Towards Zero Leprosy. Global Leprosy (Hansen's Disease) Strategy 2021­2030

The Global Leprosy Strategy 2021­2030 "Towards zero leprosy" was developed through a broad consultative process with all major stakeholders during 2019 and 2020. Valuable inputs were provided by national leprosy programme managers, technical agencies, public health and leprosy experts, funding agencies and persons or members of communities directly affected by leprosy. The Strategy aims to contribute to achieving the Sustainable Development Goals. It is structured along four pillars: ( i) implement integrated, country-owned zero leprosy road maps in all endemic countries; ( ii) scale up leprosy prevention alongside integrated active case detection; ( iii) manage leprosy and its complications and prevent new disability; and, ( iv) combat stigma and ensure human rights are respected. Interruption of transmission and elimination of disease are at the core of the Strategy

Gestión de proyectos de cooperación internacional en salud / No disponible

La salud es hoy una prioridad en la agenda mundial debido a su probada relación con el desarrollo. El compromiso mundial alrededor de la salud se ha hecho explícito a través de los Objetivos de Desarrollo del Milenio (ODM), los cuales exigen respuestas internacionales coordinadas. En esta última década, este pacto global ha generado una cantidad sin precedentes de compromisos y alianzas, reafirmados en sucesivas reuniones y conferencias. A pesar de ello, los logros alcanzados aún no son suficientes. Una respuesta eficaz a los ODM estaría fundamentada en los determinantes sociales de la salud. Estos factores explican la mayor parte de las diferencias injustas y evitables observadas en y entre los países, en lo que respecta a la situación sanitaria. Sobre esta base y con el objetivo de disminuir o eliminar las desigualdades es que se desarrollan los proyectos de cooperación internacional en salud. Los actores, enfoques e instrumentos de la cooperación internacional han evolucionado a lo largo de su más de 60 años de historia. Actualmente los principios de Apropiación, Armonización, Alineación, Resultados y Mutua Responsabilidad son los que orientan la nueva cooperación internacional. En este marco, y para el desarrollo eficiente de los proyectos, se ha consolidado la utilización el Enfoque de Marco Lógico como una herramienta que facilita el proceso de conceptualización, diseño, ejecución y evaluación de proyectos. Esta metodología enfatiza la orientación por objetivos y la orientación hacia los grupos beneficiarios y facilita la participación y la comunicación entre los actores involucrados (AU)

Currently, health is a priority item on the global agenda because of its proven link to development. The world´s commitment to issues revolving around health has been made explicit through the Millennium Development Goals (MDG), goals, which can only be attained through coordinated international efforts. Over the last decade, this global pact has generated an unprecedented number of commitments and alliances that have been reaffirmed in successive meetings and conferences. Nonetheless, and despite such efforts, the gains attained are still insufficient. A more effective approach to meeting the MDGs would be one based on the social determinants of health. Such factors can explain in large share of the unjust and avoidable differences in the health situation that can be observed within and among countries. International cooperation projects based on this approach seek to diminish or eliminate these inequalities. Over the course of more than 60 years of history, the stakeholders involved in international cooperation activities, as well as the approaches and tools used, have evolved. Currently, activities in the “new” international cooperation are guided by the principles of Ownership. Harmonisation, Alignment, Results and Mutual Accountability. In this context, and to ensure efficient project development, the Logical Framework Approach has been consolidated as to tool to facilitate the process of conceptualization, design, execution and project evaluation. This method emphasizes goal-oriented activities, placing the focus on beneficiary groups, and facilitates participation and communication among the diverse actors involved (AU)

Estratégia global para maior reducao da carga da hanseniase e a sustencao das atividades de controle da hanseniase (periodo do plano: 2006-2010) / Global strategy for bigger reduction of the load of hanseníase and the sustentation of the activities of control of leprosy

Os principais basicos do controle da hanseniase, baseados na detecção oportuna de novos casos e seu tratamento com quimioterapia eficaz, em forma de poliquimioterapia (PQT),não mudara nos proximos anos. O enfoque continuara sendo a provisão de atenção de qualidade aos pacientes, atençao que deve ser equitativamente distribuida, financeiramente exequivel e facilmente acessivel. Nao ha, por enquanto, ferramentas tecnicas ou informaçoes novas que justifiquem qualquer mudança drastica na estrategia de controle da hanseniase. Faz-se premente, entretanto, implementar mudanças decisivas na organizaçao do controle da hanseniase, na atitude dos profissionais e beneficiarios de atençao à saúde e em acordo entre os parceiros. Os principais elementos da estrategia sao os seguinte: sustentar as atividades de controle da hanseniase em todos os paises endemicos; usar a detecção de casos como principal indicador para monitorar o progresso; assegurar diagnostico de qualidade, gestao de casos; registro e notificaçao em todas as comunidades endemicas; fortalecer os serviços rotineiros e de encaminhamento; descontinuar a abordagem baseada em campanhas; desenvolver ferramentas e procedimentos baseados na atençao domiciliar/comunitaria, integrados e localmente apropriados para a prevençao de incapacidades/deficiencias e para a provisao de serviços de reabilitaçao; promover pesquisa operacional a fim de melhorar a implementaçao de uma estrategia sustentavel; incentivar o apoio mutuo os parceiros, em todos os niveis. Essa estrategia exigira o aval e o compromisso de todos os que trabalham em prol da meta comum de controle da hanseniase, a fim de assegurar que a carga fisica e social da doença continue a declinar no mundo inteiro.

Hacia la eliminación de la lepra como problema de salud pública / Elimination of leprosy as a public health problem

Basado en "Elimination of leprosy as a public health problem: progress and prospects" de S.K. Noordeen (Bull. WHO 73(1):1-6, 1995)

Too late tomorrow

The film looks beyond the obvious progress in matters of health and shows how people live their lives in some developing countries, accepting disease and misery as part of their daily existence. It shows some of the challenges that have to be faced to make the aim of WHO "Health for all by the year 2000", a reality in the world. From the burning desert in Sudan to the swamps of Leyte island, from leprosy in Bangladesh to malaria in Malasya, from traditional faith healing medicine in Zambia to primary health centres in Cuba, the film shows the plight of ordinary people who deserve better

Too late tomorrow / Too late tomorrow

The film looks beyond the obvious progress in matters of health and shows how people live their lives in some developing countries, accepting disease and misery as part of their daily existence. It shows some of the challenges that have to be faced to make the aim of WHO "Health for all by the year 2000", a reality in the world. From the burning desert in Sudan to the swamps of Leyte island, from leprosy in Bangladesh to malaria in Malasya, from traditional faith healing medicine in Zambia to primary health centres in Cuba, the film shows the plight of ordinary people who deserve better