Scaling Up the Response to Infectious Diseases: A Way Out of Poverty
The following summary is an excerpt
It is not enough to have condoms at hand. It is not enough to have widespread knowledge about HIV/AIDS and how to prevent it. The knowledge has to be applied.
Only half the job is done in tackling diseases of poverty if we rest once effective health interventions are made available on a massive scale through upgraded and greatly expanded health service systems. We may bring superb health interventions to the very doorstep of those affected, but it is only with the adoption and maintenance of related healthy behaviours that will we be able to contain the ravages of the major infectious diseases.
The foundation for having people adopt healthy behaviour is knowledge, once the required health services or products are within reasonable reach. The World Bank's World Development Report 1998/1999: "Knowledge for Develop-ment", drew particular attention to the importance of knowledge acquisition in reducing poverty. Yet 50 years of public health experience resoundingly point to the inadequacy of such an approach if it ends there. What is central to adopting healthy behaviour is the application of knowledge in the complicated context of culture, social norms, and a variety of social influences.
In reality, knowing what to do is quite different from doing it. The health field abounds with examples of how "knowledge" in itself fails to prompt desired behavioural results. Increased awareness and education about healthy behaviour have notoriously been insufficient bases for individual or family action, though they are essential steps in the process towards practising healthy behaviour. Regrettably, an informed and educated individual is not necessarily a behaviourally responsive individual. It is only with strategic, people-centred, behaviourally-focused social mobilization and communication that health interventions will move from the shelves to people's daily lives. This needs to be given the same devoted attention that the private-sector has bestowed on what it calls consumer communication.
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