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Sub-Saharan Africa
More than 700 million people live in SSA, the region with the world’s highest population growth, infant mortality, and adult mortality rates. SSA is the only region with a lower life expectancy today than in 1980, due largely to the HIV/AIDS pandemic. The region is the world’s most poverty stricken: since 1990, the percentage of people who live on less than $1 a day has increased to nearly 50%.
Some improvements have been achieved: poverty rates have decreased in Ghana, Uganda, and Cameroon; in many countries, primary education enrollment is up, pressuring governments to expand secondary educational systems.
Some improvements have been achieved: poverty rates have decreased in Ghana, Uganda, and Cameroon; in many countries, primary education enrollment is up, pressuring governments to expand secondary educational systems.
Publications
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to view chapters and sections
Disease Control Priorities in Developing Countries (2nd Edition)
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1. Investing in Health
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2. Intervention Cost–Effectiveness: Overview of Main Messages
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3. Strengthening Health Systems
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4. Priorities for Global Research and Development of Interventions
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7. Economic Approaches to Valuing Global Health Research
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8. Improving the Health of Populations: Lessons of Experience
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9. Millennium Development Goals for Health: What Will It Take to Accelerate Progress?
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10. Gender Differentials in Health
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11. Fiscal Policies for Health Promotion and Disease Prevention
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12. Financing Health Systems in the 21st Century
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13. Recent Trends and Innovations in Development Assistance for Health
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14. Ethical Issues in Resource Allocation, Research, and New Product Development
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15. Cost–Effectiveness Analysis for Priority Setting
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16. Tuberculosis
- Alternative and Complementary Approaches to the Diagnosis and Treatment of Active Disease
- Conclusions
- Cost-Effectiveness of Interventions against Tuberculosis
- Cost-Effectiveness of Managing Tuberculosis Outbreaks
- Epidemiological Burden and Trends
- Interventions against Tuberculosis
- Summary of Cost-Effectiveness Analyses
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17. Sexually Transmitted Infections
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18. HIV/AIDS Prevention and Treatment
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19. Diarrheal Diseases
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20. Vaccine–Preventable Diseases
- Causes and Epidemiology of Diseases Prevented by Vaccines Used in National Immunization Programs
- Conclusions
- Cost-Effectiveness of Increasing Immunization Coverage for the Traditional EPI
- Costs and Cost-Effectiveness of Adding New Antigens to the Current Immunization Schedule
- Costs and Cost-Effectiveness of Existing Vaccination Programs
- Estimates of the Current Burden of Vaccine-Preventable Diseases and of the Burden Averted by Vaccination
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21. Conquering Malaria
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22. Tropical Diseases Targeted for Elimination: Chagas Disease, Lymphatic Filariasis, Onchocerciasis, and Leprosy
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23. Tropical Diseases Lacking Adequate Control Measures: Dengue, Leishmaniasis, and African Trypanosomiasis
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24. Helminth Infections: Soil–Transmitted Helminth Infections and Schistosomiasis
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25. Acute Respiratory Infections in Children
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26. Maternal and Perinatal Conditions
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27. Newborn Survival
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28. Stunting, Wasting, and Micronutrient Deficiency Disorders
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29. Health Service Interventions for Cancer Control in Developing Countries
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31. Mental Disorders
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32. Neurological Disorders
