Rudan Igor, El Arifeen Shams, Black Robert E, Campbell Harry
Child Health and Nutrition Research Initiative, Global Forum for Health Research, Geneva, Switzerland.
Lancet Infect Dis. 2007 Jan;7(1):56-61. doi: 10.1016/S1473-3099(06)70687-9.
Childhood pneumonia and diarrhoeal disease cause almost half of all child deaths globally. Effective interventions against these conditions are available and could prevent about two-thirds of these deaths. We argue that part of the reason for the lack of success in delivering these interventions is the lack of attention to implementation challenges. We present a novel research priority setting model that shifts the emphasis from generation of new knowledge and publication to potential public-health outcomes, and propose a framework by which this new model can be put into operation. We believe that only in this way will proper attention be given to delivery of proven interventions to reduce the high childhood mortality caused by pneumonia and diarrhoea.
儿童肺炎和腹泻疾病导致了全球近一半的儿童死亡。针对这些疾病的有效干预措施是存在的,并且可以预防约三分之二的此类死亡。我们认为,在实施这些干预措施方面缺乏成效的部分原因是对实施挑战缺乏关注。我们提出了一种新颖的研究重点设定模型,该模型将重点从新知识的产生和发表转移到潜在的公共卫生成果上,并提出了一个可以使这种新模型投入运作的框架。我们相信,只有这样才能适当关注提供经过验证的干预措施,以降低由肺炎和腹泻导致的高儿童死亡率。