uhc with equity

7/26/2019 UHC With Equity

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Universal healthcoverage with equity:what we know, dont knowand need to know

Patricia Frenz1,

Jeanette Vega2

Background paper for the global symposium

on health systems research

16-19 november 2010 montreux, switzerland

1. Assistant Professor of Public Health, School of Public Health, Faculty of Medicine,

Universidad de Chile. E-mail: [email protected]. Director of the Center of Epidemiology and Public Health Policy, Faculty of Medicine,

Universidad del Desarrollo de Chile and former Vice Minister of Health. E-mail: [email protected]


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HSR/BCKGRT/9/2010

This is a background paper for the First Global Symposium on Health Systems Research held 16-19 November, 2010, in

Montreux, Switzerland. The goal of this paper is to initiate a dialogue on the critical issues in health systems research.

The opinions expressed in these papers are those of the authors and do not necessarily reect those of the symposium

organizers.

All papers are available at the symposium website at www.hsr-symposium.org

The symposium is organized by:

World Health Organization (WHO)

Special Programme for Research and Training in Tropical

Diseases (TDR)

Alliance for Health Policy and Systems Research Special Programme of Research, Development and Re-

search Training in Human Reproduction (HRP)

Global Forum for Health Research

The following organizations are sponsors of this event:

China Medical Board (CMS)

Doris Duke Charitable Foundation (DDCF)

European Union (EU)

Federal Ofce of Public Health (FOPH), Federal Depart-

ment of Home Affairs (DHA), Switzerland

GAVI Alliance German Federal Ministry for Economic Cooperation and

Development (GTZ)

Global Fund to Fight AIDS, Tuberculosis and

Malaria (GFATM)

Global Health Research Initiative (GHRI)

The International Development Research Centre (IDRC),

Canada

Management Science for Health (MSH)

Ministry of Foreign Affairs, The Netherlands Norwegian Agency for Development Cooperation (

Norad)

Public Health Agency Canada (PHAC)

Rockefeller Foundation

Sight Savers

Swedish International Development Cooperation

Agency (SIDA)

Swiss Agency for Development and Cooperation

(SDC), Federal Department of Foreign Affairs (FDFA),

Switzerland

UK Department for International Development (DFID) United Nations Population Fund (UNFPA)

United States Agency for International Development

(USAID)

Wellcome Trust


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1

1.

INTRODUCTION...................................................................................................................... 3

2.

METHOD ........................... ....................... ............................ ................... ............................ ... 7

3.

RESULTS................................................................................................................................. 9

3.1

A ................. 9

3.2 A UHC ......................................................................... 16

3.2.1 R UHC ........................................................................... 17

3.2.2

T ....................... ........................... ..................... 27

4.

RECOMMENDATIONS TO STRENGTHEN HSR ON UHC AND EQUITY....................................... 35


4/56

2

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,

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, .

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(HSR) UHC.

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(1).

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C S D H,

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(),

(), ,

()

(4,5).


6/56

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( 1).

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1:

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(6,7). S

(), () (8).


7/56

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(

), (9, 10). O ,

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( ) (11).

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UHC (12). A ,

100% 100%

UHC (13).

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UHC , ,

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(HSR)

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HSR ,

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, . F,

UHC

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9/56

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2.

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W

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MSH ,

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MSH (

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10/56

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T UHC.

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F 5159

, . F , 640

E, S, P . A 221

: 98 ,

123

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), , , .


11/56

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3.

3.1

T ,

,

. A , , ,

, , (15, 16, 17,18).

I ,

. M

; ,

(15,16,18,19,20). A

, , ,

(21, 22). P

, , , ,

,

(23, 24, 25,26,27,28, 29, 30).

I ,

. W

(16, 24, 29, 30).

I UHC ,

,

, (28, 29). I 2000, UN

C E, S C R (UNCESCR) G C

14,

,

, . I ,

( , ,

),


12/56

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(31). T,

: H , , , (32:43).

H, UNCESCR

;

S

,

, ,

, (31). T

,

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.

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159 (82%)

I C E, S C R, 63 (32%)

(28). E ,

15 (8%) S ( 22)

1. M,

72 ,

, ,

(28).

E :

E ,

. T ,

, W,

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,

(33:430,27). I

1I

.


13/56

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, ,

(34).

I ,

, (16). M

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(19).