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33. Cardiovascular Disease
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34. Inherited Disorders of Hemoglobin
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35. Respiratory Diseases of Adults
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36. Diseases of the Kidney and the Urinary System
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37. Skin Diseases
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38. Oral and Craniofacial Diseases and Disorders
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39. Unintentional Injuries
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40. Interpersonal Violence
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41. Water Supply, Sanitation, and Hygiene Promotion
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42. Indoor Air Pollution
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44. Prevention of Chronic Disease by Means of Diet and Lifestyle Changes
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45. The Growing Burden of Risk from High Blood Pressure, Cholesterol, and Bodyweight
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46. Tobacco Addiction
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47. Alcohol
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48. Illicit Opiate Abuse
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49. Learning and Developmental Disabilities
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50. Loss of Vision and Hearing
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51. Cost–Effectiveness of Interventions for Musculoskeletal Conditions
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52. Pain Control for People with Cancer and AIDS
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53. Public Health Surveillance: A Tool for Targeting and Monitoring Intervention
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54. Information to Improve Decision Making for Health
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55. Drug Resistance
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56. Community Health and Nutrition Programs
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57. Contraception
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58. School–Based Health and Nutrition Programs
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59. Adolescent Health Programs
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60. Occupational Health
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62. Control and Eradication
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63. Integrated Management of the Sick Child
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64. General Primary Care
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65. The District Hospital
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66. Referral Hospitals
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67. Surgery
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68. Emergency Medical Services
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69. Complementary and Alternative Medicine
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70. Improving the Quality of Care in Developing Countries
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71. Health Workers: Building and Motivating the Workforce
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72. Ensuring Supplies of Appropriate Drugs and Vaccines
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73. Strategic Management of Clinical Services
Global Burden of Disease and Risk Factors
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1. Measuring the Global Burden of Disease and Risk Factors, 1990—2001
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2. Demographic and Epidemiological Characteristics of Major Regions, 1990—2001
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3. The Burden of Disease and Mortality by Condition: Data, Methods, and Results for 2001
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5. Sensitivity and Uncertainty Analyses for Burden of Disease and Risk Factor Estimates
- 6. Incorporating Deaths Near the Time of Birth into Estimates of the Global Burden of Disease
Priorities in Health
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1. Accomplishments, Challenges, and Priorities
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2. Success in Addressing Priorities
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3. Cost–Effectiveness Analysis
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4. Cost–Effective Strategies for the Excess Burden of Disease in Developing Countries
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5. Cost–Effective Strategies for Noncommunicable Diseases, Risk Factors, and Behaviors
