Socio-ecological dynamics and challenges to the governance of Neglected Tropical Disease control.
Identifieur interne : 000110 ( PubMed/Checkpoint ); précédent : 000109; suivant : 000111Socio-ecological dynamics and challenges to the governance of Neglected Tropical Disease control.
Auteurs : Edwin Michael [États-Unis] ; Shirin Madon [Royaume-Uni]Source :
- Infectious diseases of poverty [ 2049-9957 ] ; 2017.
Descripteurs français
- KwdFr :
- Climat tropical, Facteurs socioéconomiques, Filariose lymphatique, Gouvernement, Humains, Maladies négligées (), Maladies négligées (épidémiologie), Modèles d'organisation, Médecine tropicale (organisation et administration), Paludisme, Pays en voie de développement, Schistosomiase, Sciences sociales, Éradication de maladie.
- MESH :
- organisation et administration : Médecine tropicale.
- épidémiologie : Maladies négligées.
- Climat tropical, Facteurs socioéconomiques, Filariose lymphatique, Gouvernement, Humains, Maladies négligées, Modèles d'organisation, Paludisme, Pays en voie de développement, Schistosomiase, Sciences sociales, Éradication de maladie.
English descriptors
- KwdEn :
- Developing Countries, Disease Eradication, Elephantiasis, Filarial, Government, Humans, Malaria, Models, Organizational, Neglected Diseases (epidemiology), Neglected Diseases (prevention & control), Schistosomiasis, Social Sciences, Socioeconomic Factors, Tropical Climate, Tropical Medicine (organization & administration).
- MESH :
- epidemiology : Neglected Diseases.
- organization & administration : Tropical Medicine.
- prevention & control : Neglected Diseases.
- Developing Countries, Disease Eradication, Elephantiasis, Filarial, Government, Humans, Malaria, Models, Organizational, Schistosomiasis, Social Sciences, Socioeconomic Factors, Tropical Climate.
Abstract
The current global attempts to control the so-called "Neglected Tropical Diseases (NTDs)" have the potential to significantly reduce the morbidity suffered by some of the world's poorest communities. However, the governance of these control programmes is driven by a managerial rationality that assumes predictability of proposed interventions, and which thus primarily seeks to improve the cost-effectiveness of implementation by measuring performance in terms of pre-determined outputs. Here, we argue that this approach has reinforced the narrow normal-science model for controlling parasitic diseases, and in doing so fails to address the complex dynamics, uncertainty and socio-ecological context-specificity that invariably underlie parasite transmission. We suggest that a new governance approach is required that draws on a combination of non-equilibrium thinking about the operation of complex, adaptive, systems from the natural sciences and constructivist social science perspectives that view the accumulation of scientific knowledge as contingent on historical interests and norms, if more effective control approaches sufficiently sensitive to local disease contexts are to be devised, applied and managed. At the core of this approach is an emphasis on the need for a process that assists with the inclusion of diverse perspectives, social learning and deliberation, and a reflexive approach to addressing system complexity and incertitude, while balancing this flexibility with stability-focused structures. We derive and discuss a possible governance framework and outline an organizational structure that could be used to effectively deal with the complexity of accomplishing global NTD control. We also point to examples of complexity-based management structures that have been used in parasite control previously, which could serve as practical templates for developing similar governance structures to better manage global NTD control. Our results hold important wider implications for global health policy aiming to effectively control and eradicate parasitic diseases across the world.
