scholarly journals Disparities in European healthcare system approaches to maintaining continuity of medication for non-communicable diseases during the COVID-19 outbreak

2021 ◽  
Vol 4 ◽  
pp. 100099
Author(s):  
Przemyslaw Kardas ◽  
Job Frank Martien van Boven ◽  
Hilary Pinnock ◽  
Enrica Menditto ◽  
Björn Wettermark ◽  
...  
Keyword(s):  
Healthcare System ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
European Healthcare ◽  
System Approaches

scholarly journals Aiming for Health Equity: The role of Public Health Policy and Primary Healthcare Comment on "Universal Health Coverage for Non-Communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"

2021 ◽  
Author(s):  
Bo Burström
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Healthcare System ◽  
Health Equity ◽  
Social Determinants ◽  
Primary Healthcare ◽  
Communicable Diseases ◽  
Determinants Of Health ◽  
Non Communicable Diseases

This commentary refers to the article by Fisher et al on lessons from Australian primary healthcare (PHC), which highlights the role of PHC to reduce non-communicable diseases (NCDs) and promote health equity. This commentary discusses important elements and features when aiming for health equity, including going beyond the healthcare system and focusing on the social determinants of health in public health policies, in PHC and in the healthcare system as a whole, to reduce NCDs. A wider biopsychosocial view on health is needed, recognizing the importance of social determinants of health, and inequalities in health. Public funding and universal access to care are important prerequisites, but regulation is needed to ensure equitable access in practice. An example of a PHC reform in Sweden indicates that introducing market solutions in a publicly funded PHC system may not benefit those with greater needs and may reduce the impact of PHC on population health.

scholarly journals Primary healthcare system readiness to prevent and manage non-communicable diseases in Bangladesh: a mixed-method study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e051961
Author(s):  
Ashraful Kabir ◽  
Md Nazmul Karim ◽  
Baki Billah
Keyword(s):  
Health System ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Mixed Method ◽  
Qualitative Data ◽  
Multivariable Analysis ◽  
Numerical Data ◽  
Communicable Diseases ◽  
Bivariate Analysis ◽  
Non Communicable Diseases

IntroductionThe burden of non-communicable diseases (NCDs) is rapidly increasing in Bangladesh. Currently, it contributes to 67% of annual deaths, and accounts for approximately 64% of the disease burden. Since 70% of the Bangladeshi population residing in the rural area rely on the primary healthcare system, assessment of its capacity is crucial for guiding public health decisions to prevent and manage NCDs. This protocol is designed to recognise and assess the Bangladeshi health system’s readiness for NCDs at the primary level.Methods and analysisThe study will use a mixed-method design. Numerical data will be collected using households and health facilities surveys, while qualitative data will be collected by interviewing healthcare providers, policy planners, health administrators and community members. The WHO’s Service Availability and Readiness Assessment (SARA) methodology and Package of Essential Non-communicable (PEN) Disease Interventions for Primary Healthcare reference manuals will be used to assess the readiness of the primary healthcare facilities for NCD services. Furthermore, Health System Dynamics Framework will be used to examine health system factors. Using the supportive items outlined in the WHO PEN package, and indicators proposed in WHO SARA methodology, a composite score will be created to analyse facility-level data. Two independent samples t-test, analysis of variance and χ2 test methods will be used for bivariate analysis, and multiple regression analysis will be used for multivariable analysis. Complementarily, the thematic analysis approach will be used to analyse qualitative data.Ethics and disseminationThe project has been approved by the Monash University Human Research Ethics Committee (Project ID: 27112), and Bangladesh Medical Research Council (Ref: BMRC/NREC/2019-2022/270). The research findings will be shared through research articles, conference proceedings or in other scientific media. The reports or publications will not have any information that can be used to identify any of the study participants.

scholarly journals In transition: current health challenges and priorities in Sudan

2019 ◽  
Vol 4 (4) ◽  
pp. e001723 ◽  
Author(s):  
Esmita Charani ◽  
Aubrey J Cunnington ◽  
AlaEldin H A Yousif ◽  
Mohammed Seed Ahmed ◽  
Ammar E M Ahmed ◽  
...  
Keyword(s):  
Healthcare System ◽  
Burden Of Disease ◽  
Perinatal Outcomes ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
Healthcare Needs ◽  
Effective Interventions ◽  
National Burden ◽  
Development Goals ◽  
The Republic

