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Health Policy, NCD

Shekhar Grover, Dhirendra N Sinha, Sanjay Gupta, Prakash C Gupta, Ravi Mehrotra
Background: Myanmar is burdened with the dual problem of communicable and non-communicable diseases (NCD), and is constantly endeavoring to attain its health objectives with limited resources. This study compares the results for the 2009 and 2014 WHO STEPs surveys (the 'stepwise' approach to adult risk factor surveillance) in Myanmar to determine the change in NCD risk factors over time. Methodology: The proportion of individuals with major NCD risk factors such as current tobacco and alcohol consumption, <5 fruit/vegetable servings, physical activity, raised blood pressure (BP) and overweight and obesity from the year 2009 (n = 6414) and year 2014 (n = 8757) WHO STEP surveys were compared for the age group 25-64 and relative changes (RC) calculated...
October 15, 2018: Journal of Public Health
Cécile Knai, Mark Petticrew, Nicholas Mays, Simon Capewell, Rebecca Cassidy, Steven Cummins, Elizabeth Eastmure, Patrick Fafard, Benjamin Hawkins, Jørgen Dejgård Jensen, Srinivasa Vittal Katikireddi, Modi Mwatsama, Jim Orford, Heide Weishaar
Policy Points: Worldwide, more than 70% of all deaths are attributable to noncommunicable diseases (NCDs), nearly half of which are premature and apply to individuals of working age. Although such deaths are largely preventable, effective solutions continue to elude the public health community. One reason is the considerable influence of the "commercial determinants of health": NCDs are the product of a system that includes powerful corporate actors, who are often involved in public health policymaking...
September 2018: Milbank Quarterly
Ying-Wei Wang
Health promotion was defined at the first International Conference on Health Promotion held by the World Health Organization in 1986 as a process that enables the public to improve their health. Moreover, the United Nations High-Level Meeting on the Prevention and Control of Non-Communicable Diseases in 2011 highlighted that non-communicable diseases (NCDs) account for 63% of deaths worldwide, with major NCD-related risk behaviors including tobacco use, physical inactivity, the harmful use of alcohol, and unhealthy diet...
October 2018: Hu Li za Zhi the Journal of Nursing
Lucia Knight, Enid Schatz, Ferdinand C Mukumbang
BACKGROUND: HIV and non-communicable disease (NCD) are syndemic within sub-Saharan Africa especially among older persons. The two epidemics interact with one another within a context of poverty, inequality and inequitable access to healthcare resulting in an increase in those aged 50 and older living with HIV and experiencing an NCD co-morbidity. We explore the challenges of navigating healthcare for older persons living with HIV and NCD co-morbidity. METHODS: In-depth semi-structured interviews were conducted with a small sample of older persons living with HIV (OPLWH)...
September 18, 2018: International Journal for Equity in Health
Aditi Karnad, Annie Pannelay, Anelia Boshnakova, Alan D Lovell, Robert G Cook
Purpose: Stroke is a leading cause of death and disability, although studies show that 90% of strokes can be prevented. The evidence base for stroke prevention is well established, and this study aimed to investigate how well European countries are adopting the European Society of Cardiology (ESC) guidelines, particularly toward implementation of the recommended best practice in stroke prevention. Materials and methods: We developed a stroke prevention scorecard - populated with World Health Organization (WHO) data, secondary research, time-series data, and a survey of 550 physicians - to benchmark 11 European countries in the context of the ESC guidelines...
2018: Risk Management and Healthcare Policy
Grethel Teresa Choque Delgado, Wirla Maria da Silva Cunha Tamashiro
There is an increasing incidence in non-communicable diseases (NCD) such as obesity, diabetes and metabolic syndrome all over the world, despite of the governmental investments in healthy policies. Some of these diseases represent a high economic burden to individuals and society, demanding urgency in the identification of risk factors and appropriate solutions. Inadequate nutrition habits are an important risk factor for developing these diseases, and the consumption of functional foods such as prebiotics, probiotics, and phenolic compounds may contribute to mitigate them...
November 2018: Food Research International
Andrew J Mirelman, Antonio J Trujillo, Louis W Niessen, Sayem Ahmed, Jahangir A M Khan, David H Peters
When facing adverse health from noncommunicable disease (NCD), households adopt coping strategies that may further enforce poverty traps. This study looks at coping after an adult NCD death in rural Bangladesh. Compared with similar households without NCD deaths, households with NCD deaths were more likely to reduce basic expenditure and to have decreased social safety net transfers. Household composition changes showed that there was demographic coping for prime age deaths through the addition of more women...