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( ),

( ). I ,

(16, 19, 20). S

,

(25),

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T

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(26, 35). F ,

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(24, 36, 37). A, , ,

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14/56

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A ,

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T :

"H

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." (41:

295).

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(43).

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(44, 45). C

,

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15/56

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(45). T

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UHC (37, 43, 44, 45, 46, 47, 48). T

,

, (45, 48).

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T . T

D

(49). N

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(16).

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(50, 51,

52, 53). T ,

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T (2, 4, 16, 17, 39, 40, 43, 44). I


16/56

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, :

. S (43). T

, , , , . T

. M

,

, , , ,

( , ), .

A UHC

D

, 2

UHC . T D,

T, A, A , G ,

, ,

; (26, 35, 36, 41,

45, 46, 47, 48, 54).


17/56

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2: .

S: A T (1978), A A (1981), G (2007), DW (2006), O

(2007) S (2005)

A ,

, ;

. A ,

, ,

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,

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18/56

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A, UHC

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,

100% ,

(55).

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,

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, ,

, , .

3.2

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UHC

; HSR

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19/56

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3.2.1

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(13, 38, 39, 56, 57, 58, 59, 60,61, 62, 63,64).

1. T HSR

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:

T ,

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. (17:1159).

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W ,

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C R,

,


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(65). H 12 14%

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. G (2010)

E 1974 1994 ,

2006 1974 (67).

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(68). O

(69). S,

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(

), . (70:3).

M ,

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(54, 69, 71), . T

:

P , ,

. (69:16).

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T

( , ),

UHC

.


21/56

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GP ,

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A H (2007), 26 12

,

, (13).

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US M,

F, P S. I

, , (72).

R C, A E , GP ,

: A (2010) (73), A (2008) (74), D (2008) (75), B

U (2009) (76), A M (2005) (77) B (2009) (78),

L N (2004) (56).

H (2002) GP

5 N . B

. T

. T D, F N I S.

M

(63).

I S, R (2008) GP

, . H,

(79). T, B (2001) (80)


22/56

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N H S

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H (2009) (61) ,

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A, (58). I S K

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S (2010) (58) UHC

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2001 2005 (59). H,

(60).

G (2001)

C, 19931997. I

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, (81).

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, 2000 WHO

H, W A S, , B (2009) (82),

, W (2005) (83),


23/56

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. S

. T

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I C, CL (2008)

, , ,

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(84). S,

(85).

I A, Z (2003, 2007)

S A M (86,87). FS A,

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UHC :

J (2010) (88),

E, .

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R (2010) ,

, NHS. P ,

(89).


24/56

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I A, K (2009) A'

. A , ,

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(90).

) O ,

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:

I M D G, H (2007) D H S (DHS) 45 ,

(

),

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(91).

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(2005) . H, ,

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(92). G (2009)

P H P D C

(PHPN), ;

(93).

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M D (2008). I , ,

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25/56

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TB ,

(95).

E , (ITN), 5

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E 27 A (2009) (96). E

( ITN),

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A (ART) A , Z, M,

S A Z M (2006),

(97).

3. I UHC

M

UHC . T

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(65, 66, 61,

62, 95, 97). W ,

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(61, 62, 63,, 84, 89, 65, 66).

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S A (69). L , ,

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(71).

S (2000),

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4.

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T

UHC, . V (99,100)

, (11, 99,100). O

36 100 ,

(101). T UHC

, .

A, ,

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O

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N, ,

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(4, 102, 103, 104, 105, 106). R ,

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(58, 79, 80, 88). C,

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(95). U

(102, 103, 104, 105, 106). E

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(102, 103, 106). N,

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(107). H,


28/56

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,

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(108, 109, 110). F ,

( ) Z,

(66).

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, UK,

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(111). G (2010) E,

1974 1994 , 2006 1974 .

T GP

(67).

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(112). K

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(2004) ,


29/56

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, , ,

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. (110: 16, NICE 2007).

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N M E (114,115). T K N

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1: . T

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(B 2003) (114:1617).

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32/56

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1. U N G A. U D H R. N

Y. 1948. A : ://..//// A J

21, 2010

2. WHO. C : H

. C S D H. G:

W H O; 2008

3. T H J. L, 1971. 297(7696): . 405412. A

: ://...//.A J 4, 2010

4. G L. . H S K N F R. C

S D H. G: W H O; 2008

5. S U H C. ://. .

6. M A. S :

? A H S

K N [I. WHO; 2007 [ 2008 A 10. A :

://..////

2007.A J 4, 2010

7.

