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A four-step process for building sustainable access to diagnosis and treatment of Chagas disease
The vast majority of people with Chagas disease (CD) are undiagnosed and untreated. Improving access to diagnosis and treatment for CD involves confronting a wide range of barriers. This report discusses a collaborative approach to eliminate barriers and increase the availability of CD testing and t...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Organización Panamericana de la Salud
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758842/ https://www.ncbi.nlm.nih.gov/pubmed/31582959 http://dx.doi.org/10.26633/RPSP.2019.74 |
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author | Batista, Carolina Forsyth, Colin J Herazo, Rafael Certo, Marina Pereira Marchiol, Andrea |
author_facet | Batista, Carolina Forsyth, Colin J Herazo, Rafael Certo, Marina Pereira Marchiol, Andrea |
author_sort | Batista, Carolina |
collection | PubMed |
description | The vast majority of people with Chagas disease (CD) are undiagnosed and untreated. Improving access to diagnosis and treatment for CD involves confronting a wide range of barriers. This report discusses a collaborative approach to eliminate barriers and increase the availability of CD testing and treatment. Potential areas for intervention are selected based on burden of disease, support of local champions, and commitment from national and local authorities. A 4D approach (diagnose, design, deliver, and demonstrate impact) is then implemented. The diagnose step involves gathering key stakeholders at a seminar to collaboratively identify important barriers and propose solutions. The design step creates a specific plan to act upon the seminar’s conclusions with consensus on core indicators. The deliver step entails implementing the plan at pilot locations, while simultaneously strengthening health system capacity for CD testing and treatment. Lastly, the demonstrate impact step compares baseline data with annual post-implementation data to measure progress. In Colombia, this approach has helped simplify testing procedures and increase CD testing and treatment access in pilot communities, though challenges remain. The 4D approach represents one of several pathways toward ensuring that the best therapeutic and diagnostic products reach people affected by neglected tropical diseases. |
format | Online Article Text |
id | pubmed-6758842 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-67588422019-10-03 A four-step process for building sustainable access to diagnosis and treatment of Chagas disease Batista, Carolina Forsyth, Colin J Herazo, Rafael Certo, Marina Pereira Marchiol, Andrea Rev Panam Salud Publica Special Report The vast majority of people with Chagas disease (CD) are undiagnosed and untreated. Improving access to diagnosis and treatment for CD involves confronting a wide range of barriers. This report discusses a collaborative approach to eliminate barriers and increase the availability of CD testing and treatment. Potential areas for intervention are selected based on burden of disease, support of local champions, and commitment from national and local authorities. A 4D approach (diagnose, design, deliver, and demonstrate impact) is then implemented. The diagnose step involves gathering key stakeholders at a seminar to collaboratively identify important barriers and propose solutions. The design step creates a specific plan to act upon the seminar’s conclusions with consensus on core indicators. The deliver step entails implementing the plan at pilot locations, while simultaneously strengthening health system capacity for CD testing and treatment. Lastly, the demonstrate impact step compares baseline data with annual post-implementation data to measure progress. In Colombia, this approach has helped simplify testing procedures and increase CD testing and treatment access in pilot communities, though challenges remain. The 4D approach represents one of several pathways toward ensuring that the best therapeutic and diagnostic products reach people affected by neglected tropical diseases. Organización Panamericana de la Salud 2019-09-20 /pmc/articles/PMC6758842/ /pubmed/31582959 http://dx.doi.org/10.26633/RPSP.2019.74 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
spellingShingle | Special Report Batista, Carolina Forsyth, Colin J Herazo, Rafael Certo, Marina Pereira Marchiol, Andrea A four-step process for building sustainable access to diagnosis and treatment of Chagas disease |
title | A four-step process for building sustainable access to diagnosis and treatment of Chagas disease |
title_full | A four-step process for building sustainable access to diagnosis and treatment of Chagas disease |
title_fullStr | A four-step process for building sustainable access to diagnosis and treatment of Chagas disease |
title_full_unstemmed | A four-step process for building sustainable access to diagnosis and treatment of Chagas disease |
title_short | A four-step process for building sustainable access to diagnosis and treatment of Chagas disease |
title_sort | four-step process for building sustainable access to diagnosis and treatment of chagas disease |
topic | Special Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758842/ https://www.ncbi.nlm.nih.gov/pubmed/31582959 http://dx.doi.org/10.26633/RPSP.2019.74 |
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