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6. Providing Interventions
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7. Pillars of the Health System
Chapter Presentations
Chapter 01. Investing in Health
- Changes in Life Expectancy, 1960-2002, By World Bank Region
- Rate of Change in Life Expectancy, 1960-2002, By World Bank Region
- Under-Five Deaths from AIDS, Malaria, and Other Causes, Sub-Saharan Africa
Chapter 02. Intervention Cost-Effectiveness: Overview of Main Messages
- Cost-effectiveness of Interventions for Malaria in Sub-Saharan Africa
- Neglected Low-Cost Opportunities in Sub-Saharan Africa: Cardiovascular Disease
- Neglected Low-Cost Opportunities in Sub-Saharan Africa: HIV/AIDS and Maternal and Neonatal Care
- Neglected Low-Cost Opportunities in Sub-Saharan Africa: Traffic Accidents, Surgical Services, and Emergency Care
- Neglected Low-Cost Opportunities in Sub-Saharan Africa: Childhood Immunization, Malaria, and Childhood Illnesses
Chapter 04. Priorities for Global Research and Development of Interventions
- Leading Causes of Disease Burden, by Select World Bank Region, 2001
- Disease Burden Distribution, by Select World Bank Region, 2001
Chapter 20. Vaccine-Preventable Diseases
- Cost per Deaths and Disability Adjusted Life Years Averted by Vaccination, 2001
- Deaths Averted by Vaccination for Hib and Hepatitis B, 2001
- Deaths Averted by Vaccination for Measles and Yellow Fever, 2001
- Annual Cost per Fully Immunized Child for the Traditional Childhood Vaccines, By Region, 2001
- Deaths Averted by Vaccination for Diphtheria and Whooping Cough, 2001
- Deaths Averted by Vaccination for Tetanus and Polio, 2001
Chapter 10. Gender Differentials in Health
- Gender Ratio of Conditions that Affect Women Disproportionately, 2001
- Percentage of DALYs Resulting from Selected Conditions Specific to Women, 2001
- Burden of Disease, By Gender and Region, 2001
- Gender Ratio of Conditions that Affect Women Disproportionately, 2001
Chapter 28. Stunting, Wasting, and Micronutrient Deficiency Disorders
- Vitamin A Deficiency Among Children Under Age Five, By Region
- Zinc Deficiency Among Children Under Age Five, By Region
- Iron Deficiency Anemia Among Children Under Age Five, By Region
- Percent of Underweight Children Under Age Five, By Region
- Childhood Deaths and DALYs Attributable to Being Underweight, By Region
- Iodine Deficiency Among Children Under Age Five, By Region
Chapter 26. Maternal and Perinatal Conditions
- Estimates of Maternal Mortality, By Region, 2000
- Cost-effectiveness of Interventions for Maternal and Perinatal Conditions
- DALYs for Maternal and Early Neonatal* Conditions, Selected Regions, 2001
- Deaths in the First Week of Life, Selected Regions, 2001
Chapter 31. Mental Disorders
- DALYs Averted by a Mental Health Care Package, By Region
- Disease Burden of Selected Major Psychiatric Disorders, By Region, 2001
- Costs of a Mental Health Care Package, By Region
- Cost-effectiveness of a Mental Health Care Package, By Region
Chapter 21. Conquering Malaria
Chapter 33. Cardiovascular Disease
- Cost-effectiveness of Medical Therapy for Coronary Heart Disease, By Region
- Cardiovascular Events and Deaths Preventable By Medical Therapy
- Cost-effectiveness of Medical Therapy for Heart Attacks, By Region
Chapter 27. Newborn Survival
- Universal Scale-up of Newborn Care
- Cost of Adding Newborn Care Packages to Maternal and Child Health Services
Chapter 59. Adolescent Health Programs
- Young People Ages 20-24 Who Were Married Before Age 20, By Gender
- Young Sexually Active Women Using Contraception, By Age Group
- Young Sexually Active Women Using Contraception, By Age Group
Chapter 47. Alcohol
- Prevalence of High-Risk Drinking, By Gender, Age, and Region, 2000
- DALYs Lost Due to High-Risk Drinking, By Disease Category and Region, 2001
- Estimated Impact of Interventions to Reduce High-Risk Drinking in Europe and Central Asia, Latin America and the Caribbean, and Sub-Saharan Africa
- Estimated Cost-effectiveness of Interventions to Reduce High-Risk Drinking in Europe and Central Asia, Latin America and the Caribbean, and Sub-Saharan Africa
Chapter 68. Emergency Medical Services
- Estimated Cost-effectiveness of Combined Use of Trained Lay First Responders and Paramedics
- Estimated Cost-effectiveness of Staffed Community Ambulances in Urban Areas
- Estimated Cost-effectiveness of Staffed Community Ambulances in Rural Areas
Chapter 44. Prevention of Chronic Disease by Means of Diet and Lifestyle Changes
- Incremental Cost-effectiveness of Reducing Salt Content by Legislation and Public Education
- Incremental Cost-effectiveness of Reducing Saturated Fat Content
- Incremental Cost-effectiveness of Reducing Trans Fat
Chapter 30. Diabetes: The Pandemic and Potential Solutions
- Estimated Direct Medical Costs of Diabetes, By Region, 2003
