TY - JOUR
T1 - Social determinants of visceral leishmaniasis elimination in Eastern Africa
AU - Alvar, Jorge
AU - Beca-Martínez, Maria Teresa
AU - Argaw, Daniel
AU - Jain, Saurabh
AU - Aagaard-Hansen, Jens
N1 - © World Health Organization 2023. Licensee BMJ.
PY - 2023/6/28
Y1 - 2023/6/28
N2 - Visceral leishmaniasis is a vector-borne, protozoan disease with severe public health implications. Following the successful implementation of an elimination programme in South Asia, there is now a concerted endeavour to replicate these efforts in Eastern Africa based on the five essential elimination pillars of case management, integrated vector management, effective surveillance, social mobilisation and operational research. This article highlights how key social determinants (SD) of health (poverty, sociocultural factors and gender, housing and clustering, migration and the healthcare system) operate at five different levels (socioeconomic context and position, differential exposure, differential vulnerability, differential outcomes and differential consequences). These SD should be considered within the context of increasing the success of the five-pillar elimination programme and reducing inequity in health.
AB - Visceral leishmaniasis is a vector-borne, protozoan disease with severe public health implications. Following the successful implementation of an elimination programme in South Asia, there is now a concerted endeavour to replicate these efforts in Eastern Africa based on the five essential elimination pillars of case management, integrated vector management, effective surveillance, social mobilisation and operational research. This article highlights how key social determinants (SD) of health (poverty, sociocultural factors and gender, housing and clustering, migration and the healthcare system) operate at five different levels (socioeconomic context and position, differential exposure, differential vulnerability, differential outcomes and differential consequences). These SD should be considered within the context of increasing the success of the five-pillar elimination programme and reducing inequity in health.
KW - Humans
KW - Leishmaniasis, Visceral/epidemiology
KW - Social Determinants of Health
KW - Africa, Eastern/epidemiology
KW - Asia, Southern
KW - Case Management
KW - Public Health
KW - Treatment
KW - Visceral leishmaniasis
KW - Control strategies
KW - Epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85164573858&partnerID=8YFLogxK
U2 - 10.1136/bmjgh-2023-012638
DO - 10.1136/bmjgh-2023-012638
M3 - Journal article
C2 - 37380365
SN - 2059-7908
VL - 8
JO - Global Health
JF - Global Health
IS - 6
M1 - e012638
ER -