Tackling tuberculosis in South Africa: Building on the political momentum

As a relatively wealthy African country and one of the BRICS nations (Brazil, Russia, India, China and South Africa), South Africa has been able to make more substantial investments in combating tuberculosis (TB) and multi-drug-resistant tuberculosis (MDR TB) than many others in the region. This, combined with strong political will, has put South Africa ahead of many of its peers in the fight against the disease.

 

Tackling tuberculosis in Nigeria: Funding gaps and fragmentation

For Nigeria, the barriers to tackling multidrug-resistant tuberculosis (MDR TB) include external factors such as the Boko Haram insurgency (which is also hampering the battle against polio). However, persistent weaknesses in the country’s health system that are lowering its diagnosis and treatment capacity are also contributing to Nigeria’s struggle to control tuberculosis (TB) and MDR TB.

 

Tackling tuberculosis in Kenya: A decentralised approach to care

With the help of international funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria, the United States Agency for International Development (USAID) and others, Kenya is planning to scale up its response to tuberculosis (TB) and multidrug-resistant tuberculosis (MDR TB) by 2017. But although the political will to fight the disease is there, experts and policymakers recognise that MDR TB cannot be tackled in isolation.

 

Tackling tuberculosis in Ethiopia: A community-based approach

Although Ethiopia has only limited resources to spend on combating tuberculosis (TB) and multidrug-resistant tuberculosis (MDR TB), its innovative, community-based approach demonstrates that a poor country which lacks sophisticated healthcare systems and medical specialists can nevertheless respond aggressively in the battle against TB and MDR TB.

 

Tackling tuberculosis: Recent progress and challenges

Tackling tuberculosis: Recent progress and challenges

Although TB was responsible for around 1.5m deaths in 2014, down from nearly 1.8m in 1990, it is now the leading infectious disease killer worldwide, surpassing HIV/AIDS.[1] According to Mario Raviglione, director of the Global TB Programme at the World Health Organisation (WHO), incidence of the disease has been falling by around 1.5% annually for around a decade, but meeting the WHO’s goal of reducing TB by 90% by 2030 would require a reduction in incidence of 10% per year over the next decade—a goal that looks increasingly preca

Mental health and integration - Korean

정신 질환은 아시아 태평양 지역에서 장애로인해 손실된 연수(YLDs)에 기여하는 두 번째주요 원인이다. 그러나 이 지역에서 정신 질환환자들의 절반 이상이 어떠한 의료적 치료를받고 있는 국가는 없다. 이는 일시적인 위기가아닌 일상적인 문제이다.

이 지역의 정책 결정자들과 의료 시스템이 이문제에 주목하고 있다. 2010년 일본이 정신질환을 5대 질병 중 하나로 선언했고 중국이2012년 중국에서 처음으로 정신보건법을통과시켰다. 인도네시아는 2014년 법체계를상당한 수준으로 정비했고 인도에서는 2014년처음으로 정신보건 정책을 채택했다. 국제적인차원에서 APEC과 ASEAN이 이 문제에 관심을가지기 시작했다.

Mental health and integration - Chinese

在亚太地区,精神疾病是伤残所致生命年损失(years lost due to disability/YLD) 的第二大因素。尽管如此,在整个亚太地区,仍有超过半数的精神疾病患者无法获得治疗。这并不是一个新的危机,而是一个长期存在的问题。

在整个亚太地区,政策制定者和医疗体系的都在积极应对此问题。2010 年,日本宣布精神疾病成为日本五大重点疾病之一;2012 年,中国通过了第一部精神卫生法——《中华人民共和国精神卫生法》;2014 年,印度尼西亚大幅修改了立法;同年,印度首度制定了首部精神卫生相关政策。与此同时,在国际层面,亚太经合组织 (Asia-Pacific Economic Cooperation/APEC) 和东盟 (Associationof Southeast Asian Nations/ASEAN) 也开始关注精神卫生相关议题。

Mental health and integration - Japanese

アジア太平洋地域では、障害を有することによって失われた年数(以下、YLD)の原因疾患の第2 位は精神疾患です。しかし、こうした患者の半数以上が何らかの医学的な治療を受けられている国・地域はありません。これは一過性の危機ではありません。これが常態化しているのです。

世界では政策決定者や医療界がこの問題に気付き始めています。日本では2012 年に医療法に定める5 疾病の一つに加えられました。中国では2012 年に、初の精神衛生法が制定されました。2014 年にはインドネシアの国内法が大幅に近代化され、インドでも初の精神衛生政策が採用されました。また国際的なレベルでは、APEC およびASEAN もこれらの問題への取り組みを開始しました。

Mental health and integration

Mental illness is the second largest contributor to years lost due to disability (YLDs) in the Asia-Pacific region. Nowhere, though, do more than half of those affected receive any medical treatment. This is not some temporary crisis. It is business as usual.

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