174 · Representative Documents: RIIC-4MMDP
RIIC-4MMDP
Background
http://archive4limbcare.org/background.html
Background -Resources in Integrated Care (RIIC) for Morbidity Management and Disability Prevention (4MMDP)
http://archive4limbcare.org/background.html[11/26/13 11:25:18 AM]
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Background
Chronic diseases (heart, vascular, metabolic, immune system, musculoskeletal etc.) are currently the greatest
contributors to the global burden of disease because they affect such a large proportion of the population (WHO
2002).
Infectious, neglected tropical diseases (NTDs) are the most notoriously disabling diseases as a large percentage
of persons who contract them are chronically disabled even after successful treatment of the initial infection.
Low and middle-income countries currently bear 60%-80% of the chronic disease burden (WHO 2006) as well
as the greatest disability burden from the 17 known NTDs.
Lymphatic Filariasis, one of the NTDs, is the single leading cause of disability worldwide (Molyneux and Zagaria
2002). Following infection, an estimated 40 million people live with chronic disability.
Many of the impairments (morbidity), secondary complications and disability produced by NTDs can be
prevented by early identification of problems followed by appropriate actions including referral as needed
(Brantus 2009 Zeldenryk, Gordon et al. 2012).
Addressing morbidity and disability is a necessary part of a continuum of prevention, care and treatment for
individuals suffering from the consequences of disabling diseases and chronic conditions (WHO 2006).
Morbidity and disability often persist for a lifetime leading to significant hardships for the affected individual,
their families, and communities.
People suffering from chronic health issues must have access to continuing care and may require support
throughout their lives to properly manage their disease, and to prevent the progression or worsening of their
condition.
Global collaborative efforts to eliminate NTDs over the past decade have focused almost exclusively on
preventive chemotherapy through mass drug administration (MDA) while scaling-up interventions for
NTD‐related morbidity and disability lag far behind (Streit and LaFontant 2008).
Research shows the positive synergistic effect of community-based health education and basic care on efforts to
prevent and control NTDs (Cantey, Rout et al. 2010).
Basic care at the community level is strikingly similar across diseases (Geyer 2008 Brantus 2009)These
common issues provide opportunities for collaboration among stakeholders with technical expertise and
experience in morbidity management and disability prevention (MMDP).
The time is NOW for collaboration among stakeholders to reduce the global disease and disability burden
through integrated management of morbidity and disability prevention.
Collaboration is being promoted within the MMDP global community by sharing all forms of related materials
through Resources in Integrated Care for Morbidity Management and Disability Prevention,
http://www.riic4mmdp.org.
References
Brantus, P. (2009). "Ten years of managing the clinical manifestations and disabilities of lymphatic filariasis."
Ann Trop Med and Parasitology 103(S-1): 5-11.
Cantey, P., J. Rout, et al. (2010). "Increasing compliance with mass drug administration programs for lymphatic
filariasis in India through education and lymphedema management programs." PLoS Negl Trop Dis 4(6): e728.
Geyer, M. (2008). "Focus on Footwear: An International Workshop on Integrated Treatment for Elephantiasis,
Leprosy and the Diabetic Foot." HPA Resources: Journal of the APTA Section on Health Policy and
Administration(December).
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