Chronic non-communicable diseases

Author(s):  
Philippa Boulle ◽  
Tammam Aloudat

With approximately 80% of non-communicable disease (NCD) mortality occurring in low- and middle-income countries, and a prevalence expected to continue trending upwards, this chapter lays out the essential information on the burden of NCDs and their importance in humanitarian settings. It outlines the general principles of NCDs, including their widespread prevalence and contribution to preventable morbidity and premature mortality. It provides specific guidance for the clinical recognition and care of the main NCDs (cancer, chronic respiratory diseases, diabetes, thyroid disease, haemoglobinopathies, and renal disease), including management guidance which recognize the realities and often limited resources in the field.

2016 ◽  
Vol 25 (1) ◽  
pp. 43-53 ◽  
Author(s):  
Isabel Garcia de Quevedo ◽  
Felipe Lobelo ◽  
Loren Cadena ◽  
Madalena Soares ◽  
Michael Pratt

Non-communicable diseases (NCDs) are the leading causes of death worldwide, with higher rates of premature mortality in low- and middle-income countries (LMICs). This places a high economic burden on these countries, which usually have limited capacity to address this public health problem. We developed a guided self-assessment tool for describing national capacity for NCD prevention and control. The purpose of this tool was to assist countries in identifying key opportunities and gaps in NCD capacity. It was piloted in three countries between 2012 and 2013: Mozambique, Colombia, and the Dominican Republic. The tool includes details about NCD burden; health system infrastructure and primary care services; workforce capacity; surveillance; planning, policy, and program management; and partnerships. In the three pilot countries, the tool helped to identify differences in capacity needs pertaining to staff, training, and surveillance, but similarities were also found related to NCD challenges and opportunities. The NCD tool increased our understanding of needs and critical capacity elements for addressing NCDs in the three pilot countries. This tool can be used by other LMICs to map their efforts toward addressing NCD goals and defining priorities.


2020 ◽  
Vol 114 (4) ◽  
pp. 229-231 ◽  
Author(s):  
Frank Baiden

Abstract Primary healthcare (PHC) meets the needs of people's health throughout their lives and empowers individuals and communities to oversee their own health. Most of the community-based activities currently undertaken in PHC in sub-Saharan Africa (SSA) address child and maternal health. Non-communicable diseases are now major causes of morbidity and premature mortality in SSA. In this paper, I propose the formal integration of community-based, non-communicable disease prevention and early detection into PHC activities. I offer practical suggestions on how this can be achieved to ensure a continuum of care.


2021 ◽  
pp. 263394472110586
Author(s):  
Jeena Ramesh ◽  
Rakhal Gaitonde

Addressing the double burden of disease in a country like India is a massive challenge, especially when the system is tuned to do monitoring and surveillance of mainly communicable diseases. Achieving the sustainable development goal target 3.4 to bring down the premature mortality from non-communicable diseases (NCDs) to one-third will need to consider the requirement of robust indicators at the national level to keep track of the prevalence of NCD and its risk factors among its population. The state of Kerala in contrast has a strong primary health care system that it can build on to address the rising NCD burden.


2013 ◽  
Vol 20 (4_suppl) ◽  
pp. 6-19 ◽  
Author(s):  
Trevor Shilton ◽  
Beatriz Champagne ◽  
Claire Blanchard ◽  
Lorena Ibarra ◽  
Vijj Kasesmup

2016 ◽  
Vol 4 ◽  
pp. S25 ◽  
Author(s):  
Trishul Siddharthan ◽  
Faith Nassali ◽  
Robert Kalyesubula ◽  
Steve Coca ◽  
Asghar Rastegar ◽  
...  

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