DISEASE-CONTROL PRIORITIES IN DEVELOPING-COUNTRIES - HEALTH-POLICY RESPONSES TO EPIDEMIOLOGIC CHANGE

被引:99
作者
JAMISON, DT [1 ]
MOSLEY, WH [1 ]
机构
[1] JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT POPULAT DYNAM,BALTIMORE,MD 21205
关键词
D O I
10.2105/AJPH.81.1.15
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Health systems in developing countries are facing major challenges in the 1990s and beyond because of a growing epidemiological diversity as a consequence of rapid economic development and declining fertility. The infectious and parasitic diseases of childhood must remain a priority at the same time the chronic diseases among adults are emerging as a serious problem. Health policymakers must engage in undertaking an epidemiological and economic analysis of the major disease problems, evaluating the cost-effectiveness of alternative intervention strategies; designing health care delivery systems; and, choosing what governments can do through persuasion, taxation, regulation, and provision of services. The World Bank has commissioned studies of over two dozen diseases in developing countries which have confirmed the priority of child survival interventions and revealed that interventions for many neglected and emerging adult health problems have comparable cost-effectiveness. Most developing countries lack information about most major diseases among adults, reflecting lack of national capacities in epidemiological and economic analyses, health technology assessment, and environmental monitoring and control. There is a critical need for national and international investment in capacity building and essential national health research to build the base for health policies.
引用
收藏
页码:15 / 22
页数:8
相关论文
共 57 条
  • [1] BARNUM H, IN PRESS DISEASE CON
  • [2] BOBADILLA JL, IN PRESS DISEASE CON, pCH3
  • [3] SETTING OBJECTIVES FOR PUBLIC-HEALTH
    BRESLOW, L
    [J]. ANNUAL REVIEW OF PUBLIC HEALTH, 1987, 8 : 289 - 307
  • [4] BRISCOE J, 1989, 7807BR WORLD BANK RE
  • [5] BULATAO RA, DISEASE CONTROL PRIO
  • [6] BUMGARNER JR, IN PRESS DISEASE CON
  • [7] THE OPIUM WARS REVISITED AS UNITED-STATES FORCES TOBACCO EXPORTS IN ASIA
    CHEN, TTL
    WINDER, AE
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1990, 80 (06) : 659 - 662
  • [8] Commission on Health Research for Development, 1990, HLTH RES ESS LINK EQ
  • [9] DAULAIRE NMP, 1990, ACUTE LOWER RESPIRAT, P99
  • [10] EC, 2010, INVESTING PEOPLE E P