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Disseminated Paracoccidioidomycosis
Authors:Pamela J. Hooper  Kathryn L. Zoerhoff  Dominique Kyelem  Brian Chu  Rebecca Mann Flueckiger  Sanoussi Bamani  Windtaré Roland Bougma  Fiona Fleming  Ambrose Onapa  Alain Brice Paré   Scott Torres  Mamadou Oumar Traore  Marjon Tuinsma  Mary Linehan  Margaret Baker
Affiliation:Infectious Diseases Section, Internal Medicine Department, University of Antioquia Medical School, and Fundacion Antioqueña de Infectologia, Medellin, Colombia
Abstract:When the U.S. Agency for International Development (USAID) began to support national programs integrating their neglected tropical disease (NTD) program activities, the expected impact on individual disease-specific programs was unclear, particularly with respect to program financing and coverage. To assess this impact, data were collected by NTD program managers and their non-governmental organization (NGO) partners in Burkina Faso, Mali, and Uganda from 2 years prior and 2 years after their individual programs received funding for an integrated NTD program. Findings show that these countries experienced some increases in overall funding available for integrated NTD programs, an expansion of geographical coverage and of the number of persons treated, and the addition of treatments targeted at new diseases. What is not clear is whether these achievements can be sustained if there are decreases in external support in the future. Seeking increased government commitment or sustained external donor support should be a top priority.
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