Chronic non-communicable diseases and mental health in Africa.

Author(s):  
K Huang ◽  
S. Cheng ◽  
R. Gathibandhe ◽  
B. H. Bauta ◽  
D. H. Akena
2020 ◽  
Vol 24 (2) ◽  
pp. 100-108
Author(s):  
Mikhail M. Kolokoltsev ◽  
Elena V. Romanova ◽  
Wladyslaw Jagiello ◽  
Tetiana S. Yermakova

Background and Study Aim: To create the estimation scale of the daily pedometry of senior students with different levels of motor activity. To determine the dependence of students' life quality on the volume of step locomotions.  Material and methods. The students of Irkutsk National Research Technical University (Irkutsk, Russia) (n = 235: females - n = 78, males - n = 157: 19-20 years old) participated in the study. The daily pedometry of students for 7 days was studied. The number of daily steps was recorded by Simple Design Ltd application for smartphones. The sigma deviation method was used to develop an individual daily pedometry estimation scale. The daily pedometry scale was developed based on the distribution of this characteristic by 5 sigma classes ("low", "below average", "average", "above average", "high"). Students' life quality was studied using a Russian-language version of SF-36 (Short Form Health Survey). The survey presents the characteristics of physical (PH), mental (MH) and general (GH) health. The answers were estimated in points (0-100). Results. Most students have an "average" level of step locomotions. 10% of males and about 8% of females have "above average" or "high" pedometry level. This group of students is actively engaged in sports activities. 4.8% of males and 7.5% of females have a "low" pedometry level. In this group of students, motor activity is limited only by locomotions related to educational and household activities. Students with "high" and "above average" pedometry levels have the highest values of life quality indicators. Such students are in a safe zone of non-communicable diseases. The “low” level of daily step locomotions is considered as a predictor of insufficient physical activity, low general and mental health of students. Conclusions. The sigma deviation method allows distributing any population of people by the number of daily locomotions into five sigma classes. The level of daily step locomotions can be considered as a marker of physical activity, general and mental health. This approach makes it possible to refer a person to a safe health zone or a risk group of non-communicable diseases. The results of the study can be used in the recommendations for improving the students’ life quality. It is also recommended to use our recommendations to increase students' self-motor activity during their university studies.


2016 ◽  
Vol 2 (3_suppl) ◽  
pp. 44s-44s
Author(s):  
Shannon L. Silkensen ◽  
John S. Flanigan

Abstract 78 In many low and middle-income countries (LMICs) there is a marked need to build or enhance research infrastructure to support basic, translational, clinical, and population science on non-communicable diseases, mental health and injuries (NCDs). To support this growing need, the NCI's Center for Global Health recently invited investigators throughout the world to apply for Planning Grants for Regional Infrastructure Centers (RCREs) for the coordination of research on NCDs in LMICs. The purpose of the funding opportunity (FOA) is to facilitate the planning and designing of RCRE that will build on collaborative partnerships among investigators from institutions in high-income countries (HICs)/ Upper Middle Income Countries (UMIC) and LMICs. The presentation will provide details of the opportunity for funding from the NCI, how partnerships can be created, the requirements for the application to the program and its multiple funding timelines, and early information about the program's global reach. The NCI Center for Global Health encourages the CUGH community to examine and become involved in this this opportunity as primary or partner applicants. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from either author.


2020 ◽  
Author(s):  
Michael Udedi ◽  
Brian W. Pence ◽  
Robert C. Stewart ◽  
Adamson S. Muula

Abstract Background Integration of mental health into other health care services is one way of reducing the treatment gap and increasing access to mental health care. Aim This study was conducted to explore the perceptions of health workers about the perceived feasibility and acceptability of integrating depression management into diabetes clinics. Methods This qualitative study used a descriptive exploratory design; it is the second phase of a mixed methods study aimed at evaluating the effect of integrating depression management into non-communicable diseases (NCD) routine care on patient and service outcomes in Malawi. We conducted in-depth interviews with 8 healthcare workers who provide diabetes care within NCD clinics in three districts in the central region of Malawi. Informed consent was obtained from all participants. An interview guide was used to guide enquiry about perceptions of feasibility and acceptability of integrating depression screening and management. Interviews were transcribed and analysed using deductive and inductive coding in NVivo 12 software. Results Depression was acknowledged as a common mental health problem that affects many patients attending NCD clinics. The chronic nature of the diseases seen in the NCD clinics was identified as the cause of depression. All study participants acknowledged the need to screen for and manage depression at the NCD clinics. Additionally, they viewed training and expanding the healthcare workforce involved in NCD care as crucial to effectively integrating depression screening and management in NCD care. Conclusion This study demonstrated the acceptability to health workers of integrating depression screening and management in NCD clinics in Malawi. It also highlights the importance of building capacity of NCD healthcare workers in depression screening and management through training and workforce expansion.


Author(s):  
Harry Minas ◽  
Atsuro Tsutsumi ◽  
Takashi Izutsu ◽  
Kathryn Goetzke ◽  
Graham Thornicroft

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Melisa Mei Jin Tan ◽  
Emeline Han ◽  
Pami Shrestha ◽  
Shishi Wu ◽  
Farah Shiraz ◽  
...  