- Estimated Diabetes Deaths and DALYs Lost Among People Ages 20 to 79, By Region, 2001
- Estimated Number of People Ages 20 to 79 with Diabetes, By Region, 2003 and 2025
Chapter 39. Unintentional Injuries
- Estimated Cost-effectiveness of Interventions Enforcing Traffic Regulations
- Estimated Cost-effectiveness of Installing Speed Bumps at Lethal Intersections
Chapter 45. The Growing Burden of Risk from High Blood Pressure, Cholesterol, and Bodyweight
- Cost-effectiveness of Interventions for Cardiovascular Disease in Africa*
- Estimates of Cost-effectiveness of a Polypill for Cardiovascular Disease, By Region
Chapter 46. Tobacco Addiction
- Estimated Cost-effectiveness of Selected Tobacco Interventions, By Region
- Global Tobacco Deaths and DALYs Lost, By Gender and Region, 2000
- Estimated Prevalence of Smoking Among People Ages 15 and Older, By Gender, 2000
- Regional Distribution of Smokers Ages 15 and Older, 2000
Chapter 60. Occupational Health
Chapter 67. Surgery
- Estimated Annual Costs Attributable to Surgical Patients in a Community Clinic and District Hospital
Chapter 65. The District Hospital
Chapter 57. Contraception
- Average Cost of Family Planning Services per Infant and Maternal Death Averted
- Total Potential Demand for Family Planning in Selected Countries
- Average Cost of Family Planning Services per Birth Averted and per DALY Averted
- Maternal Burden of Disease Associated with Unwanted Pregnancy and Unsafe Abortion
Chapter 29. Health Service Interventions for Cancer Control in Developing Countries
Conference and Workshop Presentations
- Apr 2006, Assessing The Global Burden of Risk Factors: History And Results For 2001 , Beijing, China (PDF | 211.0k)
- Jun 2008, Closing the Funding Gap using Domestic Financing Mechanisms, Juba, Southern Sudan (PDF | 138.7k)
- Jun 2008, Conquering Malaria, Juba, Southern Sudan (PDF | 74.0k)
- Jul 2006, Control of Non-Communicable Diseases In Sub-Saharan Africa , Arusha, Tanzania (PDF | 385.5k)
- Dec 2007, Cost Effectiveness of Injury Control in Low Income Countries, Washington, DC, USA (PDF | 320.0k)
- Jun 2008, Cross-sectoral School-Based Health Programs, Washington, DC, USA (PDF | 374.2k)
- Nov 2007, Defining and Defeating the Intolerable Burden of Malaria, Dakar, Senegal (PDF | 3.4MB)
- Jun 2008, Financing of Health Care in Low in Income Countries (LICs): Addressing the Funding Gap in Southern Sudan, Juba, Southern Sudan (PDF | 83.0k)
- May 2006, Improving The Quality of Care In Developing Countries , Washington, DC, USA (PDF | 150.1k)
- Jun 2007, Malaria and its Impact on Maternal, Perinatal, and Child Health, Accra, Ghana (PDF | 618.1k)
- Jul 2006, Malaria: The Peril And The Promise, Arusha, Tanzania (PDF | 892.3k)
- Jun 2008, Mental Health Programming for Low Income Countries, Juba, Southern Sudan (PDF | 180.8k)
- May 2007, New evidence for conquering malaria: Operations, Costs and Cost-Effectiveness, Washington, DC, USA (PDF | 220.5k)
- Jun 2007, Newborn Health and Survival: Delivering the Future, Accra, Ghana (PDF | 1.7MB)
- Jul 2006, Newborn Survival: Overview of Main Messages, Arusha, Tanzania (PDF | 114.6k)
- Jun 2007, Overcoming Challenges of Reproductive Health: The Case For Family Planning, Accra, Ghana (PDF | 319.6k)
- Sep 2007, Prioritizing Cost-Effective Interventions While Strengthening Health Systems: Balancing Vertical And Horizontal Programs, Arusha, Tanzania (PDF | 400.5k)
- Jul 2006, Regional Burden of Disease and Risk Factors, Arusha, Tanzania (PDF | 246.2k)
- Sep 2008, Revitalizing Primary Health Care: Strengthening Health Systems, Arusha, Tanzania (PDF | 274.3k)
- Sep 2007, Surgery In District Hospitals , Arusha, Tanzania (PDF | 38.5k)
- Aug 2007, The How and Why of Cost-Effectiveness Analysis (CEA) in Disease Control Priorities in Developing Countries, Dar es Salaam, Tanzania (PDF | 672.6k)
- Nov 2006, The How and Why of Cost-Effectiveness Analysis (CEA) in Disease Control Priorities in Developing Countries, Washington, DC, USA (PDF | 494.4k)
- Jun 2008, Tuberculosis Disease and Cost Effective Control Strategies In Resource Poor Countries, Juba, Southern Sudan (PDF | 6.1MB)
News & Events
News
Events
- Sep 4, 2007: 1st Regional Forum on Best Practices in Health Care and Directors Joint Consultative Committee Meeting
- Feb 25, 2008: 46th Annual East, Central, and Southern African Health Ministers' Conference
- Apr 27, 2009: CODIST Pre-Conference Workshop
- Jul 24, 2006: Directors' Joint Consultative Committee
- Mar 14, 2007: East, Central and Southern African Health Community Health Ministers' Conference
- Jun 20, 2007: High Level Consultative Meeting on Sub-Regional Strategy for the Reduction of Maternal and Perinatal Mortality and Morbidity in ECOWAS States
- May 1, 2008: Johns Hopkins Population Center and the Population Reference Bureau's Annual Symposium on Policy and Health | Controlling HIV in Africa - Behavior, Biology, or Both?