September 5, 2018: International Journal of Health Planning and Management
Ajantha Sisira Kumara, Ramanie Samaratunge
We investigate the effects of experiencing non-communicable diseases (NCDs) on labour force outcomes of working-age individuals and their households in Sri Lanka. For this, quasi-experimental evidence, including average treatment effects on those treated (ATT), are generated by using the self-reported health survey of the labour force of Sri Lanka. According to the analysis, individuals with at least one NCD account for approximately 19.15% of the working-age population. On average, employment probability, labour supply, and labour earnings of them are significantly lower than those of non-NCD individuals by 9...
August 13, 2018: Economics and Human Biology
Saliyou Sanni, Charles Hongoro, Catherine Ndinda, Jennifer P Wisdom
BACKGROUND: Tobacco use is the world's leading preventable cause of illness and death and the most important risk factor for non-communicable diseases (NCDs), particularly cardiovascular and chronic respiratory diseases (heart attack, stroke, congestive obstructive pulmonary disease, and lung cancer). Tobacco control is one of the World Health Organization's "best-buys" interventions to prevent NCDs. This study assessed the use of a multi-sectoral approach (MSA) in developing and implementing tobacco control policies in South Africa and Togo...
August 15, 2018: BMC Public Health
Catherine Ndinda, Tidings P Ndhlovu, Pamela Juma, Gershim Asiki, Catherine Kyobutungi
BACKGROUND: Redressing structural inequality within the South African society in the post-apartheid era became the central focus of the democratic government. Policies on social and economic transformation were guided by the government's blueprint, the Reconstruction and Development Programme. The purpose of this paper is to trace the evolution of non-communicable disease (NCD) policies in South Africa and the extent to which the multi-sectoral approach was utilised, while explicating the underlying rationale for "best buy" interventions adopted to reduce and control NCDs in South Africa...
August 15, 2018: BMC Public Health
Pamela A Juma, Shukri F Mohamed, Beatrice L Matanje Mwagomba, Catherine Ndinda, Clarisse Mapa-Tassou, Mojisola Oluwasanu, Oladimeji Oladepo, Opeyemi Abiona, Misheck J Nkhata, Jennifer P Wisdom, Jean-Claude Mbanya
BACKGROUND: The increasing burden of non-communicable diseases (NCDs) in sub-Saharan Africa is causing further burden to the health care systems that are least equipped to deal with the challenge. Countries are developing policies to address major NCD risk factors including tobacco use, unhealthy diets, harmful alcohol consumption and physical inactivity. This paper describes NCD prevention policy development process in five African countries (Kenya, South Africa, Cameroon, Nigeria, Malawi), including the extent to which WHO "best buy" interventions for NCD prevention have been implemented...
August 15, 2018: BMC Public Health
Pamela A Juma, Clarisse Mapa-Tassou, Shukri F Mohamed, Beatrice L Matanje Mwagomba, Catherine Ndinda, Mojisola Oluwasanu, Jean-Claude Mbanya, Misheck J Nkhata, Gershim Asiki, Catherine Kyobutungi
BACKGROUND: The rise of non-communicable diseases (NCDs) in Africa requires a multi-sectoral action (MSA) in their prevention and control. This study aimed to generate evidence on the extent of MSA application in NCD prevention policy development in five sub-Saharan African countries (Kenya, South Africa, Cameroon, Nigeria and Malawi) focusing on policies around the major NCD risk factors. METHODS: The broader study applied a multiple case study design to capture rich descriptions of policy contents, processes and actors as well as contextual factors related to the policies around the major NCD risk factors at single- and multi-country levels...
August 15, 2018: BMC Public Health
Jeremaia Coriakula, Marj Moodie, Gade Waqa, Catherine Latu, Wendy Snowdon, Colin Bell
BACKGROUND: Non communicable diseases (NCD) place a significant health burden on Pacific Island countries including Fiji. Policy interventions to curb NCDs have been implemented in Fiji including a 32% increase in the import duty on palm oil. This study aims to analyse the development and implementation of the increase in palm oil import duty in Fiji. Also, to document the policy process, identify barriers and facilitators during implementation and to examine the impact of the new import duty on import volumes...
