Mexican Program for Specific Action: Prevention, Diagnosis, and Treatment of hepatitis C
The Specific Action Program for Prevention, Diagnosis and Hepatitis C Treatment 2016-2018, is based on the Framework for WHO Global Action on Viral Hepatitis (2012); the resolutions of the World Health Assembly 2010, 2014 and 2016 on viral hepatitis; the Action Plan for Prevention and Control of Viral Hepatitis in the Americas, adopted in 2015; The Global Strategy for the Health Sector against Viral Hepatitis for 2016-2021 and is aligned with the Sustainable Development Goals (SDGs).
Since 2010, the World Health Assembly has recognized viral hepatitis as a global public health problem, which requires the adoption of a comprehensive approach to prevent ,diagnose and treat. WHO in accordance with this resolution established the World Hepatitis Program and developed the framework for global action on hepatitis viral, in which four central axes were proposed for the elaboration of national strategies: awareness raising, promotion of alliances and resource mobilization; data-driven policies evidence and data for action; transmission prevention; and detection, care and treatment.
On September 25, 2015, Member States, including Mexico, adopted a set of global objectives, SDGs, to eradicate poverty, protect the planet and ensure prosperity for everyone as part of a new sustainable development agenda. Each objective has specific goals to be achieved in the next 15 years. Goal 3 establishes guaranteeing a healthy life and promoting well-being for all at all ages by 2030, including ending the AIDS epidemics, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
Quality essential interventions alone are not enough to control the hepatitis epidemic, but that in combination with: the promotion of safe sexual relations, systematic use of condoms, the guarantee of a secure blood supply and procedures that involve contact with it, promoting safe surgical and injection practice, promoting universal precautions in health care settings, providing harm reduction services for people who inject drugs and knowledge of the serological status of the person and treatment.
There are three organizational frameworks for prevention and Hepatitis C treatment: universal health coverage, continuity of hepatitis C services and the public health approach.
Universal health coverage
Achieve maximum coverage in prevention services, diagnosis, treatment and care related to hepatitis C for all the people who need them. Among the principles basic for access to be universal is the requirement that services are equitable, accessible, affordable, comprehensive and sustainable in the long term. Because each scenario usually has different needs, targets for universal access are set at the national level.
The continuum of hepatitis C services
The continuum of services covers all the interventions needed to achieve the objectives of the strategy, from reducing vulnerability, preventing and diagnosing HCV infection, linking care services to the provision of treatment and care for the chronically ill. The following organizational framework defines essential services and identifies strategic information necessary to focus interventions for maximum impact.
Public health approach
The public health approach is concerned with preventing new infections and studying the evolution of the disease, promoting health and prolonging the life of the population as a whole. It has the goal of ensuring the widest possible access to high-quality services at the population level, through services and interventions, standardized and simplified that can be adapted to different scenarios. The public health approach aims to achieve equity in
health, promote gender equality and involve communities, and the public and private sectors in the response.