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Suchtrends
http://www.youtube.com/watch?v=u4kQWvUv_Ns
Levine, R. (2007). Reducing Guinea Worm in Asia and Sub-Saharan Africa. Case Study 11. Case studies in global health: Millions saved. Boston: Jones and Bartlett Publishers.
Yohalem, D. (1990). Programming Guide for Guinea Worm Eradication. WASH Field Report No. 329. Whole ICE Catalog No. T0067.
World Health Organization. (2008). Integrated Health Services-What and Why? Technical Brief No. 1.
PATH’s Framework for Health Services Integration. Retrieved from: http://www.path.org/publications/files/GP_hsi_overview_bro.pdf
Diamenua, S., et al. (1998). Guinea worm disease – a chance for successful eradication in the Volta region, Ghana. Social Science & Medicine.
Volume 47, Issue 3, Pages 405–410
The Carter Center. Guinea worm disease eradication the road to eradication: Countdown to zero. Retrieved from: http://www.cartercenter.org/health/guinea_worm/mini_site/index.html
The fundamental intervention for guinea worm is behavior change and education. What does this tell us about the components of successful behavior change programs for other public health problems? Why did behavioral change work in guinea worm disease control?
Can you think of another disease where behavior change can mitigate the public health impact so it is no longer a public health problem?
Do you believe that guinea worm disease could increase if it is not eradicated soon?
What are other strategies that could have been used to pursue the public health goal of the eradication of guinea worm?
When would Integrated Health Services not be needed?
http://www.gatesfoundation.org/neglecteddiseases/Pages/working-to-eradicate-guinea-worm-disease.aspx
One of the most successful international collaborations. However, not completely eradicated; after more than 30 years, 4 countries remain.
Keys to Success
-Coordination
-Power of data
-High level advocacy and political leadership
The estimated cost of the global campaign between 1987 and 1998 is $87.5 million.
Estimated costs per case was $5 to $8
World Bank determined that the campaign has been highly cost-effective and cost-beneficial
http://blog.cartercenter.org/2010/10/12/signing-ceremony-takes-place-at-the-carter-center-guinea-worm-eradication-and-river-blindness-elimination-receive-major-boost-with-us-1-million-donation-from-opec-fund/
The Center for Disease Control and Prevention
The Carter Center
United Nations Children’s Fund
Peace Corps
World Health Organization
United States Agency for International Development
Governments Involved: Canada, Denmark, Finland, Japan, the Netherlands, Norway, Qatar, Saudi Arabia, Spain, Sweden, United Arab Emirates, the United Kingdom, and the United States.
Other Organizations Involved: BASF (formerly American Home Products), E.I. DuPont Corporation,
and the Bill & Melinda Gates Foundation
20 countries implemented national guinea worm eradication programs, run through their ministries of health
Essential component of the eradication campaign was to empower the community members—the people at risk have the responsibility for fighting the disease.
Global Campaign was managed and delegated to the national levels through the Health Ministries.
“Village Volunteers”
http://www.gatesfoundation.org/neglecteddiseases/Pages/working-to-eradicate-guinea-worm-disease.aspx
Surveillance
Community education and action
Water supply improvements
Water supply and sanitation (WS&S) projects
Case management
http://blog.cartercenter.org/2010/02/10/southern-sudan-guinea-worm%E2%80%99s-final-frontier/
Linkage (integration) of Water Supply, Sanitation and Hygiene
Maximizing project sustainability and replicability
The role of the community
The role of community women
http://www.globalnetwork.org/water-and-sanitation
In 1980, the CDC first planted the seeds of the global guinea worm eradication campaign
1981, launch of an international initiative to provide universal access to safe drinking water
1986, U.S. President Carter began his involvement in the campaign, becoming a powerful advocate for eradication
1989, WHO’s 42nd World Health Assembly declares the goal of eliminating guinea worm disease as a public health problem
Goal: Wipe out the disease by stopping the worm’s transmission from every location it occurs, effectively bringing the case incidence to zero
Objectives:
-Collaboration
-Education
-Programming
-Training
-Monitoring and Evaluation
http://www.youtube.com/watch?v=u4kQWvUv_Ns
-Economically Crippling
-Effects mostly women and children
-Preventable Disease
http://www.npr.org/blogs/health/2013/01/19/169694721/inching-closer-to-the-demise-of-a-stubborn-parasitic-worm
http://www.sudan4jesus.com/2013/01/guinea-worm-s-sudan-worlds-most.html
What is Guinea Worm Disease?
