Interactions between Global Health Initiatives and country health systems: the case of a neglected tropical diseases control program in Mali.

ABSTRACT:

Background

Recently, a number of Global Health Initiatives (GHI) have been created to address single disease issues in low-income countries, such as poliomyelitis, trachoma, neonatal tetanus, etc.. Empirical evidence on the effects of such GHIs on local health systems remains scarce. This paper explores positive and negative effects of the Integrated Neglected Tropical Disease (NTD) Control Initiative, consisting in mass preventive chemotherapy for five targeted NTDs, on Mali's health system where it was first implemented in 2007.

Methods and findings

Campaign processes and interactions with the health system were assessed through participant observation in two rural districts (8 health centres each). Information was complemented by interviews with key informants, website se

SUBMITTER: Cavalli A 

PROVIDER: S-EPMC2923152 | biostudies-literature | 2010 Aug

REPOSITORIES: biostudies-literature