Chapter 13 Book Notes

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University of Toronto Scarborough
International Development Studies
Anne- Emanuelle Birn

IDSB04 - Ch.13 Disease control as international health Smallpox eradication Malaria eradication failed Lessons learned plus favorable conditions helped in smallpox eradication effort o Long experience with smallpox control o Lack of non-human animal host o Availability of effective vaccine o Global campaign strategically divided into tree comprehensive phases: attack, consolidation, maintenance. o Despite limited financial support, plenty of institutional and scientific support, but Very expensive for developing countries (although savings after eradication) Issues of coercion and divisions over approach and type of vaccine used What about other health issues that may have been more pressing? Child survival campaigns UNICEF proposed to vanquish common infections of early childhood using simple medical technologies GOBI: Growth monitoring, Oral hydration therapy, breast feeding, and immunization against six childhood diseases (TB< diphtheria, whooping cough, tetanus, polio, and measles) GOBI-FFF: Above plus family planning, female education, and food supplementation Limitation included: o Ritualistic growth monitoring wo addressing reason for poor nutrition o Oral rehydration wo addressing reason for childhood diarrhea o Centrally controlled, top-down immunization programs o Limited focus on individual behavior change Outcomes: reduced child mortality? - not really child mortality declines started well b4 the start of UNICEFs child survival campaign Box 13-1 *Scaling Up: taking a proj from pilot to broad application. o a program is tested out in a local district and when the obstacles are ironed out it is applied to an entire province or country. bottom up model concept fails to take into account the larger societal envir in which programs are operating term implies a narrow & precarious form of social service deliver. -more politically contextualized metaphor might be building stairs, bridges, & foundations implying that the programs are protected, solid, & connected to the larger community (ex; a national public social welfare sys) **Limitations of the single disease campaigns
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