-The Forgotten disease of the forgotten people
-Known as the disease of the poor; has vanished from developed countries since the introduction of safe drinking water
-Dracunculiasis
-Contracted when a person drinks stagnant water that is contaminated
Reducing Guinea Worm in
Asia and Sub-Saharan Africa
Essential for successful integration:
Planning and budgeting
Organization of health services
Staffing
Training
Supervision
Logistics
Community Outreach
Referral Services
Monitoring, evaluation, and research
What type of service integration, if any is needed?
To what extent should services be integrated?
What steps are needed to establish and sustain high-quality integrated services?
What information is needed to measure success and inform improvement, replication, or scale-up?
-Integrated Health Services (IHS)
-Examples of IHS
-Planning Elements of IHS
-Review of Case Study
-Conclusion
-Questions
Levine, R. (2007). Reducing Guinea Worm in Asia and Sub-Saharan Africa. Case Study 11. Case studies in global health: Millions saved. Boston: Jones and Bartlett Publishers.
Yohalem, D. (1990). Programming Guide for Guinea Worm Eradication. WASH Field Report No. 329. Whole ICE Catalog No. T0067.
World Health Organization. (2008). Integrated Health Services-What and Why? Technical Brief No. 1.
PATH’s Framework for Health Services Integration. Retrieved from: http://www.path.org/publications/files/GP_hsi_overview_bro.pdf
Diamenua, S., et al. (1998). Guinea worm disease – a chance for successful eradication in the Volta region, Ghana. Social Science & Medicine.
Volume 47, Issue 3, Pages 405–410
The Carter Center. Guinea worm disease eradication the road to eradication: Countdown to zero. Retrieved from: http://www.cartercenter.org/health/guinea_worm/mini_site/index.html
Reducing Guinea Worm in
Asia and Sub-Saharan Africa
http://www.sudan4jesus.com/2013/01/guinea-worm-s-sudan-worlds-most.html
http://www.npr.org/blogs/health/2013/01/19/169694721/inching-closer-to-the-demise-of-a-stubborn-parasitic-worm
http://www.globalnetwork.org/water-and-sanitation
http://blog.cartercenter.org/2010/02/10/southern-sudan-guinea-worm%E2%80%99s-final-frontier/
http://www.gatesfoundation.org/neglecteddiseases/Pages/working-to-eradicate-guinea-worm-disease.aspx
http://blog.cartercenter.org/2010/10/12/signing-ceremony-takes-place-at-the-carter-center-guinea-worm-eradication-and-river-blindness-elimination-receive-major-boost-with-us-1-million-donation-from-opec-fund/
http://www.gatesfoundation.org/neglecteddiseases/Pages/working-to-eradicate-guinea-worm-disease.aspx
“The organization and management of health services so that people get the care they need, when they need it, in ways that are user friendly, achieve the desired results and provide value for money”
World Health Organization, 2008
The Center for Disease Control and Prevention
The Carter Center
United Nations Children’s Fund
Peace Corps
World Health Organization
United States Agency for International Development
Governments Involved: Canada, Denmark, Finland, Japan, the Netherlands, Norway, Qatar, Saudi Arabia, Spain, Sweden, United Arab Emirates, the United Kingdom, and the United States.
Other Organizations Involved: BASF (formerly American Home Products), E.I. DuPont Corporation,
and the Bill & Melinda Gates Foundation
20 countries implemented national guinea worm
eradication programs, run through their
ministries of health
What is Guinea Worm Disease?
