Whether global health interventions target diseases (vertical), systems (horizontal) or both (diagonal), they must address the challenge of delivering services in very remote areas of poor countries with inadequate infrastructure. The primacy of this challenge has been underscored by persistent service-delivery difficulties despite several large financial commitments - the latest, US $363 million in the January 2012 London Declaration. Community-driven approaches, pioneered in river blindness control, show that engaging communities can maximise access and performance. This experience should inform a paradigm shift in disease control whereby communities are empowered to extend health service access themselves.
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Center for Biomedical Engineering, School of Engineering, Brown University, Providence, RI 02912, USA. Electronic address:
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View Article and Find Full Text PDFCommunity health promotion and disaster recovery: a PhotoVoice project in Comerío, Puerto Rico.
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Department of Urban & Regional Planning, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL, USA.
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