G L, S H. 2007. U :

. C IN: E :

. G F U R H, V 4.

L: PB P G F H R. A

: ://../MP/P/G

FURHV4E

A J 4, 2010

8. P S, P D, S S. U

T: . H P. 2004

A;68(1):1730

9. W B. W D R 1993. I . N Y:

O U P W B; 1993

10. B JL. S

[I. W: I A D B; 1998


43/56

41

11. V CG, W A, S JA, G D, C M, H J. A

: . T

L 2003; 362:233241

12. WHO. T W H R 2008 H C (N M T E).

G: W H O; 2008

13. H, B., Z T, W M.

I J

H S, 2007. 37(1): . 89109

14. A H, O'M L. S : , I J

S R M 2005; (8) 1: 1932

15. T M, A P, MI D. E . I:

MI D, M G, . T E H E. C U

P. 2007

16. C A. E . J M E 2001;

27:275283

17. G M, S P. E :

UK. S S M. 2001 N;53(9):114962

18. O A, M E. E :

. J E C H 2004; 58(8):6558

19. C AJ, W A. E . J H E

1993 D;12(4):43157

20. M G. W ?. W H S Q

1987;40(4):296303

21. W A, P P, D E. O .

S S M 1991; 33:545557

22.

OD O, D E, W A, L M. A H EU H S D. A G T I.

WBI L R S. W: W B; 2008

23. A LA, A RM. E :

. M C. 1981 D;19(12):427

24. D N. E : .

M M F Q H S. 1982 W;60(1):5181


44/56

42

25. N, OF, A, Y. T :

. I J E H 2009, 8:40

26. D A. M

. M M F Q 1972; 50: 103154

27. B P, G S. D . J E C H

2003; 57:254258

28. B G, H P, K R, JS C, F B. R C, P D,

A P D, A P M, F A, T D, M M, F D,

V C. H : 194

. T L 2008; 372(9655):20472085

29. B, A., C JA. A E H: C C. E

H N 8. W DC: PAHO, 2001, 2249

30. HA M. E .

R S P 2008; 10 (1):7282

31. U N. G C 14

. E S C. G; 2000

32. C L, B G. H . I: E T, W

M, D F, B A, W M, . C I H: F

E A. N Y: O U P; 2001:3544

33. W M. T . I J H S

1992; 22(3):42945

34. EQUINET S C. R : A ,

. EQUINET P 15. H: EQUIINET; 2004

35. P R, T W. T . M C 1981; 19:127140

36.

A LA, A R. A . HS R 1974; 9(3): 208220

37. T . E : . C P H 2008;

18(1): 97110

38. G, M, S, P. E : T

UK. S S M 2001; 53: 11491162


45/56

43

39. D A, L G J, H J, M R, P E. I B N

H S ? T .

J H S R P 2007; 12(2):104109

40. D A, L G J, H J, M R, P E. I NHS ? A

. LSE H S C D P N 11.

L: T L S E P S; 2003

41. T T. H . B W H O

1978; 56(2): 295303

42. S A. W ? H E 2002 D;11(8):65966

43.

MI, T M, B S. A . H E, P L 2009; 4:179193

44. G M. A E . H

E, P L 2009; 4: 195208

45. DW M, C D, A S, A E, A A, H J, H R,

K S, O R, S L, R R, S AJ. C

. BMC M

R M 2006; 26:6:35

46.

G L, S H. U : . G F U R H, V 4 E

: . L: P

P L; 2007

47. O B, I N, L C, M A, M C, N R, A S, D A,

H MW, M I, S A, M H. A

: . PLS M. 2007

O;4(10):15848

48. S O, I A, V J. E H S R R H:

M . H E T.B . W H O; 2006

49. D A. A M C A. H U P:

C; 1974

50. C AJ, W A. N, E E H H C.

D P 95. C H E. H E C.

U Y; 1992


46/56

44

51. M GK. (1971) M . ML G

(.) P : DHSS . O

U P: L; 1971

52. C 2003 REFERENCE

53. A R. T . J E

C H 1978; 32: 1015

54. D G, W M. A

: ALPS . I J H S 2007; 37(2):363378

55.

