Comparing priority received by global health issues: a measurement framework applied to tuberculosis, malaria, diarrhoeal diseases and dengue fever

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dc.contributor.authorParashar, Rakeshen
dc.contributor.authorNanda, Sharmishthaen
dc.contributor.authorSmith, Stephanie L.en
dc.contributor.authorShroff, Zubinen
dc.contributor.authorShawar, Yusra R.en
dc.contributor.authorHamunakwadi, Dereck L.en
dc.contributor.authorShiffman, Jeremyen
dc.date.accessioned2025-01-27T18:10:16Zen
dc.date.available2025-01-27T18:10:16Zen
dc.date.issued2024-07-08en
dc.description.abstractIntroduction: The relative priority received by issues in global health agendas is subjected to impressionistic claims in the absence of objective methods of assessment of priority. To build an approach for conducting structured assessments of comparative priority health issues receive, we expand the public arenas model (2021) and offer a framework for future assessments of health issue priority in global and national health agendas. Methods: We aimed to develop a more comprehensive set of measures for conducting multiyear priority comparisons of health issues in six agenda-setting arenas by identifying possible measures and data sources, selecting indicators based on feasibility and comparability of measures and gathering the data on selected indicators. We applied these measures to four communicable diseases - tuberculosis (TB), malaria, diarrhoeal diseases and dengue fever - given their differing impressionistic claims of priority. Where possible, we analysed the annual and/or 5-year trends from 2000 through 2022. Results: We observed that TB and malaria received the highest priority for most periods in the past two decades in most arenas. However, a stagnation in development funding for these two conditions over the last 8-10 years may have fuelled the neglect claims. Despite having a higher disease burden, diarrhoea has been slipping in global priority with reduced spending, fewer clinical trials and stagnating publications. Dengue remains a low-priority condition but has witnessed a sharp rise in attention from the pharmaceutical industry. Discussions: We expanded the arenas model by including a transnational arena (international representation) and additional measurements for various arenas. This analysis presents an approach to enable comparative trend analysis of the markers of agenda status over a multiyear period. More such analyses can bring much-desired objectivity in understanding how attention to global or national health issues changes over time in different arenas, potentiating a more equitable allocation of resources.en
dc.description.versionPublished versionen
dc.format.extent11 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifierARTN e014884 (Article number)en
dc.identifier.doihttps://doi.org/10.1136/bmjgh-2023-014884en
dc.identifier.eissn2059-7908en
dc.identifier.issn2059-7908en
dc.identifier.issue7en
dc.identifier.orcidSmith, Stephanie [0000-0003-2987-6252]en
dc.identifier.otherPMC11256119en
dc.identifier.otherbmjgh-2023-014884 (PII)en
dc.identifier.pmid38977402en
dc.identifier.urihttps://hdl.handle.net/10919/124393en
dc.identifier.volume9en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/38977402en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectHealth policyen
dc.subjectHealth systemsen
dc.subjectTuberculosisen
dc.subjectMalariaen
dc.subject.meshHumansen
dc.subject.meshTuberculosisen
dc.subject.meshDengueen
dc.subject.meshMalariaen
dc.subject.meshDiarrheaen
dc.subject.meshHealth Prioritiesen
dc.subject.meshGlobal Healthen
dc.titleComparing priority received by global health issues: a measurement framework applied to tuberculosis, malaria, diarrhoeal diseases and dengue feveren
dc.title.serialBMJ Global Healthen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dc.type.otherJournalen
dcterms.dateAccepted2024-06-06en
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/All T&R Facultyen
pubs.organisational-groupVirginia Tech/Liberal Arts and Human Sciencesen
pubs.organisational-groupVirginia Tech/Liberal Arts and Human Sciences/CLAHS T&R Facultyen
pubs.organisational-groupVirginia Tech/Liberal Arts and Human Sciences/School of Public and International Affairsen

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