TY - JOUR KW - Tropical Medicine KW - Tropical Climate KW - Poverty KW - Humans KW - Health Priorities KW - Global health KW - Developing countries KW - Delivery of Health Care KW - Community Health Services KW - Communicable Diseases KW - Communicable Disease Control AU - Amazigo U AU - Leak S AU - Zoure H AU - Njepuome N AU - Lusamba-Dikassa P AB -

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.

BT - Trends in parasitology C1 -

http://www.ncbi.nlm.nih.gov/pubmed/22503153?dopt=Abstract

DO - 10.1016/j.pt.2012.03.002 IS - 6 J2 - Trends Parasitol. LA - eng N2 -

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.

PY - 2012 SP - 231 EP - 8 T2 - Trends in parasitology TI - Community-driven interventions can revolutionise control of neglected tropical diseases. VL - 28 SN - 1471-5007 ER -