S N. S R E C C. T UK; 2006

56. L, R, N, B. E U H C I. T E

S R, E S S 2004;35(2):111134

57. L JF, L GM, K S, T KY, V D E, O'D O. H

A . S S

M. 2007 J;64(1):199212

58. S T. M E H (I)E H C

U A T A U C P I. A P J

P H. 2010 M 10. [E

59. Y . E

T. H P P

A A A 24, 2010

60. S T, D P. I :

U C. C D O E

2009; 37: 8596

61. H J, K R, H T, K A. S

8 B

. I J P H 54 (2009) 250259

62.

P F, B D, MK M. A

R

2000 2004: ' ' . BMC H S R

2009, 9:68


47/56

45

63. H M, K AE, K L, M JP. S

N J E C

H 2002;56:200204

64. C, F., N :

R J . S H I, 2008. 30(6): .

90012.

65. BR L. S C R : GIS

. S S M 2004; 58:12711284

66. A S, K T. E Z. H P

P. 2003 S;18(3):299305

67.

G . W GP ? I E S. J H S R P2010; 15: 2835

68. P D, B A, C A. A

. CMAJ. 2008 N 4;179(10):9856

69. G J, G L, R S, G T, M A. A,

:

S A. BMC H S R. 2009 M 9;9:75

70. S L, G R. R SR U H N C:

A PB P C. H P 2009 5(1):87103

71. L DH, T S, Z T, W M. V :

. I J H S.

2007;37(3):57388

72. V D E, M C, K X OECD H E R

G. I .

CMAJ 2006; 174:177183

73.

A S, G M, L G J. S C: ? S S M. 2010

F;70(3):46572

74. A, S., D E H U V C P? H

P, 2008. 3(4): . 8399

75. V D E, C P, S E, H J. H A'

/ . H P. 2008 A;86(1):97108


48/56

46

76. B 'U T, J AM, D E. M

E . J H E. 2009

M;28(2):2809

77. A S, M E. E I H C U A O

P U K. P B H P

S 2005 , I S E R, E, 2005.

.. ..//2005////.

78. B J. I I .

E R P O R. 2009 A;9(4):32531

79. R E, M D, C ME, A P, O P, D V. S

.BMC H S R. 2008 S 14;8:183.

80. B C, F E, S A, B J, R K, V J, S A. S

C, S:

? I J Q

H C 2001; 13(2): 117125

81. G J, T S, T R, R K. C C:

. H P P. 2001 S;16(3):30212

82.

B A, R M, T P. H S A . S S E I. ECINEQ 2009

131

83. W SP, G VF. E

L A . R P S P. 2005 MJ;17(56):394

409

84. CL, J E; JP, I; CY, R

A. I

C/ T

C. C S P;18(4): 10031024, ..2002

85. C LC, C G, R S. [E

C. R S P (B).

2008 AO;10(4):57182. S.


49/56

47

86. Z E, MI D. E

S A: . J H P N. 2003 S;21(3):205

15.

87. Z E, T P, W O, K J, M C, M T. I

N:

MDG 5 . I J E H. 2010 J 12;9:16.

88. J A, W NJ, S J, BS Y. E

E: . BMJ

2010;341:4092

89. R R, W W, S S, A C, O A, A G. S

, , 1999 2006: . BMJ

2010;340:5479

90. K, R.J., M.S. C, C.W. K, U

:

. BMC P

H, 2009. 9: 46

91. H TA, R C, C OM, K AE. H

: . B W H O. 2007 O;85(10):74554.

92. A SD, B MB. [E

C (SP), B. R P S P. 2005 J;17(1):1525

93. G CV, C JA, MS RA. [Q :

S B. C S P. 2009

N;25(11):250716

94. M F, V D E. A

: ? S S M. 2008

A;66(8):170918

95. Z, T., ., P , TB

C: . BMC P

H, 2007. 7: . 19.

96.

S RW, E TP. I

?. PLS O. 2009 D 22;4(12):8409


50/56

48

97. M I, N L, H F, C I, G F, B G, T S.

E ART : A

A. EQUINET D P;

2006..

98. S C, D K, DR C, D K, B R. H

: . H

P 2000 M;51(2):6785

99. V CG, H K, B J, V JP., A

. L 2004; 364:15418.

100.

