW, Masini EO, McHugh L, Mitchell E, Moon S, Osberg M, Pande T, Prince L, Rade K, Rao R, Remme M, Seddon JA, Selwyn C, Shete P, Sachdeva KS, Stallworthy G, Vesga JF, Vilc V, Goosby EP. Building a tuberculosis-free world: The Lancet Commission on tuberculosis. Lancet 2019; 393:1331-1384. [PMID: 30904263 DOI: 10.1016/s0140-6736(19)30024-8] [Citation(s) in RCA: 216] [Impact Index Per Article: 43.2] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Revised: 12/20/2018] [Accepted: 12/25/2018] [Indexed: 11/22/2022]
Affiliation(s)
- Michael J A Reid
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
| | - Nimalan Arinaminpathy
- School of Public Health, Imperial College London, London, UK; Faculty of Medicine, Imperial College London, London, UK
| | - Amy Bloom
- Tuberculosis Division, United States Agency for International Development, Washington, DC, USA
| | - Barry R Bloom
- Department of Global Health and Population, Harvard University, Cambridge, MA, USA
| | | | - Richard Chaisson
- Departments of Medicine, Epidemiology, and International Health, Johns Hopkins School of Medicine, Baltimore, MA, USA
| | | | | | - Helen Cox
- Department of Pathology, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa
| | | | - Mark Dybul
- Department of Medicine, Centre for Global Health and Quality, Georgetown University, Washington, DC, USA
| | | | - Anthony S Fauci
- National Institute of Allergy and Infectious Diseases, US National Institutes of Health, Maryland, MA, USA
| | | | - Paula I Fujiwara
- Department of Tuberculosis and HIV, The International Union Against Tuberculosis and Lung Disease, Paris, France
| | - Timothy B Hallett
- School of Public Health, Imperial College London, London, UK; Faculty of Medicine, Imperial College London, London, UK
| | | | | | - Nick Herbert
- Global TB Caucus, Houses of Parliament, London, UK
| | - Philip C Hopewell
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Chieko Ikeda
- Department of GLobal Health, Ministry of Heath, Labor and Welfare, Tokyo, Japan
| | - Dean T Jamison
- Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA; Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Aamir J Khan
- Interactive Research & Development, Karachi, Pakistan
| | - Irene Koek
- Global Health Bureau, United States Agency for International Development, Washington, DC, USA
| | - Nalini Krishnan
- Resource Group for Education and Advocacy for Community Health, Chennai, India
| | - Aaron Motsoaledi
- South African National Department of Health, Pretoria, South Africa
| | - Madhukar Pai
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada; McGill International TB Center, McGill University, Montreal, QC, Canada
| | - Mario C Raviglione
- University of Milan, Milan, Italy; Global Studies Institute, University of Geneva, Geneva, Switzerland
| | - Almaz Sharman
- Academy of Preventive Medicine of Kazakhstan, Almaty, Kazakhstan
| | - Peter M Small
- Global Health Institute, School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | | | - Zelalem Temesgen
- Department of Infectious Diseases, Mayo Clinic, Rochester, MI, USA
| | - Anna Vassall
- Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK; Amsterdam Institute for Global Health and Development, University of Amsterdam, Amsterdam, Netherlands
| | | | | | - Gavin Yamey
- Center for Policy Impact in Global Health, Duke Global Health Institute, Duke University, Durham, NC, USA
| | - Bruce D Agins
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA
| | - Sofia Alexandru
- Institutul de Ftiziopneumologie Chiril Draganiuc, Chisinau, Moldova
| | - Jason R Andrews
- Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, USA
| | - Naomi Beyeler
- Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Stela Bivol
- Center for Health Policies and Studies, Chisinau, Moldova
| | - Grania Brigden
- Department of Tuberculosis and HIV, The International Union Against Tuberculosis and Lung Disease, Paris, France
| | - Adithya Cattamanchi
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Danielle Cazabon
- McGill International TB Center, McGill University, Montreal, QC, Canada
| | - Valeriu Crudu
- Center for Health Policies and Studies, Chisinau, Moldova
| | - Amrita Daftary
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada; McGill International TB Center, McGill University, Montreal, QC, Canada
| | - Puneet Dewan
- Bill & Melinda Gates Foundation, New Delhi, India
| | - Laurie K Doepel
- National Institute of Allergy and Infectious Diseases, US National Institutes of Health, Maryland, MA, USA
| | - Robert W Eisinger
- National Institute of Allergy and Infectious Diseases, US National Institutes of Health, Maryland, MA, USA
| | - Victoria Fan
- T H Chan School of Public Health, Harvard University, Cambridge, MA, USA; Office of Public Health Studies, University of Hawaii, Mānoa, HI, USA
| | - Sara Fewer
- Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Jennifer Furin
- Division of Infectious Diseases & HIV Medicine, Case Western Reserve University, Cleveland, OH, USA
| | - Jeremy D Goldhaber-Fiebert
- Centers for Health Policy and Primary Care and Outcomes Research, Stanford University, Stanford, CA, USA
| | - Gabriela B Gomez
- Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
| | - Stephen M Graham
- Department of Tuberculosis and HIV, The International Union Against Tuberculosis and Lung Disease, Paris, France; Department of Paediatrics, Center for International Child Health, University of Melbourne, Melbourne, VIC, Australia; Burnet Institute, Melbourne, VIC, Australia
| | - Devesh Gupta
- Revised National TB Control Program, New Delhi, India
| | - Maureen Kamene
- National Tuberculosis, Leprosy and Lung Disease Program, Ministry of Health, Nairobi, Kenya
| | | | - Eunice W Mailu
- National Tuberculosis, Leprosy and Lung Disease Program, Ministry of Health, Nairobi, Kenya
| | | | - Lorrie McHugh
- Office of the Secretary-General's Special Envoy on Tuberculosis, United Nations, Geneva, Switzerland
| | - Ellen Mitchell
- International Institute of Social Studies, Erasmus University Rotterdam, The Hague, Netherland
| | - Suerie Moon
- Department of Global Health and Population, Harvard University, Cambridge, MA, USA; Global Health Centre, The Graduate Institute Geneva, Geneva, Switzerland
| | | | - Tripti Pande
- McGill International TB Center, McGill University, Montreal, QC, Canada
| | - Lea Prince
- Centers for Health Policy and Primary Care and Outcomes Research, Stanford University, Stanford, CA, USA
| | | | - Raghuram Rao
- Ministry of Health and Family Welfare, New Delhi, India
| | - Michelle Remme
- International Institute for Global Health, United Nations University, Kuala Lumpur, Malaysia
| | - James A Seddon
- Department of Medicine, Imperial College London, London, UK; Faculty of Medicine, Imperial College London, London, UK; Department of Paediatrics and Child Health, Stellenbosch University, Stellenbosch, South Africa
| | - Casey Selwyn
- Bill & Melinda Gates Foundation, Seattle, WA, USA
| | - Priya Shete
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | | | | | - Juan F Vesga
- School of Public Health, Imperial College London, London, UK; Faculty of Medicine, Imperial College London, London, UK
| | | | - Eric P Goosby
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
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Goihman-Yahr M. Organize to serve: An ecclesiastical approach to medicine and dermatology. Clin Dermatol 2019; 37:56-59. [DOI: 10.1016/j.clindermatol.2018.09.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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