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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Format: | Article |
Language: | English |
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BMJ Publishing Group
2023-06-01
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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. |
first_indexed | 2024-03-12T18:00:19Z |
format | Article |
id | doaj.art-4e3b9b8bb3dc4b0a9f55302693ec2a26 |
institution | Directory Open Access Journal |
issn | 2059-7908 |
language | English |
last_indexed | 2024-03-12T18:00:19Z |
publishDate | 2023-06-01 |
publisher | BMJ Publishing Group |
record_format | Article |
series | BMJ Global Health |
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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