August 29, 2018: Globalization and Health
K Potempa, P B Furspan, B Rajataramya, D Barton, N Singha-Dong
The mounting burden of non-communicable disease (NCD) in lower-to-middle income countries (LMIC) was recognized two decades ago by the World Health Organization (WHO). In 2012, the WHO reported that NCDs were responsible for 71% of total deaths in Thailand. Thus, the goal of our ongoing NIH D43 training grant is to increase the quantity and quality of NCD research in Thailand by producing nurse scientists with the capacity to design, implement, guide, and evaluate cutting-edge research projects. The three components of the program are 1) a long-term component to train 10 Thai postdoctoral scholars that includes one year of intensive mentored research training in the US and one year implementing a research project back in Thailand; 2) a short-term component that provides an opportunity for Thai scientists, teachers, administrators and policy makers to take classes in areas relevant to NCD; 3) a yearly two-day NCD workshop to be held in different regions of Thailand...
July 2018: Pacific Rim International Journal of Nursing Research
Wilbroad Mutale, Samuel Bosomprah, Perfect Shankalala, Oliver Mweemba, Roma Chilengi, Sharon Kapambwe, Charles Chishimba, Mulenga Mukanu, Daniel Chibutu, Douglas Heimburger
INTRODUCTION: Sub-Saharan Africa is experiencing an epidemiological transition as the burden of NCDs overtake communicable diseases. However, it is unknown what capacity and gaps exist at primary care level to address the growing burden of NCDs. This study aimed to assess the Zambian health system's capacity to address in NCDs, using an adapted WHO Essential Non Communicable Disease Interventions (WHO PEN) tool. METHODOLOGY: This was a cross-sectional facility survey in the three districts conducted from September 2017 to October 2017...
2018: PloS One
Elena Pallari, Grant Lewison, Chryso Th Pallari, George Samoutis, Mursheda Begum, Richard Sullivan
BACKGROUND: Non-communicable diseases (NCDs) are the leading causes of disease burden and mortality at the European level and in Cyprus. This research was conducted to map the research activities of Cypriot institutions in five NCDs, namely oncology, cardiovascular diseases, diabetes, mental health and respiratory conditions. METHODS: For the period 2002-2013, research in Cyprus was assessed on its biomedical outputs and compared to the rest of Europe relative to their GDP...
August 17, 2018: Health Research Policy and Systems
Rajmohan Panda, Sandeep Mahapatra, Divya Persai
Introduction: "Non-communicable diseases (NCDs) are the raging reality of today's world and have moved up the priority list of most countries worldwide including India. The government of India has launched programs such as National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular disease, and Stroke, but little is known about preparedness of health system to address NCDs. Methods: A qualitative study was conducted in the states of Odisha and Kerala to document the government stakeholder perspectives of health system preparedness for NCDs...
May 2018: Journal of Family Medicine and Primary Care
Corrina Moucheraud
The growing burden of noncommunicable diseases (NCDs) may pose challenges for resource-limited health systems. This study used standardized, nationally representative data from Service Provision Assessments conducted in 2013-15 and the Service Availability and Readiness Assessment methodology to examine NCD service availability and readiness in Bangladesh, Haiti, Malawi, Nepal, and Tanzania. Both service availability and readiness were found to be very low: Very few facilities were fully "ready" to provide any one NCD service...
August 2018: Health Affairs
Carren Ginsburg, Philippe Bocquier, Donatien Béguy, Sulaimon Afolabi, Kathleen Kahn, David Obor, Frank Tanser, Andrew Tomita, Marylene Wamukoya, Mark A Collinson
BACKGROUND: Many low- and middle-income countries are facing a double burden of disease with persisting high levels of infectious disease, and an increasing prevalence of non-communicable disease (NCD). Within these settings, complex processes and transitions concerning health and population are underway, altering population dynamics and patterns of disease. Understanding the mechanisms through which changing socioeconomic and environmental contexts may influence health is central to developing appropriate public health policy...
July 27, 2018: BMC Public Health
N Peer
Recently, there have been significant advances in the battle against tobacco use in Africa, with achievements including ratification of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) and the passing of tobacco control legislation in several countries. Many African countries have achieved measured success, while Uganda, South Africa and Mauritius have accomplished significantly more in their efforts to curb tobacco use. Nevertheless, few African countries meet the standards of the individual WHO FCTC articles with regard to comprehensive implementation...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
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