-The Forgotten disease of the forgotten people
-Known as the disease of the poor; has vanished from developed countries since the introduction of safe drinking water
-Dracunculiasis
-Contracted when a person drinks stagnant water that is contaminated
Goal: Wipe out the disease by stopping the worm’s transmission from every location it occurs, effectively bringing the case incidence to zero
Objectives:
-Collaboration
-Education
-Programming
-Training
-Monitoring and Evaluation
More cost effective use of limited resources
Increased reach and efficiency for health programs; more streamlined care for patients
Leads to a coordinated approach (e.g. engages sectors such as education or agriculture in addition to health sector) to solve health issues
Improved funding for health issues that are not prioritized by current funding streams
The estimated cost of the global campaign between 1987 and 1998 is $87.5 million.
Estimated costs per case was $5 to $8
World Bank determined that the campaign has been highly cost-effective and cost-beneficial
The fundamental intervention for guinea worm is behavior change and education. What does this tell us about the components of successful behavior change programs for other public health problems? Why did behavioral change work in guinea worm disease control?
Can you think of another disease where behavior change can mitigate the public health impact so it is no longer a public health problem?
Do you believe that guinea worm disease could increase if it is not eradicated soon?
What are other strategies that could have been used to pursue the public health goal of the eradication of guinea worm?
When would Integrated Health Services not be needed?
http://blog.cartercenter.org/2010/10/12/signing-ceremony-takes-place-at-the-carter-center-guinea-worm-eradication-and-river-blindness-elimination-receive-major-boost-with-us-1-million-donation-from-opec-fund/
In 1980, the CDC first planted the seeds of the global guinea worm eradication campaign
1981, launch of an international initiative to provide universal access to safe drinking water
1986, U.S. President Carter began his involvement in the campaign, becoming a powerful advocate for eradication
1989, WHO’s 42nd World Health Assembly declares the goal of eliminating guinea worm disease as a public health problem
One of the most successful international collaborations. However, not completely eradicated; after more than 30 years, 4 countries remain.
Keys to Success
-Coordination
-Power of data
-High level advocacy and political leadership
Combined HIV/AIDS and tuberculosis diagnosis and care in Tanzania
Integrated care for HIV/AIDS and maternal/child health in Kenya
Integrated interventions for diarrheal disease and child health in Vietnam
http://www.gatesfoundation.org/neglecteddiseases/Pages/working-to-eradicate-guinea-worm-disease.aspx
http://www.sudan4jesus.com/2013/01/guinea-worm-s-sudan-worlds-most.html
Linkage (integration) of Water Supply, Sanitation and Hygiene
Maximizing project sustainability and ability to replicate
The role of the community/role of community women
http://www.globalnetwork.org/water-and-sanitation
1. What type of service integration, if any is needed?
2. To what extent should services be integrated?
3. What steps are needed to establish and sustain high-quality integrated services?
4. What information is needed to measure success and inform improvement, replication,
or scale-up?
-Economically Crippling
-Effects mostly women and children
-Preventable Disease
http://www.npr.org/blogs/health/2013/01/19/169694721/inching-closer-to-the-demise-of-a-stubborn-parasitic-worm
-Surveillance
-Community education and action
-Water supply improvements
-Water supply and sanitation (WS&S) projects
-Case management
http://blog.cartercenter.org/2010/02/10/southern-sudan-guinea-worm%E2%80%99s-final-frontier/
Essential for successful integration:
1. Planning and budgeting
2. Organization of health services
3. Staffing
4. Training
5. Supervision
6. Logistics
7. Community Outreach
8. Referral Services
9. Monitoring, evaluation, and research
Essential component of the eradication campaign was to empower the community members—the people at risk have the responsibility for fighting the disease.
Global Campaign was managed and delegated to the national levels through the Health Ministries.
“Village Volunteers”
http://www.gatesfoundation.org/neglecteddiseases/Pages/working-to-eradicate-guinea-worm-disease.aspx