The double burden of communicable and non-communicable diseases in developing countries

Author(s):  
Abdesslam Boutayeb
2020 ◽  
Vol 18 (2) ◽  
pp. 43-44
Author(s):  
Iftikhar Ahmad

Obesity is rapidly becoming a major public health problem in many parts of the world, including Pakistan. Developed world is viewing a huge switchover from acute and communicable diseases to the chronic and non-communicable diseases. However many developing countries including Pakistan, experience the double burden of communicable and non-communicable diseases.


2020 ◽  
Vol 3 (2) ◽  
pp. 48
Author(s):  
Isnaeni Rofiqoch

Non-Communicable Diseases (NCD) is one of the causes of death in the world. Indonesia is a developing country that is facing a double burden of diseases, namely infectious diseases and non-communicable diseases. NCD can appear without symptoms and show no clinical signs, so many people are not aware of the dangers of NCD disease. The purpose of this comunity service is to provide counseling about NCD and measure blood pressure in an effort to detect NCD Early.This community service uses counseling as a method to increases partner knowledge in early detection of NCD. The average of partners knowledge increase by 42.6%. This is calculated by comparing the pre test average value of 5.70 and the post test average value of 8.20. Implementation of community service can increase the knowledge of the elderly posyandu group of Sokaraja Kulon Village so that the participants have the desire to prevent NCD and find out blood pressure from blood pressure measurement results in order to reduce the causes of non-communicable diseases (NCD) and have the intention to inform knowledge about Non-Communicable Diseases (NCD) to Family, Relatives and Communities.Keywords :Early Detection,Non-Communicable Diseases


2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Tilahun Nigatu Haregu ◽  
Geoffrey Setswe ◽  
Julian Elliott ◽  
Brian Oldenburg

HIV/AIDS and non-communicable diseases (NCDs) epidemics may have many important similarities in their aetiology, pathogenesis and management. Evidence about the similarities and differences between the national responses HIV/AIDS and NCDs is essential for an integrated response. The objective of this study was to examine the parallels and differences between national responses to HIV/AIDS and NCDs in selected developing countries. This study applied a strategic level comparative case study approach as its study design. The main construct was national response to HIV/AIDS and NCDs. The 4 overarching themes were policy response, institutional mechanism, programmatic response and strategic information. Four countries were purposively selected as cases. Data were collected and triangulated from a multiple sources. The focus of analysis included identifying items for comparison, characteristics to be compared, degrees of similarity, and strategic importance of similarities. Analysis of data was qualitative content analysis with within-case, between-case, and across-case comparisons. While the nature of the disease and the contents of national HIV/AIDS and NCD policies are different, the policy processes involved are largely similar. Functional characteristics of programmatic response to HIV/AIDS and NCDs are similar. But the internal constituents are different. Though both HIV and NCDs require both a multi-sectorial response and a national coordination mechanism, the model and the complexity of the coordination are different. Strategic information frameworks for HIV/AIDS and NCDs use similar models. However, the indicators, targets and priorities are different. In conclusion, the national responses between HIV/AIDS and NCDs are largely similar in approaches and functions but different in content.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1451-1451 ◽  
Author(s):  
Mika Matsuzaki ◽  
Sabri Bromage ◽  
Carolina Batis ◽  
Teresa Fung ◽  
Yanping Li ◽  
...  

Abstract Objectives India has been undergoing a rapid nutrition transition, resulting in the co-existence of undernutrition and nutrition-related non-communicable diseases (NCD). There is a need to develop and validate a diet quality assessment tool to assess risks for the double burden of disease. Methods We included 2915 non-pregnant and non-lactating women (15–49 years) from two Indian cohorts: The Andhra Pradesh Children and Parent Study and the Indian Migration Study. Using dietary data collected from FFQs, we developed a novel diet metric, the Global Diet Quality Score (GDQS). We categorized foods into 25 groups based on similarity of nutrient intake and intake patterns. Each category was assigned a positive or negative score based on prior evidence on their associations with undernutrition and NCD. Scores were calculated from the frequency and intake amounts for each category with higher scores corresponding to better diet quality (maximum total points of 49). We evaluated associations between the GDQS (overall, positive submetric, and negative submetric) and overall nutrient adequacy (>6/12 nutrients intake being adequate), individual micro and macronutrients, BMI, hemoglobin, systolic and diastolic blood pressure (SBP and DBP), high density lipoprotein (HDL), and total cholesterol (TC). Results The mean (SD) of the GDQS was 24 (4) points. In energy-adjusted models, positive associations were found between the overall GDQS and intakes of calcium, fiber, folate, iron, MUFA, protein, PUFA, SFA, total fat, and zinc in energy-adjusted models (r = 0.15–0.33, P < 0.001). Adjusted for age, GDQS was positively associated with overall nutrient adequacy. Quintile analyses showed that GDQS was positively associated with the odds of being overweight, obese and high SBP. Lower intake of foods in the GDQS negative submetric was associated with lower odds of having BMI ≥ 30 kg/m2 (OR = 0.66 (95% CI: 0.56–0.77), TC ≥200 mg/dL (0.87 (0.78–0.97), and DBP ≥ 80 mmHg (0.82 (0.74–0.92). Conclusions Among Indian women, the overall GDQS was positively associated with overall nutrient adequacy. Both the overall and negative submetric were associated with several NCD risk markers. Future studies should validate these metrics against incident diabetes and cardiovascular disease. Funding Sources Intake - Center for Dietary Assessment at FHI Solutions.


2019 ◽  
Vol 78 (4) ◽  
pp. 506-512 ◽  
Author(s):  
Victor O. Owino

Africa is experiencing a sharp rise in non-communicable diseases (NCD) related to rapid globalisation and urbanisation leading to shifts in dietary and lifestyle patterns characterised by increased energy intake and physical inactivity. However, unlike more resource-endowed regions, Africa has a double burden of disease: NCD co-exist with infectious diseases including lower respiratory tract infections, HIV/AIDS and diarrhoeal diseases. The African economy is also relatively weaker, making it difficult to cope with this burden. It is postulated that NCD will soon overtake infectious diseases as the number one cause of death in the African region. The recognition of NCD as diseases and obesity as a related risk factor is weak in Africa, compounded by stigma associated with wasting in HIV/AIDS and obesity being perceived as a sign of wealth, achievement and care. There is also a dearth of data on overweight and obesity in the region and little knowledge that infant feeding practices, such as breast-feeding, are linked to reduced risk of NCD in both children and mothers. While complex multi-sectoral approaches to address this NCD menace are needed, Africa may benefit from taking simple initial steps to address NCD risk factors including: (1) behaviour change communication to challenge perceptions on NCD; (2) promoting and protecting breast-feeding; (3) formulating policies and regulations limiting wide availability of unhealthy foods; (4) mainstream nutrition education in school curricula and (5) collection of accurate data based on indicators that can reflect the double burden of disease and malnutrition; and fostering multi-sectoral actions against NCD.


The Lancet ◽  
2016 ◽  
Vol 388 ◽  
pp. S17 ◽  
Author(s):  
Luke Allen ◽  
Julianne Williams ◽  
Nick Townsend ◽  
Bente Mikkelsen ◽  
Nia Roberts ◽  
...  

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