Drug policy and control at the international level

Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  

International drug control efforts are designed to coordinate domestic laws with international activities that regulate or limit the supply of psychoactive substances. These efforts are organized around three main drug control treaties that almost all countries have ratified in order to prevent illicit trafficking and other drug-related crime, while at the same time allowing access to prescription medications. The effects of the system have been evaluated mostly in terms of the ability to eliminate illicit markets and supply. The gross imbalance in world consumption of legal opiates is a pointer to the limited availability of effective pain medications in many low-income countries, with 80% of the world’s population having either no or inadequate access to treatment for moderate or severe pain.

2021 ◽  
pp. 361-376
Author(s):  
Corinne Peek-Asa ◽  
Adnan A. Hyder

Injuries are among the leading causes of death and disability throughout the world and contribute disproportionately to premature life lost. Injury rates are highest among middle- and low-income countries. According to analyses of the 2016 Global Burden of Disease data, injuries cause over 4.6 million deaths per year, accounting for nearly 8.4% of all deaths and 10.7% of disability-adjusted life years. Many opportunities to implement injury prevention strategies exist, and a systematic approach to injury prevention can help identify the most effective and efficient approaches. Building capacity for injury prevention activities in low- and middle-income countries is an important public health priority.


2017 ◽  
Vol 12 (2) ◽  
pp. 245-263
Author(s):  
Trygve Ottersen ◽  
Suerie Moon ◽  
John-Arne Røttingen

AbstractAfter years of unprecedented growth in development assistance for health (DAH), the DAH system is challenged on several fronts: by the economic downturn and stagnation of DAH, by the epidemiological transition and increase in non-communicable diseases and by the economic transition and rise of the middle-income countries. Central to any potent response is a fair and effective allocation of DAH across countries. A myriad of criteria has been proposed or is currently used, but there have been no comprehensive assessment of their distributional implications. We simulated the implications of 11 quantitative allocation criteria across countries and country categories. We found that the distributions varied profoundly. The group of low-income countries received most DAH from needs-based criteria linked to domestic capacity, while the group of upper-middle-income countries was most favoured by an income-inequality criterion. Compared to a baseline distribution guided by gross national income per capita, low-income countries received less DAH by almost all criteria. The findings can inform funders when examining and revising the criteria they use, and provide input to the broader debate about what criteria should be used.


2021 ◽  
Author(s):  
Choolwe Muzyamba ◽  
Ogylive Mphanza Makova ◽  
Geofrey Mushibi

Abstract Background: While lockdowns have become a gold standard response to the Covid-19 pandemic, debates on its usefulness still continue. There is currently good amount of research work originating from western countries on the usefulness of lockdowns, however, similar research is still missing in low income countries like Uganda which implemented stricter lockdowns. More importantly, not much is known about the views of the residents of Uganda for which such a measure was meant for. Despite the implementation of lockdowns, it is still not yet known how relevant residents of Uganda view the lockdown. Research has demonstrated that interventions are most successful when they resonate with the target population This study fills this identified gap by investigating the views and lived experiences of residents of Uganda with regards to the usefulness of the lockdown as a response to the prevention and control of COVID-19.Methods: This was a cross sectional survey using qualitative methods of data collection. Data will was collected from 1000 participants in the four regions of Uganda on the views and experiences on lockdown as a response to the prevention and control of COVID-19 crisis among residents of Uganda. Data collection was down through use of a Qualtrics Survey Tool. Thematic analysis with the help of the Social representation theory was then used to analyze the data. Findings: The study demonstrated that there was visible nuance in the manner in which the lockdown was characterized. On one hand it was seen as useful in slowing down the spread, protecting the fragile healthcare system and giving government enough time to learn about the novel virus and thus respond efficiently. On the other hand, our participants were critical of its devastative nature on the livelihoods of people. Particularly, the lockdown closed down economic survival opportunities for the most vulnerable in society, increased unemployment and poverty levels. The lockdown also contributed to worsening mental health conditions and simultaneously provided fertile ground for domestic abuse including sexual abuse especially among girls.Conclusion: Ultimately, our study questions the narrow view of branding the lockdown as unequivocally good or bad. It rather sheds light on the complexities of its effect on society in Uganda by pointing out its multicapillary-like consequences in society wherein it can, in various ways protect lives and at the same time destroy livelihoods. Our study thus highlights that responding to such complexities defies the logic of implementing the lockdown as a ‘one-size-fits-all magic bullet’, but rather that it must be contextualized, localized and appropriated to the realities of Uganda.