A recent symposium and workshop in Khartoum, the capital of the Republic of Sudan, brought together broad expertise from three universities to address the current burden of communicable and non-communicable diseases facing the Sudanese healthcare system. These meetings identified common challenges that impact the burden of diseases in the country, most notably gaps in data and infrastructure which are essential to inform and deliver effective interventions. Non-communicable diseases, including obesity, type 2 diabetes, renal disease and cancer are increasing dramatically, contributing to multimorbidity. At the same time, progress against communicable diseases has been slow, and the burden of chronic and endemic infections remains considerable, with parasitic diseases (such as malaria, leishmaniasis and schistosomiasis) causing substantial morbidity and mortality. Antimicrobial resistance has become a major threat throughout the healthcare system, with an emerging impact on maternal, neonatal and paediatric populations. Meanwhile, malnutrition, micronutrient deficiency and poor perinatal outcomes remain common and contribute to a lifelong burden of disease. These challenges echo the United Nations (UN) sustainable development goals and concentrating on them in a unified strategy will be necessary to address the national burden of disease. At a time when the country is going through societal and political transition, we draw focus on the country and the need for resolution of its healthcare needs.

Adipositasprävention und non-communicable diseases

2012 ◽  
Vol 06 (04) ◽  
pp. 249-251
Author(s):  
M. Braun ◽  
J. Ried
Keyword(s):  
Communicable Diseases ◽  
World Health ◽  
Sich Eine ◽  
Non Communicable Diseases ◽  
World Health Assembly

ZusammenfassungDie 65. World Health Assembly hat die Bekämpfung nicht-übertragbarer Krankheiten in den Mittelpunkt globaler Aufmerksamkeit und Aktivität gerückt. Da Übergewicht bzw. Adipositas wesentliche Risikofaktoren für einen erheblichen Teil dieser Erkrankungen darstellen, kommt damit der Prävention (aber auch der Therapie) erhöhten Körpergewichtes in der Programmatik der WHO besondere Bedeutung zu. Gleichzeitig führen die hochgesteckten Ziele der WHO in das fundamentale Dilemma, dass es keine Instrumente gibt, die angestrebten Prävalenz- und Reduktionsraten im vorgegebenen Zeitrahmen zu erreichen. Daraus ergeben sich eine Reihe ethischer und sozialer Fragen, unter anderem nach dem zu Grunde gelegten Modell der Adipositas und den impliziten und expliziten Verantwortlichkeiten für ihre Bekämpfung.

Health and Physical Activity in Urban Neighbourhoods. Case Study: Shah Alam City, Selangor, Malaysia

2020 ◽  
Vol 17 (2) ◽  
pp. 11
Author(s):  
Oliver Hoon Leh Ling ◽  
Siti Nur Afiqah Mohamed Musthafa ◽  
Muhammad Solahuddin Hamzah ◽  
Marlyana Azyyati Marzukhi ◽  
Nurul Ashikin Mabahwi
Keyword(s):  
Human Health ◽  
Questionnaire Survey ◽  
Communicable Diseases ◽  
Health Condition ◽  
Environmental Aspects ◽  
Neighbourhood Environment ◽  
Healthy Life ◽  
Non Communicable Diseases ◽  
Urban Neighbourhoods

Environmental health is referring to the health of people in relation to environmental quality. Due to rapid urbanisation, more people are living in urban neighbourhoods. Urban planning and design aspects including the neighbourhood environment are potentially affecting the human healthy lifestyle and health condition. Thus, the relationship between Malaysian neighbourhood environmental aspects and human health has become the concern of this research. One of the neighbourhood units in Shah Alam city had been chosen as the study area for this purpose. Questionnaire survey had been carried out to examine the health condition and physical activeness of residents. Besides, the perception of residents on the quality of neighbourhood environmental aspects also had been collected in the questionnaire survey. The health condition of residents was measured by non-communicable diseases (NCD) and the physical activeness was measured in duration as well as the frequency of physical exercise activities. The study found that the quality of neighbourhood environmental aspects significantly increased the physical activeness of respondents. The physical activeness was positively associated with human health as measured in NCD (heart diseases and high blood pressure, HBP). It shows that neighbourhood environmental (physical and social) aspects are potentially affecting the healthy life of people living in the neighbourhood.Keywords: Healthy life, Neighbourhood environment, Non-communicable diseases (NCD), Physical activeness, Quality.

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