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Sustaining visceral leishmaniasis elimination in Bangladesh - Could a policy brief help?

Abstract Bangladesh has made significant progress towards elimination of visceral leishmaniasis, and is on track to achieve its target of less than one case per 10,000 inhabitants in each subdistrict in 2017. As the incidence of disease falls, it is likely that the political capital and financial resources dedicated towards the elimination of visceral leishmaniasis may decrease, raising the prospect of disease resurgence. Policy memos may play a crucial role during the transition of the elimination plan from the 'attack' to the 'consolidation' and 'maintenance' phases, highlighting key stakeholders and areas where ongoing investment is crucial. An example of a policy brief is outlined in this paper. The background to the current elimination efforts is highlighted, with emphasis on remaining uncertainties including the impact of disease reservoirs and sustainable surveillance strategies. A stakeholder map is provided outlining the current and projected future activities of key bodies. Identification of key stakeholders subsequently frames the discussion of three key policy recommendations in the Bangladeshi context for the transition to the consolidation and maintenance phases of the elimination program. Recommendations include determining optimal vector control and surveillance strategies, shifting the emphasis towards horizontal integration of disease programs, and prioritising remaining research questions with a focus on operational and technical capacity. Achieving elimination is as much a political as a scientific question. Integrating the discussion of key stakeholders with policy priorities and the research agenda provides a novel insight into potential pathways forwards in the elimination of visceral leishmaniasis in Bangladesh and in the rest of the Indian subcontinent.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plos neglected tropical diseases
Publication Year Start




PMID- 29232385
OWN - NLM
STAT- MEDLINE
DCOM- 20171218
LR  - 20171222
IS  - 1935-2735 (Electronic)
IS  - 1935-2727 (Linking)
VI  - 11
IP  - 12
DP  - 2017 Dec
TI  - Sustaining visceral leishmaniasis elimination in Bangladesh - Could a policy
      brief help?
PG  - e0006081
LID - 10.1371/journal.pntd.0006081 [doi]
AB  - Bangladesh has made significant progress towards elimination of visceral
      leishmaniasis, and is on track to achieve its target of less than one case per
      10,000 inhabitants in each subdistrict in 2017. As the incidence of disease
      falls, it is likely that the political capital and financial resources dedicated 
      towards the elimination of visceral leishmaniasis may decrease, raising the
      prospect of disease resurgence. Policy memos may play a crucial role during the
      transition of the elimination plan from the 'attack' to the 'consolidation' and
      'maintenance' phases, highlighting key stakeholders and areas where ongoing
      investment is crucial. An example of a policy brief is outlined in this paper.
      The background to the current elimination efforts is highlighted, with emphasis
      on remaining uncertainties including the impact of disease reservoirs and
      sustainable surveillance strategies. A stakeholder map is provided outlining the 
      current and projected future activities of key bodies. Identification of key
      stakeholders subsequently frames the discussion of three key policy
      recommendations in the Bangladeshi context for the transition to the
      consolidation and maintenance phases of the elimination program. Recommendations 
      include determining optimal vector control and surveillance strategies, shifting 
      the emphasis towards horizontal integration of disease programs, and prioritising
      remaining research questions with a focus on operational and technical capacity. 
      Achieving elimination is as much a political as a scientific question.
      Integrating the discussion of key stakeholders with policy priorities and the
      research agenda provides a novel insight into potential pathways forwards in the 
      elimination of visceral leishmaniasis in Bangladesh and in the rest of the Indian
      subcontinent.
FAU - Fitzpatrick, Alyssa
AU  - Fitzpatrick A
AUID- ORCID: http://orcid.org/0000-0001-6219-9068
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Al-Kobaisi, Noor Saad M S
AU  - Al-Kobaisi NSMS
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Beitman Maya, Jessica
AU  - Beitman Maya J
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Ren Chung, Yu
AU  - Ren Chung Y
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Duhan, Satyender
AU  - Duhan S
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Elbegdorj, Erdene
AU  - Elbegdorj E
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Jain, Sushant
AU  - Jain S
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Kuhn, Edward
AU  - Kuhn E
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Nastase, Alexandra
AU  - Nastase A
AD  - Blavatnik School of Government, University of Oxford, Oxford, United Kingdom.
FAU - Ahmed, Be-Nazir
AU  - Ahmed BN
AD  - National Institute of Preventive and Social Medicine, Dhaka, Bangladesh.
FAU - Olliaro, Piero
AU  - Olliaro P
AD  - Special Programme for Training and Research in Tropical Diseases, World Health
      Organisation, Geneva, Switzerland.
AD  - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, 
      University of Oxford, Oxford, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20171212
PL  - United States
TA  - PLoS Negl Trop Dis
JT  - PLoS neglected tropical diseases
JID - 101291488
SB  - IM
MH  - Bangladesh/epidemiology
MH  - Capital Financing
MH  - Communicable Disease Control/*organization & administration
MH  - Disease Eradication/*organization & administration
MH  - Epidemiological Monitoring
MH  - Health Policy
MH  - Humans
MH  - Leishmaniasis, Visceral/*epidemiology/*prevention & control
PMC - PMC5726615
EDAT- 2017/12/13 06:00
MHDA- 2017/12/19 06:00
CRDT- 2017/12/13 06:00
PHST- 2017/12/13 06:00 [entrez]
PHST- 2017/12/13 06:00 [pubmed]
PHST- 2017/12/19 06:00 [medline]
AID - 10.1371/journal.pntd.0006081 [doi]
AID - PNTD-D-17-00597 [pii]
PST - epublish
SO  - PLoS Negl Trop Dis. 2017 Dec 12;11(12):e0006081. doi:
      10.1371/journal.pntd.0006081. eCollection 2017 Dec.