Author(s):  
Anahita Zakeri ◽  
Firouz Amani ◽  
Vahid Abbasi

Background: Burns after traffic accidents, falls and interpersonal violence are the fourth most commonly damaged worldwide. Annually more than 11 million people suffered to sever burns that most of them need for interventions and according WHO statistics, yearly more than 300000 people die from fire-related burns and most of them occurred in low income countries. The aim of this study was Epidemiological study of burns registered in Fatemi hospital in Ardabil, 2016.Methods: This cross-sectional descriptive study has been done on 200 burns registered in burn unit of Fatemi hospital in 2016. Information included age, sex, residence place (urban-rural), marital status, time and area of burn, percent and degree of burn, cause and mechanism of burn, hospitalized time and result of treatment completed by a checklist and analyzed by statistical methods in SPSS version 19.Results: Of all patients, 118 (59%) were male, 62.5% rural and 50% single. Most of burns occurred in age group less than 10 with 33%. The most common cause of burns was hot liquids with 51.5%. Most of cases had burn in degree 2 (71%) and 53.5% of cases hospitalized five days in hospital. 93.5% of patients improved and discharged.Conclusions: Results showed that most of burns in this study occurred in age group less than 10 year. So, that it is necessary to prevent these events in future by taking the necessary measures and control and prevention by families.


Author(s):  
Benjamin Roche ◽  
Hélène Broutin ◽  
Frédéric Simard

Through malaria elimination in Italy at the end of 19th century (when the epidemiological situation could be seen as similar to the one present in low-income countries today) and control strategies against Buruli ulcer and schistosomiasis in Africa, we have shown examples demonstrating that the translation of evolutionary ecology knowledge to infectious diseases control in low-income countries can be successful. These successes have reached different stages, from increasing our understanding of the whole infectious system dynamics toward implementation of innovative control strategies in the short term (Buruli ulcer), to improving transmission control by reducing abundance of host population (schistosomiasis in Senegal), as well as ensuring complete disease elimination locally, through a combination of massive reduction of vector populations at key periods and human-population protection and education (malaria in Italy)....


2008 ◽  
Vol 24 (04) ◽  
pp. 452-458 ◽  
Author(s):  
Mohammad Palesh ◽  
Sten Fredrikson ◽  
Hamidreza Jamshidi ◽  
Goran Tomson ◽  
Max Petzold

Objectives:Analysis of and understanding the utilization patterns of diagnostic imaging technologies is important for planning health systems especially in middle- and low-income countries. Almost all published studies have been focused on utilization trends or utilization rates of magnetic resonance imaging (MRI) over time and little has been published about utilization patterns of MRI. This study aims to identify and describe the utilization pattern of MRI in Iran.Methods:Data was collected from referrals and MRI reports of the population covered by one of the largest insurance organizations (Social Security Organization [SSO]) with more than 27 million beneficiaries in the Country. We focused on patients who had undergone an MRI examination during 1 month (October 13 to November 12), 2005. The data collected consisted of 1,656 referrals for MR imaging and 1,547 MRI reports.Results:No clear association was found between the number of referrals per 100,000 population and the number of MRI machines per 100,000 population (r = 0.30;p= .13). Neurosurgeons, orthopedists, and neurologists contributed to more than 88 percent of MRI utilization. The Spinal column (55 percent), brain (25.5 percent), and knee (11.0 percent) were the most common parts of the body scanned by MRI.Conclusions:Having identified some of the most frequent users of MRI technology, any plan for modifying or improving MRI use should focus mainly on these specialties. International evidence on using the technology for examining brain and spine indicate that MRI is mainly used in diagnosing the central nervous system (CNS) diseases.


2013 ◽  
Vol 32 (1) ◽  
pp. 249-261 ◽  
Author(s):  
J.J. MCDERMOTT ◽  
D. GRACE ◽  
J. ZINSSTAG

2012 ◽  
Vol 2 (3) ◽  
pp. 182-189 ◽  
Author(s):  
S. M. N. Uddin ◽  
V. S. Muhandiki ◽  
J. Fukuda ◽  
M. Nakamura ◽  
A. Sakai

A urine diversion dehydration toilet (UDDT) is a kind of toilet which can be used to recover resources such as nutrients and can also be an option to improve the sanitary situation in low income countries. A structured questionnaire survey, key informant interviews, participatory approaches such as focus group discussion (FGD) and mass gathering were carried out in Kenya to assess social acceptance and scope of scaling up of UDDTs. The results showed that almost all respondents among UDDT users and non-users have overcome social and cultural barriers to accept UDDTs. Most UDDT users were applying UDDT products as fertilizers on their farms. It is recommended to promote coordination and networking of local community based organizations in order to replicate UDDTs.


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