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Dealing with the drug problem.

Abstract

The disease and disability toll of drug use and certain features of current national drug use/abuse policy produce serious negative outcomes for the health and welfare of the United States and its people. Therefore, national drug policy should be the subject of serious review. Neither the central focus of present policy, the "Drug War," nor what is usually presented as the only alternative to this policy, "legalization," effectively deal with the U.S. drug use/abuse problem. In this commentary, we first examine the nature of the total drug problem. Then, an analysis of its causes is presented, followed by a discussion of present policy and how it does or does not address both the problem and its causes. Finally, a proposed new approach to the drug problem, based on well-known public health principles, is offered.

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BibTeXRIS

S Jonas. 1994. Dealing with the drug problem.. https://doi.org/10.1006/pmed.1994.1075

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The impact of political context upon the health policy process in Pakistan.

BACKGROUND: Analysis of the political context is important for the understanding of a health policy and its success, because contextual factors may significantly influence the health policy process and health. This article describes how the political context in Pakistan influences the health policy process. METHODS: We used qualitative research methods based on document analysis and interviews of relevant actors in analysing the impact of the political context on the health policy process. Document analysis included policy documents and official reports of the health ministries, health-related departments and international agencies. Interviewees included relevant actors involved in the health policy process at local, provincial, national and international levels. RESULTS: Pakistan has experienced unbalanced power structures and frequent changes in government, which has disturbed health resources and has resulted in a centralized health system that hinders wider participation and disrupts health policy-making, planning and implementation. CONCLUSION: It is concluded that the political context has had a negative influence on the health policy process in Pakistan.

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