Now in its second edition, the Disease Control Priorities in Developing Countries (DCP2) gathers the work of more than 350 specialists into one volume on the strategies, successes, and systems of health care intervention. In this presentation on September 12, 2006, sponsored by the World Bank InfoShop, experts in the field discussed the book’s recommendations and the future of disease control. The session was chaired by Jacques Baudouy, Director of Health, Nutrition, and Population for the World Bank at the Bank’s headquarters in Washington, DC.
Dean Jamison, Professor of Health Economics for the University of California–San Francisco, gave a brief overview of the Disease Control Priorities project. He discussed the main messages of the book, including the remarkable and accelerating success of disease control in the past, particularly among very young children and infants. Jamison asked why income mortality interventions can be so different in different countries, and tied it to good practices in the design and implementation of the intervention.
Anne Mills, Professor of Health Economics and Policy for the London School of Hygiene and Tropical Medicine, summarized findings from the book on health systems, specifically regulation, organizational structures, and general management structures. She noted the need for better regulation of informal drug sectors, and addressed hidden costs in contractor-led health services. Mills also highlighted quality control, and suggested tightly integrating it into the health care system.
Nancy Padian, Professor at the University of California–San Francisco and author of the chapter on HIV/AIDS, commented on the prevention and treatment of HIV/AIDS in developing countries. She summarized common factors for successful programs, including sociocultural and epidemic considerations. She also profiled different care options and types of interventions that had been studied, and noted a desire for more research on transmission and treatment.
The audience asked the presenters about political economy, country focus, and resource allocation over time. Kathy Cahill, Director of Health Advocacy for the Gates Foundation, elaborated on their support for the DCP program. David Evans, Director for Health Systems Financing at the World Health Organization, commented on the efforts for financing and universal coverage and the influence of the DCP publication. Finally, Fariyal Fikree, Head of Communications for the Population Reference Bureau, discussed training and media roles for health interventions using a tobacco-related illness in Kenya as an example.
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