Reforms to the health sector must retain vertical programmes like those for tuberculosis

Crofton, John

doi:10.1136/bmj.320.7251.1726

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…38 On the other hand, other observers point out that competition may help generate new ideas and energy for addressing the health needs of the poor, and that focused initiatives are more likely to generate results, create accountability and produce political support. 39 They also note that harmony may lead not to a rational global health architecture but to an authoritarian one: a few elite organizations colluding to dictate what is best for the health of poor people. 40 Conclusion I have proposed an explanation concerning why some global health issues attract and sustain attention while others remain neglected.…”

Section: Future Researchmentioning

confidence: 99%

A social explanation for the rise and fall of global health issues

Shiffman

2009

Bull World Health Org

172

134

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This paper proposes an explanation concerning why some global health issues such as HIV/AIDS attract significant attention from international and national leaders, while other issues that also represent a high mortality and morbidity burden, such as pneumonia and malnutrition, remain neglected. The rise, persistence and decline of a global health issue may best be explained by the way in which its policy community -the network of individuals and organizations concerned with the problem -comes to understand and portray the issue and establishes institutions that can sustain this portrayal. This explanation emphasizes the power of ideas and challenges interpretations of issue ascendance and decline that place primary emphasis on material, objective factors such as mortality and morbidity levels and the existence of cost-effective interventions. This explanation has implications for our understanding of strategic public health communication. If ideas in the form of issue portrayals are central, strategic communication is far from a secondary public health activity: it is at the heart of what global health policy communities do.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬

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Section: Future Researchmentioning

confidence: 99%

A social explanation for the rise and fall of global health issues

Shiffman

2009

Bull World Health Org

172

134

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“…In Sudan the incidence of TB is 180 cases per 100 000 population at risk, which puts Sudan among the high-prevalence countries for TB in the Eastern Mediterranean Region [5]. Gezira State is one of the high TB burden states of Sudan, and further, there is high default rate from treatment (12.8% in the year 2010).…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis awareness in Gezira, Sudan: knowledge, attitude and practice case-control survey

Suleiman

Sahal

Sodemann

et al. 2014

East Mediterr Health J

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This case-control study aimed to assess tuberculosis (TB) awareness and its associated sociodemographic characteristics in Gezira, Sudan. New smear-positive TB patients registered in Gezira in 2010 (n = 425) and agematched controls who attended the same health facilities for other reasons (n = 850) formed the study sample. Awareness was measured using a modified standard World Health Organization TB knowledge, attitude and practice instrument. There was no significant difference between TB cases and the controls in overall levels of TB awareness. About two-thirds of TB cases and controls had good TB awareness. Respondents' sex was associated with awareness among the controls. Age, level of education, type of residence and type of occupation were significantly associated with TB awareness, whereas marital status had no effect. The good level of TB awareness found among TB cases and controls is a baseline for further TB awareness-raising among the Gezira population.

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“…It is estimated that approximately one-third of the world's population is infected with tuberculosis bacillus, and each year eight million people develop the tuberculosis disease which annually kills 1.8 million worldwide [3,4]. Approximately 80% of TB cases are found in 23 countries; the highest incidence rates being found in Africa and South-East Asia [3,5]. The TB situation has worsened over the past two decades in Africa owing to the HIV/AIDS epidemic and in eastern Europe in association with multi-drug resistance, following deterioration of the health infrastructure [4,6].…”

Section: Introductionmentioning

confidence: 99%

“…In Sudan, an estimated annual risk based on the data of the 1986 national prevalence survey of TB is 1.8% which gives an incidence of 90/100,000 smearpositive cases, and puts Sudan among the high prevalence countries for TB in the eastern Mediterranean region [5]. Also, the Khartoum Correspondence: Mohammed Ahmed Suleiman, Niels Bohrs Vej 9, 6700 Esbjerg, Denmark.…”

Section: Introductionmentioning

confidence: 99%