Short Report: Increasing Access to Treatment for Chagas Disease: The Case of Morelos, Mexico

被引:2
|
作者
Manne-Goehler, Jennifer [1 ]
Ramsey, Janine M. [2 ]
Ocampo Salgado, Marco
Wirtz, Veronika J. [3 ]
Reich, Michael R. [1 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02215 USA
[2] Inst Nacl Salud Publ, Ctr Invest Enfermedades Infecciosas, Jefa Dept, Tapachula, Chiapas, Mexico
[3] Boston Univ, Ctr Global Hlth & Dev, Boston, MA 02215 USA
来源
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE | 2014年 / 91卷 / 06期
关键词
D O I
10.4269/ajtmh.14-0357
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Chagas disease is a neglected vector-borne disease with an estimated prevalence of 1.1 million cases in Mexico. Recent research showed that access to treatment of Chagas disease is limited in Mexico, with < 0.5% of infected cases treated. This brief report used quantitative data from the Morelos Program on Chagas disease and qualitative analysis of key informant interviews to examine strategies to increase treatment access for infected patients in Morelos, Mexico. From 2007 to 2011, 263 (9.2%) of the registered cases of Chagas disease in Mexico occurred in Morelos. Among these, 152 (57.8%) were treated and 97.3% of those treated received benznidazole. The assessment finds that state officials decided to directly purchase benznidazole from the distributor to increase access and improve clinical quality of treatment of patients in their state. They also faced significant barriers, especially in regulation and health system organization, which limited efforts to make high quality treatment available.
引用
收藏
页码:1125 / 1127
页数:3
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