DO MALARIA CONTROL INTERVENTIONS REACH THE POOR? A VIEW THROUGH THE EQUITY LENS

作者: LAWRENCE M. BARAT , ANNE MILLS , SUPROTIK BASU , NATASHA PALMER , KARA HANSON

DOI: 10.4269/AJTMH.2004.71.174

关键词: Environmental healthEquity (economics)Social classMalariaEnvironmental protectionPopulationMedicinePovertyPsychological interventionPublic healthDeveloping country

摘要: Malaria, more than any other disease of major public health importance in developing countries, disproportionately affects poor people, with 58% malaria cases occurring the poorest 20% world's population. If control interventions are to achieve their desired impact, they must reach segments populations countries. Unfortunately, a growing body evidence from benefit-incidence analyses has demonstrated that many were designed aid not reaching intended target. For example, people selected countries as much 2.5 times less likely receive basic services least-poor 20%. In field control, small number studies have begun shed light on differences by wealth status burden and access treatment prevention services. These early found no clear difference fever incidence based status, but did show significant disparities both consequences use Further study is needed elucidate underlying factors contribute these disparities, examine possible inequities related gender, social class, or factors. To impact overcome such inequities, efforts begin incorporate approaches relevant equity program design, implementation, monitoring evaluation.

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