HIV and health systems strengthening in fragile states: What we don't know, can kill. What approaches are needed to improve HIV prevention, care, and treatment?

2012 ◽  
2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Kristen Meagher ◽  
Bothaina Attal ◽  
Preeti Patel

Abstract Background The ripple effects of protracted armed conflicts include: significant gender-specific barriers to accessing essential services such as health, education, water and sanitation and broader macroeconomic challenges such as increased poverty rates, higher debt burdens, and deteriorating employment prospects. These factors influence the wider social and political determinants of health for women and a gendered analysis of the political economy of health in conflict may support strengthening health systems during conflict. This will in turn lead to equality and equity across not only health, but broader sectors and systems, that contribute to sustainable peace building. Methods The methodology employed is a multidisciplinary narrative review of the published and grey literature on women and gender in the political economy of health in conflict. Results The existing literature that contributes to the emerging area on the political economy of health in conflict has overlooked gender and specifically the role of women as a critical component. Gender analysis is incorporated into existing post-conflict health systems research, but this does not extend to countries actively affected by armed conflict and humanitarian crises. The analysis also tends to ignore the socially constructed patriarchal systems, power relations and gender norms that often lead to vastly different health system needs, experiences and health outcomes. Conclusions Detailed case studies on the gendered political economy of health in countries impacted by complex protracted conflict will support efforts to improve health equity and understanding of gender relations that support health systems strengthening.


Author(s):  
Emmanuel Ebuka Elebesunu ◽  
Gabriel Ilerioluwa Oke ◽  
Yusuff Adebayo Adebisi ◽  
Ifeanyi McWilliams Nsofor

2014 ◽  
Vol 44 (2) ◽  
pp. 323-335 ◽  
Author(s):  
Mary Anne Mercer ◽  
Susan M. Thompson ◽  
Rui Maria de Araujo

PLoS Medicine ◽  
2007 ◽  
Vol 4 (6) ◽  
pp. 204 ◽  
Author(s):  
David Wilson ◽  
Nathan Ford ◽  
Verapun Ngammee ◽  
Arlene Chua ◽  
Moe Kyaw Kyaw

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S244-S244
Author(s):  
Vikram Krishnasamy ◽  
Casey Barton Behravesh ◽  
Kate Varela ◽  
Grace Goryoka ◽  
Nadia Oussayef ◽  
...  

Abstract Background Emerging and endemic zoonoses continue to have adverse global impacts. One Health approaches promoting multisectoral, transdisciplinary collaboration are important methods to address zoonoses threats through disease surveillance, prevention, control, and response. We conducted a One Health Zoonotic Disease Prioritization (OHZDP) workshop in the United States (US) to identify zoonotic diseases of greatest national concern that should be jointly addressed by the Centers for Disease Control (CDC), US Department of Agriculture (USDA), Department of the Interior, and partners. Methods We used CDC’s OHZDP tool to prioritize zoonoses. Workshop participants selected criteria for prioritization, and developed questions and weights for each criterion. Questions were answered using available literature and expert opinion with subsequent scoring resulting in a ranked zoonotic disease list. After agreeing on a final prioritized disease list, participants used components of the One Health Systems Mapping and Analysis Resource Toolkit, developed by USDA and University of Minnesota, to review multidisciplinary coordination processes for the prioritized zoonotic diseases. Results Participants selected epidemic or pandemic potential, disease severity, economic impact, introduction or increased transmission potential, and national security as criteria to prioritize 56 zoonoses. The eight prioritized zoonotic diseases for the US were zoonotic influenzas, salmonellosis, West Nile virus, plague, emerging coronaviruses (e.g., SARS, MERS), rabies, brucellosis, and Lyme disease. Agencies then discussed recommendations to enhance One Health approaches to surveillance, response, prevention, and control of the prioritized zoonoses. Key themes and next steps for further implementation of One Health approaches were identified. Conclusion This OHZDP workshop represents the first use of a One Health approach to zoonotic disease prioritization in the United States. It is a critical step forward in US government agency collaboration using One Health approaches. Further, the workshop created a foundation for future US government One Health systems strengthening for the prioritized zoonoses. Disclosures All authors: No reported disclosures.


2010 ◽  
Vol 26 (4) ◽  
pp. 316-326 ◽  
Author(s):  
G. Shakarishvili ◽  
M. A. Lansang ◽  
V. Mitta ◽  
O. Bornemisza ◽  
M. Blakley ◽  
...  

2011 ◽  
Vol 27 (4) ◽  
pp. 205-210
Author(s):  
Alexander E.T. Finlayson ◽  
Jorge Zeron ◽  
Luke Beaumont ◽  
Jibril Handuleh ◽  
Andy Leather

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