Social determinants of visceral leishmaniasis elimination in Eastern Africa

Visceral leishmaniasis is a vector-borne, protozoan disease with severe public health implications. Following the successful implementation of an elimination programme in South Asia, there is now a concerted endeavour to replicate these efforts in Eastern Africa based on the five essential eliminati...

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Main Authors: Jorge Alvar, Saurabh Jain, Maria Teresa Beca-Martínez, Daniel Argaw, Jens Aagaard-Hansen
Format: Article
Language:English
Published: BMJ Publishing Group 2023-06-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/8/6/e012638.full
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author Jorge Alvar
Saurabh Jain
Maria Teresa Beca-Martínez
Daniel Argaw
Jens Aagaard-Hansen
author_facet Jorge Alvar
Saurabh Jain
Maria Teresa Beca-Martínez
Daniel Argaw
Jens Aagaard-Hansen
author_sort Jorge Alvar
collection DOAJ
description Visceral leishmaniasis is a vector-borne, protozoan disease with severe public health implications. Following the successful implementation of an elimination programme in South Asia, there is now a concerted endeavour to replicate these efforts in Eastern Africa based on the five essential elimination pillars of case management, integrated vector management, effective surveillance, social mobilisation and operational research. This article highlights how key social determinants (SD) of health (poverty, sociocultural factors and gender, housing and clustering, migration and the healthcare system) operate at five different levels (socioeconomic context and position, differential exposure, differential vulnerability, differential outcomes and differential consequences). These SD should be considered within the context of increasing the success of the five-pillar elimination programme and reducing inequity in health.
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spelling doaj.art-4e3b9b8bb3dc4b0a9f55302693ec2a262023-08-02T12:45:06ZengBMJ Publishing GroupBMJ Global Health2059-79082023-06-018610.1136/bmjgh-2023-012638Social determinants of visceral leishmaniasis elimination in Eastern AfricaJorge Alvar0Saurabh Jain1Maria Teresa Beca-Martínez2Daniel Argaw3Jens Aagaard-Hansen4Social Medicine, Royal Academy of Medicine, Madrid, SpainNeglected Tropical Diseases, World Health Organization, Geneva, GE, SwitzerlandPreventive Medicine, Camilo Jose Cela University, Villafranca del Castillo, Comunidad de Madrid, SpainNeglected Tropical Diseases, World Health Organization, Geneva, GE, SwitzerlandHealth Promotion, Steno Diabetes Center Copenhagen, Herlev, Capital Region, DenmarkVisceral leishmaniasis is a vector-borne, protozoan disease with severe public health implications. Following the successful implementation of an elimination programme in South Asia, there is now a concerted endeavour to replicate these efforts in Eastern Africa based on the five essential elimination pillars of case management, integrated vector management, effective surveillance, social mobilisation and operational research. This article highlights how key social determinants (SD) of health (poverty, sociocultural factors and gender, housing and clustering, migration and the healthcare system) operate at five different levels (socioeconomic context and position, differential exposure, differential vulnerability, differential outcomes and differential consequences). These SD should be considered within the context of increasing the success of the five-pillar elimination programme and reducing inequity in health.https://gh.bmj.com/content/8/6/e012638.full
spellingShingle Jorge Alvar
Saurabh Jain
Maria Teresa Beca-Martínez
Daniel Argaw
Jens Aagaard-Hansen
Social determinants of visceral leishmaniasis elimination in Eastern Africa
BMJ Global Health
title Social determinants of visceral leishmaniasis elimination in Eastern Africa
title_full Social determinants of visceral leishmaniasis elimination in Eastern Africa
title_fullStr Social determinants of visceral leishmaniasis elimination in Eastern Africa
title_full_unstemmed Social determinants of visceral leishmaniasis elimination in Eastern Africa
title_short Social determinants of visceral leishmaniasis elimination in Eastern Africa
title_sort social determinants of visceral leishmaniasis elimination in eastern africa
url https://gh.bmj.com/content/8/6/e012638.full
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