HIV/AIDS, Tuberculosis, Malaria & Neglected Tropical Diseases Cluster, World Health Organization, CH-1211 Geneva 27, Switzerland.
Lancet. 2013 Feb 2;381(9864):413-8. doi: 10.1016/S0140-6736(12)61812-1.
Huge increases in funding for international health over the past two decades have led to a proliferation of donors, partnerships, and health organisations. Over the same period, the global burden of non-communicable diseases has increased absolutely and relative to communicable diseases. In this changing landscape, national programmes for the control of HIV/AIDS, tuberculosis, malaria, and neglected tropical diseases must be reinforced and adapted for three reasons: the global burden of these communicable diseases remains enormous, disease control programmes have an integral and supporting role in developing health systems, and the health benefits of these control programmes go beyond the containment of specific infections. WHO's traditional role in promoting communicable disease control programmes must also adapt to new circumstances. Among a multiplicity of actors, WHO's task is to enhance its normative role as convenor, coordinator, monitor, and standard-setter, fostering greater coherence in global health.
过去二十年,国际卫生的资金投入大幅增加,导致捐助方、伙伴关系和卫生组织大量涌现。在此期间,非传染性疾病的全球负担绝对增加,相对于传染性疾病的比例也有所上升。在这种不断变化的形势下,必须加强和调整各国艾滋病毒/艾滋病、结核病、疟疾和被忽视热带病控制规划,原因有三:这些传染病的全球负担依然巨大;疾病控制规划在发展卫生系统方面发挥着不可或缺的支持作用;这些控制规划带来的健康效益不仅限于遏制具体的传染病。世卫组织在促进传染病控制规划方面的传统作用也必须适应新情况。在世卫组织众多的行动方中,其任务是加强作为召集方、协调方、监督方和标准制定方的规范性作用,促进全球卫生工作更加协调一致。