Institute of Economic Growth, University Enclave, University of Delhi (North Campus), Delhi, 110 007, India.
Bull World Health Organ. 2010 Mar;88(3):199-205. doi: 10.2471/BLT.09.065540.
This article looks at the current burden of communicable diseases in the South-East Asia Region of the World Health Organization and analyses whether the current levels and trends in funding are adequate to meet the needs of control, prevention and treatment. Our analysis considers the Millennium Development Goals (MDGs) for health and indicators of economic progress in each country, as well as the impact of the global financial crisis on progress towards MDGs for communicable diseases in the region. The analysis indicates that the current focus of funding may need to be expanded to include less-discussed but high-burden diseases often related to inadequacies in the health sector and the particular development paths that countries pursue. Scarce funding during times of global economic recession could be used more effectively if informed by a careful analysis of the complex set of factors, including behavioural, environmental and health systems factors, that determine the burden of communicable diseases. Significant gaps in funding as well as varying regional needs warrant a more diverse set of national and international aid measures. Although regional and global collaboration is critical, the effectiveness of future policies to deal with the burden of communicable diseases in the region will only be assured if these policies are based on evidence and developed by policy-makers familiar with each country's needs and priorities.
本文审视了世界卫生组织东南亚区域当前传染病负担，并分析了当前的资金水平和趋势是否足以满足控制、预防和治疗的需求。我们的分析考虑了每个国家的千年发展目标（MDGs）和经济进步指标，以及全球金融危机对该区域实现传染病 MDGs 进展的影响。分析表明，当前的资金重点可能需要扩大，以包括讨论较少但负担沉重的疾病，这些疾病通常与卫生部门的不足以及各国所追求的特定发展道路有关。如果根据确定传染病负担的一系列复杂因素（包括行为、环境和卫生系统因素）进行仔细分析，那么在全球经济衰退时期，稀缺资金的使用效率可能会更高。资金的巨大差距以及不同的区域需求要求采取更多样化的国家和国际援助措施。尽管区域和全球合作至关重要，但只有当这些政策基于证据并由熟悉每个国家需求和优先事项的政策制定者制定时，未来应对该区域传染病负担的政策才会有效。