- Jan 7, 2009: Santénet Project Close-Out Event
Resources
Related Analysis
- Alcohol, Addiction, and Public Health (PDF | 593.7k)
- An International Review of the Economic Costs of Mental Illness (PDF | 136.3k)
- At Least One-Third of Poor Countries - Disease Burden Is Due To Malnutrition (PDF | 4.3MB)
- Bellagio Report - Conference on Increasing Access to Surgical Services in Resource-Constrained Settings in Sub-Saharan Africa (PDF | 60.7k)
- Comparing Quality in Disparate Settings Using Vignettes to Control for Case-Mix Variation (PDF | 428.1k)
- Controlling onchocerciasis in sub-Saharan Africa
- Cost-Effectiveness of a Pediatric Dengue Vaccine (PDF | 252.3k)
- DCP2 Tuberculosis Supplementary Material (Chapter 16 Annex) (PDF | 564.2k)
- Deaths and Disease Burden by Cause: Global Burden of Disease Estimates for 2001 by World Bank Country Groups (PDF | 1.7MB)
- Disease and Mortality in Sub-Saharan Africa, Second Edition (PDF | 5.1MB)
- Do Malaria Control Interventions Reach the Poor?: A View Through the Equity Lens (PDF | 1.5MB)
- Economics of Malaria Resistance and the Optimal Use of Artemisinin-Based Combination Treatments (ACTs) (PDF | 1.6MB)
- Eliminating measles in southern Africa
- Eradicating smallpox
- Feasibility of Scaling-up Interventions: The Role of Intervention Design (PDF | 744.1k)
- Health's Contribution to Economic Growth in an Environment of Partially Endogenous Technical Progress (PDF | 370.0k)
- Health-seeking behaviour and the health system response (PDF | 524.2k)
- Investing in Global Health "Best Buys" and Priorities for Action in Developing Countries (PPT | 463.5k)
- Mental Health and Labor Markets Productivity Loss and Restoration (PDF | 664.5k)
- Modeling the Cost Effectiveness of Injury Interventions in Lower and Middle Income Countries: Opportunities and Challenges (PDF | 501.7k)
- New Perspectives on the Causes and Potential Costs of Malaria: The Growth and Development of Children. What Should We be Measuring and How Should We be Measuring It? (PDF | 1.8MB)
- Optimal Disease Eradication (PDF | 598.7k)
- Organisational Relationships and the "Software" of Health Sector Reform (PDF | 394.4k)
- Preventing Hib disease in Chile and The Gambia.
