Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Acta Trop. 2011 Sep;120 Suppl 1:S177-85. doi: 10.1016/j.actatropica.2011.02.017. Epub 2011 Mar 31.
Disease control programmes are an intrinsic part of health systems. Neglected tropical disease (NTD) control is a clear case in point. While there is a growing consensus that NTD control and health services are linked, with important mutual impacts, little is known of what actually happens at the interface between the two entities. Here, we review the rationale, viewpoints and experiences of NTD control programmes regarding general health services, and vice versa, and compare their respective arguments. We discuss the interactions and interface between disease control and health systems, and present possible scenarios for health system strengthening by NTD- and other disease-specific programmes. Focusing on countries in sub-Saharan Africa, we suggest a number of principles that could pave the way for fruitful discussions and development of synergies.
疾病控制规划是卫生系统的固有组成部分。被忽视的热带病（NTD）控制就是一个明显的例子。虽然越来越多的人认为 NTD 控制和卫生服务是相互关联的，并且有重要的相互影响，但对于这两个实体之间的实际情况却知之甚少。在这里，我们回顾了 NTD 控制规划对一般卫生服务的基本原理、观点和经验，反之亦然，并比较了它们各自的论点。我们讨论了疾病控制和卫生系统之间的相互作用和接口，并提出了由 NTD 和其他疾病专项规划加强卫生系统的可能方案。我们以撒哈拉以南非洲国家为例，提出了一些原则，为富有成效的讨论和协同作用的发展铺平道路。
