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Reproductive tract infections (RTis) have become a silent epidemic
that is devastating women's lives. Each year, thousands of women
die needlessly from the consequences of these infections, including
cervical cancer, ectopic pregnancy, acute and chronic infections of
the uterus and the fallopian tubes, and puerperal infections. For
many women, this happens because they receive medical attention too
late, if at all. The terrible irony of this tragedy is that early
diagnosis of and treatment for many RTis do not require
high-technology health care. For the hundreds of millions of women
with chronic RTis acquired from their sexual partners, life can
become a living hell. Infection is a major cause of infertility,
and it leads to scorn and rejection in many countries. These women
may experience constant pain, have festering lesions of the genital
tract, be at enhanced risk of second ary diseases, and endure
social ostracism. The problems associated with RT s have grown even
greater in the past decade with the emergence of human
immunodeficiency virus (HIV) and AIDS. Preexisting sexually
transmitted disease, particularly when associated with genital
tract ulcers, raises women's vulnerability to the transmission of
HIV 3-5 fold."
Reproductive tract infections (RTis) have become a silent epidemic
that is devastating women's lives. Each year, thousands of women
die needlessly from the consequences of these infections, including
cervical cancer, ectopic pregnancy, acute and chronic infections of
the uterus and the fallopian tubes, and puerperal infections. For
many women, this happens because they receive medical attention too
late, if at all. The terrible irony of this tragedy is that early
diagnosis of and treatment for many RTis do not require
high-technology health care. For the hundreds of millions of women
with chronic RTis acquired from their sexual partners, life can
become a living hell. Infection is a major cause of infertility,
and it leads to scorn and rejection in many countries. These women
may experience constant pain, have festering lesions of the genital
tract, be at enhanced risk of second ary diseases, and endure
social ostracism. The problems associated with RT s have grown even
greater in the past decade with the emergence of human
immunodeficiency virus (HIV) and AIDS. Preexisting sexually
transmitted disease, particularly when associated with genital
tract ulcers, raises women's vulnerability to the transmission of
HIV 3-5 fold."
Infectious diseases are the leading cause of death globally,
particularly among children and young adults. The spread of new
pathogens and the threat of antimicrobial resistance pose
particular challenges in combating these diseases. Major Infectious
Diseases identifies feasible, cost-effective packages of
interventions and strategies across delivery platforms to prevent
and treat HIV/AIDS, other sexually transmitted infections,
tuberculosis, malaria, adult febrile illness, viral hepatitis, and
neglected tropical diseases. The volume emphasises the need to
effectively address emerging antimicrobial resistance, strengthen
health systems, and increase access to care. The attainable goals
are to reduce incidence, develop innovative approaches, and
optimize existing tools in resource-constrained settings.
Academic global health programs are proliferating, and global
health partnerships between North American academic institutions
and institutions in low- and middle-income countries are steadily
increasing. This study employs surveys and key informant interviews
to examine global health partnerships, and it presents a framework
for success to guide the development of sustainable global health
programs and partnerships with measurable, defined impact.
Eighty-two North American academic institutions and 46
international partnering institutions participated in the survey.
Key informant interviews were conducted with global health leaders
at 15 North American academic institutions and 11 partnering
international institutions. Quantitative data were analyzed using
linear regression, and qualitative data were used in thematic
analyses. The surveys and interviews provide evidence of mutual
benefits resulting from these global health partnerships, as well
as areas for further development and improvement.
Infectious diseases are the leading cause of death globally,
particularly among children and young adults. The spread of new
pathogens and the threat of antimicrobial resistance pose
particular challenges in combating these diseases. Major Infectious
Diseases identifies feasible, cost-effective packages of
interventions and strategies across delivery platforms to prevent
and treat HIV/AIDS, other sexually transmitted infections,
tuberculosis, malaria, adult febrile illness, viral hepatitis, and
neglected tropical diseases. The volume emphasises the need to
effectively address emerging antimicrobial resistance, strengthen
health systems, and increase access to care. The attainable goals
are to reduce incidence, develop innovative approaches, and
optimize existing tools in resource-constrained settings.
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