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Lancet. 2007 Sep 22; 370(9592):1013-1015.Although substantial progress has been made in addressing the burden of communicable and vaccine-preventable diseases in low-income and middle-income countries, the burden of diseases that are surgically treatable is increasing and has been neglected. Both morbidity and mortality from surgically preventable (eg, elective hernia repair) or treatable (eg, strangulated hernia) disorders can be greatly decreased through simple surgical interventions. Why should a child die from appendicitis, or a mother and child succumb to obstructed labour, when simple surgical procedures can save their lives? Why should patients suffer permanent disability because of congenital abnormalities, fractures, burns, or the sequelae of acute infections such as septic arthritis or osteomyelitis? Many complications of HIV infection (eg, abscesses, fistulas, Kaposi sarcoma) are also amenable to simple surgical interventions. Available epidemiological information and experiential evidence lend support to the conclusion that basic surgical and anaesthetic services should be integrated into primary health-care packages. (excerpt)
Monitoring development progress: data collection needs and challenges. Background paper for the Fifth Asian and Pacific Population Conference, Senior Officials Segment, 11-14 December 2002, Bangkok.
Bangkok, Thailand, ESCAP, 2002 Nov 26. 9 p. (PRUDD/SAPPC/INF.9)Population-based data and indicators are crucial for national and sub-national policies and plans, for development frameworks, such as the United Nations' Common Country Assessment (CCAs) and the Poverty Reduction Strategies Papers (PRSPs), for national and global tracking of progress towards the Millennium Development Goals (MDGs) derived from the global United Nations conferences and summits of the 1990s, for results based management, as well as for evidence based policy dialogue. The increased demand for indicators to measure development progress, has heightened national and international awareness of the need to build sustainable statistical capacity for the collection of timely and relevant statistics for policy formulation and programme management. The ability to provide timely indicators to measure development progress requires several data collection sources and instruments, as well as a well-resourced national statistical system. This paper reviews the data needs for monitoring development progress. (excerpt)