Disease management and control
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The Millennium Development Goals stress the importance of addressing major and debilitating diseases and initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, and other targeted donor policies have led to a greater availability of resources. Low-income countries have trouble absorbing these extra resources, however, because of weak public health care systems.
Approach
Using experience in disease control, health systems development, sector-wide approaches, human resource development and health economics, KIT strengthens the in-country capacity in lower and middle income countries to develop cost-effective, integrated and sustainable services. Special attention is paid to improved access and the utilization of treatment and prevention services. Community empowerment, prevention of disability and rehabilitation, stigma alleviation, gender equity and client-centred approaches in service delivery are some of the specific focus areas of our work.
Example
International Consortium for Research and Action Against health-related Stigma (ICRAAS)
Coordination of an international consortium of institutes, organizations and individuals involved in research and action on health-related stigma. The central aim of the ICRAAS is to reduce health-related stigma and its harmful consequences, including discrimination and social exclusion.
Technical assistance to local or national tuberculosis and leprosy control in over 20 countries worldwide, 1998 - ongoing
Assisting tuberculosis control departments to introduce DOTS and improve practical implementation strategies with a focus on human resource development, IEC and economic health systems research. Planning, support, monitoring and evaluation of combined disease control programmes for tuberculosis and leprosy, and tuberculosis and HIV/AIDS.
Projects
- National Integration Health Programme Namibia (NIHP)
- Support to the National Tuberculosis and Leprosy Control Programme in Ethiopia
- Tuberculosis diagnostics cost-effectiveness study Peru
- Human resources development and tuberculosis control in Cambodia
- Human resource development support to national tuberculosis control programme, Egypt
- National Tuberculosis & Leprosy control programme Ethiopia
- Cost of collaborative tuberculosis - HIV activities in Tanzania and Ethiopia
- A multi-centre cohort study of reactions and neuropathy in leprosy (INFIR)
- Redesigning Shell medical services in Lagos
- National manual for tuberculosis contact investigation in the Netherlands
- Guidelines for clinical HIV and TB treatment
- Review of Pharmaccess support to the national AIDS control plan in Tanzania
Publications
- Wegelin-Schuringa, M. - Techniques and practices for local responses to HIV/AIDS
- Brakel, W.H. van - Measuring leprosy stigma - a preliminary review of the leprosy literature
- Brakel, W.H. van - The prognostic importance of detecting mild sensory impairment in leprosy: a randomized controlled trial (TRIPOD 2)
- Visschedijk, J. - Leprosy control strategies and the integration of health services: an international perspective
- Feenstra, P. - 'Elimination' of leprosy and the need to sustain leprosy services, expectations, predictions and reality
- Vassall, A. - Tuberculosis services in partnership
- Vassall, A. - Cost-effectiveness of different treatment strategies for tuberculosis in Egypt and Syria
- Brakel, W.H. van - The INFIR Cohort Study: investigating prediction, detection and pathogenesis of neuropathy and reactions in leprosy
- Brakel, W.H. van - The INFIR Cohort Study: assessment of sensory and motor neuropathy in leprosy at baseline
- Heijnders, M. - The fight against stigma: an overview of stigma-reduction strategies and interventions
- Massaut, S. - Quote TB light