A MESSAGE FROM THE SPECIAL AMBASSADOR |
From Vertical to Horizontal |
Myanmar achieved the elimination of leprosy in January 2003.
What were the keys to this success? First and foremost was
political will: the unshakable leadership required to win the
struggle. Another vital key was the integration of the elimination
activities into basic health services at an early stage, beginning
in the early sixties. An expansion of the scope of elimination
work to include not only leprosy specialists but also ordinary
health workers, such as midwives and health volunteers, has
enabled the participation of a wide range of people in the
community.
I am convinced that Myanmar represents an exemplary
way of conquering leprosy. The country has gone from solely
entrusting things to a vertical structure of professional
organizations and specialists, to a horizontal structure that
encompasses general health workers, a wide network of NGOs,
and media personalities. These groups have helped to promote
an awareness among the people that leprosy is curable and no
longer a fearful disease. This has in turn enabled effective
medical treatment to reach fully into society. This integration
has been highly instrumental in Myanmar's success. I believe it
is an excellent example for other regions still fighting leprosy.
In my opinion, the shift from vertical to horizontal - a
shift from an exclusive approach to a universally integrated
approach - is essential. This shift allows a comprehensive
network of organizations and individuals to be involved and
becomes a significant force when imbued with the goal of not
only bringing down the prevalence rate, but also eliminating
the stigma associated with the disease. As I see it, the integration
of health services and the integration of diverse groups into
awareness-building campaigns are vital for successful
elimination. |
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