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官方卫生发展援助——被忽视的热带病被忽视了吗?卫生筹资分析。

Official development assistance for health-how neglected are neglected tropical diseases? An analysis of health financing.

机构信息

Department of International Health, Georgetown University, Washington DC, USA.

出版信息

Int Health. 2009 Dec;1(2):141-7. doi: 10.1016/j.inhe.2009.08.004.

Abstract

The increasing amounts of official development assistance (ODA) for health have been aimed primarily at fighting HIV/AIDS, malaria and tuberculosis. Neglected tropical diseases (NTD), one of the most serious public health burdens among the most deprived communities, have only recently drawn the attention of major donors. While frequently stated, the low share of funding for NTD control projects has not been calculated empirically. Our analysis of ODA commitments for infectious disease control for the years 2003 to 2007 confirms that Development Assistance Committee (DAC)-countries and multilateral donors have largely ignored funding NTD control projects. On average, only 0.6% of total annual health ODA was dedicated to the fight against NTDs while the average share of control projects for HIV/AIDS was 36.3%, for malaria 3.6%, and for tuberculosis 2.2%. This allocation of health ODA does not reflect the diseases' respective health burdens. Furthermore, the availability of cost-efficient treatments for NTDs supports the call for an increase in funds dedicated to the control of NTDs.

摘要

官方发展援助(ODA)用于卫生领域的数额不断增加,主要用于防治艾滋病毒/艾滋病、疟疾和结核病。被忽视的热带病(NTD)是最贫困社区面临的最严重的公共卫生负担之一,最近才引起主要捐助方的关注。虽然经常提到,但用于控制 NTD 项目的资金份额很低,尚未通过经验进行计算。我们对 2003 年至 2007 年传染病控制方面的官方发展援助承诺进行的分析证实,发展援助委员会(DAC)国家和多边捐助方在很大程度上忽视了为控制 NTD 项目提供资金。平均而言,每年用于防治 NTD 的卫生 ODA 总额仅占 0.6%,而用于防治艾滋病毒/艾滋病的控制项目占 36.3%,疟疾占 3.6%,结核病占 2.2%。这种卫生 ODA 的分配方式并未反映出这些疾病各自对健康的影响。此外,用于 NTD 的具有成本效益的治疗方法的出现,支持了呼吁增加用于控制 NTD 的资金。

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