Τίτλος:
The Micro-Elimination Approach to Eliminating Hepatitis C: Strategic and Operational Considerations
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The introduction of efficacious new hepatitis C virus (HCV) treatments galvanized the World Health Organization to define ambitious targets for eliminating HCV as a public health threat by 2030. Formidable obstacles to reaching this goal can best be overcome through a micro-elimination approach, which entails pursuing elimination goals in discrete populations through multi-stakeholder initiatives that tailor interventions to the needs of these populations. Micro-elimination is less daunting, less complex, and less costly than full-scale, country-level initiatives to eliminate HCV, and it can build momentum by producing small victories that inspire more ambitious efforts. The micro-elimination approach encourages stakeholders who are most knowledgeable about specific populations to engage with each other and also promotes the uptake of new models of care. Examples of micro-elimination target populations include medical patients, people who inject drugs, migrants, and prisoners, although candidate populations can be expected to vary greatly in different countries and subnational areas. © 2018 by Thieme Medical Publishers, Inc.
Συγγραφείς:
Lazarus, J.V.
Safreed-Harmon, K.
Thursz, M.R.
Dillon, J.F.
El-Sayed, M.H.
Elsharkawy, A.M.
Hatzakis, A.
Jadoul, M.
Prestileo, T.
Razavi, H.
Rockstroh, J.K.
Wiktor, S.Z.
Colombo, M.
Περιοδικό:
Seminars in Liver Disease
Εκδότης:
Thieme Medical Publishers Inc
Λέξεις-κλειδιά:
disease elimination; graft recipient; hematologic disease; hemodialysis patient; hemophilia; hepatitis C; high risk population; human; Human immunodeficiency virus infection; indigenous people; migrant; mixed infection; people who inject drug; prevalence; priority journal; prisoner; Review; cooperation; disease eradication; ethnology; global health; health care policy; hepatitis C; integrated health care system; interdisciplinary communication; international cooperation; legislation and jurisprudence; management; nonbiological model; organization and management; risk factor; stakeholder engagement; transmission; vulnerable population, antivirus agent, Antiviral Agents; Cooperative Behavior; Delivery of Health Care, Integrated; Disease Eradication; Global Health; Health Policy; Hepatitis C; Humans; Interdisciplinary Communication; International Cooperation; Models, Organizational; Policy Making; Prevalence; Risk Factors; Stakeholder Participation; Vulnerable Populations
DOI:
10.1055/s-0038-1666841