DOI: 10.1186/s40249-016-0235-5
PubMed: 28166826
Affiliations:
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However, the governance of these control programmes is driven by a managerial rationality that assumes predictability of proposed interventions, and which thus primarily seeks to improve the cost-effectiveness of implementation by measuring performance in terms of pre-determined outputs. Here, we argue that this approach has reinforced the narrow normal-science model for controlling parasitic diseases, and in doing so fails to address the complex dynamics, uncertainty and socio-ecological context-specificity that invariably underlie parasite transmission. We suggest that a new governance approach is required that draws on a combination of non-equilibrium thinking about the operation of complex, adaptive, systems from the natural sciences and constructivist social science perspectives that view the accumulation of scientific knowledge as contingent on historical interests and norms, if more effective control approaches sufficiently sensitive to local disease contexts are to be devised, applied and managed. At the core of this approach is an emphasis on the need for a process that assists with the inclusion of diverse perspectives, social learning and deliberation, and a reflexive approach to addressing system complexity and incertitude, while balancing this flexibility with stability-focused structures. We derive and discuss a possible governance framework and outline an organizational structure that could be used to effectively deal with the complexity of accomplishing global NTD control. We also point to examples of complexity-based management structures that have been used in parasite control previously, which could serve as practical templates for developing similar governance structures to better manage global NTD control. Our results hold important wider implications for global health policy aiming to effectively control and eradicate parasitic diseases across the world.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28166826</PMID><DateCreated><Year>2017</Year><Month>02</Month><Day>07</Day></DateCreated><DateCompleted><Year>2017</Year><Month>02</Month><Day>10</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2049-9957</ISSN><JournalIssue CitedMedium="Internet"><Volume>6</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Feb</Month><Day>06</Day></PubDate></JournalIssue><Title>Infectious diseases of poverty</Title><ISOAbbreviation>Infect Dis Poverty</ISOAbbreviation></Journal><ArticleTitle>Socio-ecological dynamics and challenges to the governance of Neglected Tropical Disease control.</ArticleTitle><Pagination><MedlinePgn>35</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40249-016-0235-5</ELocationID><Abstract><AbstractText>The current global attempts to control the so-called "Neglected Tropical Diseases (NTDs)" have the potential to significantly reduce the morbidity suffered by some of the world's poorest communities. However, the governance of these control programmes is driven by a managerial rationality that assumes predictability of proposed interventions, and which thus primarily seeks to improve the cost-effectiveness of implementation by measuring performance in terms of pre-determined outputs. Here, we argue that this approach has reinforced the narrow normal-science model for controlling parasitic diseases, and in doing so fails to address the complex dynamics, uncertainty and socio-ecological context-specificity that invariably underlie parasite transmission. We suggest that a new governance approach is required that draws on a combination of non-equilibrium thinking about the operation of complex, adaptive, systems from the natural sciences and constructivist social science perspectives that view the accumulation of scientific knowledge as contingent on historical interests and norms, if more effective control approaches sufficiently sensitive to local disease contexts are to be devised, applied and managed. At the core of this approach is an emphasis on the need for a process that assists with the inclusion of diverse perspectives, social learning and deliberation, and a reflexive approach to addressing system complexity and incertitude, while balancing this flexibility with stability-focused structures. We derive and discuss a possible governance framework and outline an organizational structure that could be used to effectively deal with the complexity of accomplishing global NTD control. We also point to examples of complexity-based management structures that have been used in parasite control previously, which could serve as practical templates for developing similar governance structures to better manage global NTD control. Our results hold important wider implications for global health policy aiming to effectively control and eradicate parasitic diseases across the world.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Michael</LastName><ForeName>Edwin</ForeName><Initials>E</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-9473-4245</Identifier><AffiliationInfo><Affiliation>Eck Institute for Global Health, Department of Biological Sciences, University of Notre Dame, Notre Dame, USA. emichael@nd.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Madon</LastName><ForeName>Shirin</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of International Development, London School of Economics and Political Science, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Management, London School of Economics and Political Science, London, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>02</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Infect Dis Poverty</MedlineTA><NlmUniqueID>101606645</NlmUniqueID><ISSNLinking>2049-9957</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2008 Aug 06;3(8):e2874</RefSource><PMID Version="1">18716676</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nature. 2009 Sep 3;461(7260):53-9</RefSource><PMID Version="1">19727193</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nature. 1976 Jun 10;261(5560):459-67</RefSource><PMID 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MajorTopicYN="N">Developing Countries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D060740" MajorTopicYN="N">Disease Eradication</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004605" MajorTopicYN="N">Elephantiasis, Filarial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006076" MajorTopicYN="N">Government</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008288" MajorTopicYN="N">Malaria</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017146" MajorTopicYN="N">Models, Organizational</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058069" MajorTopicYN="Y">Neglected Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012552" MajorTopicYN="N">Schistosomiasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012942" MajorTopicYN="N">Social Sciences</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014329" MajorTopicYN="N">Tropical Climate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014330" MajorTopicYN="N">Tropical Medicine</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Complex dynamical systems</Keyword><Keyword MajorTopicYN="N">Complexity-based governance</Keyword><Keyword MajorTopicYN="N">Lymphatic filariasis</Keyword><Keyword MajorTopicYN="N">Malaria</Keyword><Keyword MajorTopicYN="N">Neglected tropical diseases</Keyword><Keyword MajorTopicYN="N">Normal science paradigm</Keyword><Keyword 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IdType="doi">10.1186/s40249-016-0235-5</ArticleId><ArticleId IdType="pii">10.1186/s40249-016-0235-5</ArticleId><ArticleId IdType="pmc">PMC5292817</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="États-Unis"><noRegion><name sortKey="Michael, Edwin" sort="Michael, Edwin" uniqKey="Michael E" first="Edwin" last="Michael">Edwin Michael</name></noRegion></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Madon, Shirin" sort="Madon, Shirin" uniqKey="Madon S" first="Shirin" last="Madon">Shirin Madon</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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