G D, B A, V C. M . L2004; 364:12731280

101. V CG. W :

. W B.

102. S YP, C V, M JP, G I, G T., F

: HIV/AIDS

. AIDS, 2008. 22 S 1: . S1618

103.

L M P N. T : ? B

W H O 2008; 86 (11): 839848

104. L M, H A, P N. T

. C

D S R. 2009 O 7;(4):CD008137

105.

N PR. E ARV M. SAHARA J. 2007 M;4(1):564

74

106.

CC . H 30B S M , K K, T: .

I J E H 2007, 6:11

107. I P, H D, S N, V D W. U

:

C. BMC P C. 2010

J 7;10:1


51/56

49

108. L S, T V, P P. E

T. B W H O. 2010 J;88(6):4207

109. M H, S JA, M HM, S M, M JK, N GD,

S D. V A T:

. BMC H S R. 2006 N

1;6:142.?. T M I H. 2004 O;9(10):11216.

110. N R, M H, M H, S JA, S D, L C,

T M, V CG. M :

?. T M I H. 2004 O;9(10):11216

111. G M. A E . H

E, P L (2009), 4: 195208

112. G EC, B L, E E, F A, P J, S K, M C. R

: .

Q S H C. 2005 O;14(5):3369

113. E T, C S. O :

. H P P 2004; 19(2): 6979

114. KNME (K N M E). C

: A . K N

M E. C S D H.

G: W H O; 2007

115. KNME (K N M E). T

: .

K N M E. C S

D H. G: W H O; 2007

116.

B AH, R AM, W EK, A PK, A S, D GL, K

V, K U, P D, A RC, S VK, B RE, S M. NGO

I: . H P P. 2008

J;23(4):23443

117.

Y B, M Q, C C, T R, T S, Y F, B L, L X. H N

C M S ? A

C. BMC H S R. 2010 M 10;10:116


52/56

50

118. M F, G C, W, V., M W. H

T? A

. M J 2009, 8:109

119. P HB, KS LW, A AS, B JH. H

: S,

H A SH. I J E H 2007; 6:7

120. C J, G L, M C. T ,

C K:

. T M I H. 2007 M;12(5):67386

121.

F L, H NN. D T: . G P H.

2009;4(6):56174

122. F JC, E A, O R. P

K: ? J U

H. 2008 M;85(3):42842

123. EQUINET M ART

S A. R M. EQUINET

EQUITB K P; 2004

124. L S, M G, M GX, H CE, R ES, B J, J HS. B

13 A A . A J H B. 2010 J

F;34(1):2130. PM PMID: 19663748

125. B E, E J, S S, B I., N :

. WMJ, 2008. 107(8): . 3749

126. D S, F K, W D, L T., 'W ':

. BJOG, 2009. 116(4): . 51829.

127. W A D E. M

, J H R 2000; 35(4): 716733

128. V D E, W A, B H, C T . E

E US. J H E 2000:

(19) 5: 553583


53/56

51

129. B A, H SMA . T

. I J E H 2009; 8:29

130.

M S, S M, G H. I

E: . S S M. 2005 M;60(6):125166.

131. A F, MN J, R R, M D, D J. I

. P H. 2008 J;122(1):4252

132. I A, S G, G A. T :

K, I. I J H S 2007;37(3):53754

133.

P E, T E, G W, DW M, C M. G

: B. Q S H C. 2006 J;15(3):2149

134. A I, S M, A N, C ME, S U, R M, K M.

I :

B. B W H O. 2008

A;86(4):2529

135. K N, W A, D E. S :

M, . J E

1997; 77: 87103

136. O'D, O. A :

. C S P;23(12): 28202834, . 2007

137. G RH, A MM, M R, S LM. U

: . A

F M. 2009 SO;7(5):396405.

138. K SN, E EK, P S, O O, R MH, P D, P GW.

A U:

. T R S T M H. 2008 N;102(11):106774

139. NICE (N I H C E) (2007). B

C P, C I L. L: NICE; 2007


54/56

52

140. C ZN, MG A, J S, L G J. E, , NHS :

. BMJ. 2009 S 3;339:3264

141. E B, B T, D N, K L, E N, J G,

S V, G J. R

M. R R H. 2009 AJ;9(2):1045

142. Y . E

T. H P P

A A A 24, 2010


55/56


56/56

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