- Progress in the Development of a Recombinant Vaccine for Human Hookworm Disease: The Human Hookworm Vaccine Initiative (PDF | 403.6k)
- Public Management and the Essential Public Health Functions (PDF | 312.3k)
- Reducing guinea worm in Asia and sub-Saharan Africa
- Science and Technology for Disease Control: Past, Present, and Future (PDF | 280.5k)
- Soil Transmitted Helminth Infections: The Nature, Causes and Burden of the Condition (PDF | 3.6MB)
- Soil-Transmitted Helminthic Infections: Updating the Global Picture (PDF | 678.6k)
- Suicide and Suicide Prevention in Developing Countries (PDF | 241.6k)
- The Cost-Effectiveness of Primary Care Services in Developing Countries: A Review of the International Literature (PDF | 382.2k)
- The economic burden of illness for households: A review of cost of illness and coping strategy studies focusing on malaria, tuberculosis and HIV/AIDS (PDF | 771.9k)
- The Global Burden of Disease Due to Schistosomiasis (PDF | 346.6k)
- The Intolerable Burden Of Malaria: What's New, What's Needed
- The Public Health Burden of Plasmodium falciparum Malaria in Africa: Deriving the Numbers (PDF | 5.9MB)
- Undernutrition as an underlying cause of malaria morbidity and mortality (PDF | 340.7k)
- Unit Costs of Health Care Inputs in Low and Middle Income Regions (PDF | 1.2MB)
- Vaccine Preventable Diseases Still Take Toll in the Developing World
- Water Supply, Sanitation, and Hygiene Promotion (PDF | 506.3k)
- Why Has Infant Mortality Decreased at Such Different Rates in Different Countries? (PDF | 413.5k)
Fact Sheets
- Achieving the Millennium Development Goals for Health (PDF | 473.4k)
- Adolescent Health (PDF | 671.3k)
- Atteindre les objectifs du Millénaire pour le développement pour la Santé : (PDF | 286.4k)
- Cardiovascular Disease (PDF | 470.6k)
- Complementary and Alternative Medicine May Reduce Risk of Some Diseases (PDF | 285.8k)
- Controlling Cancer in Developing Countries (PDF | 336.9k)
- Desempeño del sistema de salud en los países en desarrollo (PDF | 498.4k)
- Eliminating Malnutrition Could Reduce Poor Countries' Disease Burden by One-Third (PDF | 305.7k)
- Enfermedades no transmisibles (PDF | 517.4k)
- Financing Health Systems (PDF | 1.1MB)
- Finding the Best Health Buys (PDF | 655.1k)
- Health System Performance in Developing Countries (PDF | 449.4k)
- HIV and AIDS (PDF | 483.2k)
- How to Reduce Indoor Air Pollution Through Cost-Effective Solutions (PDF | 292.6k)
- Infectious Diseases (PDF | 877.2k)
- Injuries and Violence (PDF | 667.7k)
- La mortalité maternelle (PDF | 280.8k)
- La santé de l?enfant (PDF | 708.4k)
- La santé des nouveau-nés (PDF | 405.9k)
- Le paludisme (PDF | 414.3k)
- Le VIH et le sida (PDF | 420.3k)
- Malaria (PDF | 468.9k)
- Maternal Deaths (PDF | 995.4k)
- Musculoskeletal Conditions are the Most Common Cause of Chronic Disability (PDF | 282.4k)
- Natural Disasters: Coping with the Health Impact (PDF | 284.0k)
- Newborn Health (PDF | 472.8k)
- Noncommunicable Diseases on the Rise in East, Central, and Southern Africa (PDF | 1.1MB)
- Pourquoi la contraception est un bon investissement (PDF | 435.5k)
- Primary Health Care (PDF | 311.5k)
- The Critical Role of District Hospitals (PDF | 292.2k)
- Tobacco Addiction (PDF | 468.2k)
- Tuberculosis (PDF | 481.2k)
- VIH y Sida (PDF | 452.3k)
- Want Value for Money? Invest in Information (PDF | 305.7k)
- Water, Sanitation, and Hygiene (PDF | 372.9k)
- Why Contraception is a Best Buy (PDF | 268.5k)
Countries
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