Abstract Background The choices that policymakers make are shaped by how their problems are framed. At last, non-communicable diseases (NCDs) have risen high on the global policy agenda, but there are many disputed issues. First, what are they? Their name refers not to what they are but what they are not. Second, where do their boundaries lie? What diseases are included? Third, should we view their causes as mainly biomedical, behavioural, or social, or a combination? Our failure to resolve these issues has been invoked as a reason for our limited progress in developing and implementing effective remedies. In this scoping review, we ask “What is known from the existing literature about how NCDs are framed in the global policy discourses?” We answer it by reviewing the frames employed in policy and academic discourses. Methods We searched nine electronic databases for articles published since inception to 31 May 2019. We also reviewed websites of eight international organisations to identify global NCDs policies. We extracted data and synthesised findings to identify key thematic frames. Results We included 36 articles and nine policy documents on global NCDs policies. We identified five discursive domains that have been used and where there are differing perspectives. These are: “Expanding the NCDs frame to include mental health and air pollution”; “NCDs and their determinants”; “A rights-based approach to NCDs”; “Approaches to achieving policy coherence in NCDs globally”; and “NCDs as part of Sustainable Socio-economic Development”. We further identified 12 frames within the five discursive domains. Conclusions This scoping review identifies issues that remain unresolved and points to a need for alignment of perspectives among global health policy actors, as well as synergies with those working on mental health, maternal health, and child health. The current COVID-19 pandemic warrants greater consideration of its impact on global NCDs policies. Future global strategies for NCDs need to consider explicitly how NCDs are framed in a changing global health discourse and ensure adequate alignment with implementation and global health issues. There is a need for global strategies to recognise the pertinent role of actors in shaping policy discourses.


Author(s):  
Felicia Lim ◽  
Martin Halim

Based on the results of the Basic Health Reset in 2018, health problems in Indonesia are divided into two types namely infectious and non-communicable diseases. Infectious diseases have experienced many significant decreases whereas for non-communicable diseases it is still experiencing an increase. Many ways you can do to keep the body healthy from disease. Applying a healthy lifestyle for physical health, spiritual calm is also needed for the mental health of the community, especially for areas that have high density and mobility like in Jakarta. It is undeniable that these factors are often the main triggers of mental health problems in today's society. Waterlake Sport is a type of physical sport related to water, especially lakes. Senayan Waterlake Sport Island is located near Gelora Bung Karno (GBK), the largest sports center in Jakarta and even in Indonesia which provides more than 18 types of sports in it. The design method used is pattern language by examining the physical patterns around the site and creating new patterns by linking the resulting building programs. Besides water sports as the main program, there are also other main programs, namely Healthy Culinary and Floating Market. Both of these programs aim to provide a dining area with a healthy concept as well as education for people who still think that a healthy eating pattern is defined as something boring and unpleasant that being healthy does not have to suffer. AbstrakBerdasarkan hasil Reset Kesehatan Dasar tahun 2018, masalah kesehatan di Indonesia dibagi menjadi dua macam yaitu penyakit menular dan penyakit tidak menular. Penyakit menular sudah mengalami banyak penurunan yang cukup signifikan sedangkan untuk penyakit tidak menular justru masih mengalami kenaikan. Banyak cara yang dapat dilakukan untuk menjaga tubuh tetap sehat terhindar dari penyakit. Menerapkan pola hidup yang Sehat untuk kesehatan jasmani,  ketenangan rohani juga dibutuhkan untuk kesehatan mental para masyarakat khususnya untuk daerah yang memiliki kepadatan serta mobilitas tinggi seperti di Jakarta ini. Waterlake Sport adalah jenis olahraga fisik yang berhubungan dengan air khususnya danau. Island sendiri berarti pulau. Senayan Waterlake Sport Island berlokasi di dekat Gelora Bung Karno (GBK), pusat olahraga terbesar di Jakarta bahkan di Indonesia yang menyediakan lebih dari 18 jenis olahraga di dalamny. Metode perancangan yang digunakan adalah pattern language dengan mengkaji pola fisik di sekitar tapak dan membuat pola baru dengan mengaitkan program bangunan yang dihasilkan. Island yang berarti sebuah pulau merupakan tempat dari area Waterlake Sport itu sendiri. Selain olahraga air sebagai program utama, ada juga program utama lainnya yaitu Kuliner Sehat dan Pasar Apung. Kuliner sehat yang dimaksud adalah  Kedua program ini bertujuan menyediakan suatu area tempat makan dengan konsep sehat sekaligus sebagai edukasi untuk masyarakat yang masih menganggap bahwa pola makan sehat diartikan dengan sesuatu yang membosankan dan tidak enak bahwa menjadi sehat tidak haruslah menderita.


Author(s):  
Elham Ghazanchaei ◽  
Davoud Khorasani-Zavareh ◽  
Javad Aghazadeh-Attari ◽  
Iraj Mohebbi

Background: Patients with non-communicable diseases are vulnerable to disasters. This is a systematic review describing the impact of disasters on non-communicable diseases. Methods: A systematic review was conducted using PRISMA standards. Relevant articles published from 1997 to 2019 collected by searching the Scopus, PubMed, Science Direct, databases. We specifically examined reports describing NCDs and including the key words “non-communicable disease and Disasters”. NCDs included cardiovascular, respiratory, diabetes, cancer and mental health diseases. Results: Of the 663 studies identified, only 48 articles met all the eligibility criteria. Most studies have shown the impact of all natural disasters on non-communicable diseases (39.8% n=19). The largest study was the effect of earthquakes on non-communicable diseases (29.2% n=14). For the NCDs targeted by this research, most of the included studies were a combination of four diseases: cardiovascular disease, respiratory disease, diabetes and cancer (44% n=21). Followed by cardiovascular disease (14.6% n=7), chronic respiratory disease (12.5% n=6), diabetes and cancer (6.2% n=3) and mental health (12.5% n=6). Conclusion: The incidence of disasters affects the management of treatment and care for patients with NCDs. Specific measures include a multi-part approach to ensuring that patients with non-communicable diseases have access to life-saving services during and after disasters. The approach of the health system should be expanded from traditional approaches to disasters and requires comprehensive planning of health care by policy makers and health professionals to develop effective strategies to enable patients to access medical, therapeutic and diagnostic services in natural disasters.


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