A Retrospective Review of the Guinea Worm Eradication Program's Contribution to the Achievement of the Millennium Development Goals 公开

Bolton, Birgit (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/2v23vv25r?locale=zh
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Abstract

This thesis provides a forum to discuss the contribution of The Carter Center's (TCC) Guinea Worm Disease Eradication Program (GWDEP) to selected Millennium Development Goals (MDGs). In 2000, the United Nations Millennium Summit convened with 189 Heads of State committed to improving the health of the global population, and promulgated the MDGs.1-3 The MDGs consist of eight goals encompassing 21 targets that address hunger and poverty, education, gender equality, child and maternal health, disease burden, the environment and global partnerships.4 At the time of the MDGs inception, there were 14 GWD endemic countries: Benin, Burkina Faso, Cameroon, Central Republic Africa, Cote D'Ivoire, Ethiopia, Ghana, Mali, Mauritania, Niger, Nigeria, Sudan, Togo, and Uganda.3,5 NTDs are not specifically addressed in the MDGs, but instead fall under the rubric of "other diseases".4


Infectious diseases have influenced the development of human species more than any other biological or non-biological factor.6 NTDs are considered the most common infectious diseases of the world's poorest people.7 An estimated 1.2 billion people are infected with one and sometimes more than one NTD. Most of these infected individuals are among the billion people who live on less than $1 per day, a population often referred to as the "bottom billion".8


Even though NTDs can be cost effectively prevented, the international health community has historically directed more resources, funds and efforts to combating the "big three" - HIV/AIDs, tuberculosis (TB), and malaria.9,10 There is currently no formal forum that focuses on the control and/or elimination of NTDs as one strategy for achieving some of the MDGs. Researching this topic and publishing an article provides an opportunity to highlight the significance of combating NTDs and the impact this effort has on global health issues, and the attainment of the MDGs.

Table of Contents

Table of Contents

Chapter I: Introduction…………………………………………………………….………6

A. Significance of the Project………………………………………………….....….6

B. Rationale for Article and Targeting Journal………………………….……..6

C. Background………………………………………………………………….............…7

D. Table 1: MDGs and Targets………………………………………..………...…..8

E. Image 1: Guinea Worm Life Cycle…………………………………….…...….13

F. Research Questions……………………………………………………….....….....14

Chapter II: Methodology………………………………………………………….......16

A.Literature Review……………………………………………………….…..........…16

B.Methods…………………………………………………………………….................17

Chapter III: Results…………………………………………………………………....…20

A. Analysis of Data Collected……………………………………….……….….....20

B. Table 2: Eradication Status……………………………………..………....…..25

Chapter IV: Discussion………………………………………………………...….…...29

A. Key Points………………………………………………………………….............…29

B. Strengths and Limitations………………………………………….....….…..….30

C. Future Research……………………………………………………….......…..…...30

D. Implications for Public Health……………………………………......….…..…31

Appendix I:……………………………………………………………………….....……..…32

A. Questionnaire……………………………………………………….………............32

B. Draft Journal Article………………………………………………….........………34

C. References……………………………………………………………............………50


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