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Disease control priorities in developing countries: Health policy responses to epidemiological change

Author

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  • Jamison, D.T.
  • Mosley, W.H.

Abstract

Health systems in developing countries are facing major challenges in the 1990s and beyond because of a growing epidemiological diversity as a consequence of rapid economic development and declining fertility. The infectious and parastic diseases of childhood must remain a priority at the same time the chronic diseases among adults are emerging as a serious problem. Health policymakers must engage in undertaking an epidemiological and economic analysis of the major disease problems, evaluating the cost-effectiveness of alternative intervention strategies; designing health care delivery systems; and, choosing what governments can do through persuasion, taxation, regulation, and provision of services. The World Bank has commissioned studies of over two dozen diseases in developing countries which have confirmed the priority of child survival interventions and revealed that interventions for many neglected and emerging adult health problems have comparable cost-effectiveness. Most developing countries lack information about most major diseases among adults, reflecting lack of national capacities in epidemiological and economic analyses, health technology assessment, and environmental monitoring and control. There is a critical need for national and international investment in capacity building and essential national health research to build the base for health policies.

Suggested Citation

  • Jamison, D.T. & Mosley, W.H., 1991. "Disease control priorities in developing countries: Health policy responses to epidemiological change," American Journal of Public Health, American Public Health Association, vol. 81(1), pages 15-22.
  • Handle: RePEc:aph:ajpbhl:1991:81:1:15-22_0
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    Cited by:

    1. Tayyebe Azodi & Seyed Mohammad Javad Razmi & Ali Akbar Naji Meidani & Mohammad Ali Falahi, 2019. "The Effect of Public and Private Health Expenditures on Life Expectancy in Different Countries: Using Panel Data Model," International Journal of Business and Economic Sciences Applied Research (IJBESAR), International Hellenic University (IHU), Kavala Campus, Greece (formerly Eastern Macedonia and Thrace Institute of Technology - EMaTTech), vol. 12(1), pages 64-69, April.
    2. Leone, Tiziana, 2010. "How can demography inform health policy?," LSE Research Online Documents on Economics 25255, London School of Economics and Political Science, LSE Library.
    3. Gwenan M Knight & Gabriela B Gomez & Peter J Dodd & David Dowdy & Alice Zwerling & William A Wells & Frank Cobelens & Anna Vassall & Richard G White, 2015. "The Impact and Cost-Effectiveness of a Four-Month Regimen for First-Line Treatment of Active Tuberculosis in South Africa," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
    4. Maria Anauati & Sebastian Galiani & Federico Weinschelbaum, 2015. "The rise of noncommunicable diseases in Latin America and the Caribbean: challenges for public health policies," Latin American Economic Review, Springer;Centro de Investigaciòn y Docencia Económica (CIDE), vol. 24(1), pages 1-56, December.
    5. Arredondo, Armando, 1997. "Costs and financial consequences of the changing epidemiologogical profile in Mexico," Health Policy, Elsevier, vol. 42(1), pages 39-48, October.
    6. Sarkodie, Adu Owusu, 2021. "Factors influencing under-five mortality in rural- urban Ghana: An applied survival analysis," Social Science & Medicine, Elsevier, vol. 284(C).
    7. Birdsall, Nancy & James, Estelle, 1992. "Health, government, and the poor : the case for the private sector," Policy Research Working Paper Series 938, The World Bank.
    8. Bobadilla, José Luis & Frenk, Julio & Lozano Ascencio, Rafael, 1994. "La transición epidemiológica en América Latina," Notas de Población, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), December.
    9. Smith, William C. & Anderson, Emily & Salinas, Daniel & Horvatek, Renata & Baker, David P., 2015. "A meta-analysis of education effects on chronic disease: The causal dynamics of the Population Education Transition Curve," Social Science & Medicine, Elsevier, vol. 127(C), pages 29-40.
    10. Hamdan, Motasem & Defever, Mia, 2002. "A `transitional' context for health policy development: the Palestinian case," Health Policy, Elsevier, vol. 59(3), pages 193-207, March.
    11. Bobadilla, Jose Luis & de A. Possas, Cristina, 1992. "How the epidemiological transition affects health policy isues in three Latin American countries," Policy Research Working Paper Series 987, The World Bank.

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