Making primary healthcare responsive to non-communicable diseases in sub-Saharan Africa

2020 ◽  
Vol 114 (4) ◽  
pp. 229-231 ◽  
Author(s):  
Frank Baiden
Keyword(s):  
Primary Healthcare ◽  
Communicable Disease ◽  
Premature Mortality ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
Community Based ◽  
Non Communicable Diseases ◽  
Formal Integration ◽  
Sub Saharan ◽  
Non Communicable Disease

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.

scholarly journals Surveillance system evaluation of non-communicable diseases through integrated community-based intervention called ‘Posbindu PTM’ in Wonosobo district, Central Java province, Indonesia

2018 ◽  
pp. 15
Author(s):  
Rieski Prihastuti ◽  
Trisno Agung Wibowo ◽  
Misinem Misinem
Keyword(s):  
Surveillance System ◽  
Reporting System ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
System Evaluation ◽  
Main Function ◽  
Community Based ◽  
Non Communicable Diseases ◽  
Surveillance System Evaluation ◽  
Non Communicable Disease

Purpose: Non-communicable diseases are leading cause of the global death, especially from cardiovascular disease, cancers, chronic obstructive pulmonary disease, and diabetes. Prevention and primary detection of non-communicable disease in Indonesia were done through integrated community-based intervention called ‘Posbindu PTM’. Implementation of ‘Posbindu PTM’ needed to be evaluated to determine each component in the non-communicable disease surveillance systems. Methods: This study was descriptive. Respondent were programmer in district health office and programmer in 24 primary health care in Wonosobo. Surveillance system evaluation that used was programs evaluation based on WHO (structure, main function, support function and quality of surveillance system). Results: The weakness of ‘Posbindu PTM’ in Wonosobo were lack of knowledge in the regulation, networking, collaborating, risk factor detecting and reporting; not availability of technical guidebook; low training participant; low monitoring and evaluation activity; also complex reporting system. There was 84% ‘Posbindu PTM’ that had not reported on time and 87,50 % programmer had not done the analysis, interpretation, and dissemination. This was related to the completeness of the report caused too many data that needed to be collected and affect the timeliness of the report. Conclusion: Strengthening ‘Posbindu PTM’ should be done in the reporting system aspect, especially in the timeliness and analysis of the report. Monthly reminder and refreshing in reporting system were done to improve the reporting system aspect.

scholarly journals Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa

2021 ◽  
Vol 18 (20) ◽  
pp. 10751
Author(s):  
Marie Brault ◽  
Sten Vermund ◽  
Muktar Aliyu ◽  
Saad Omer ◽  
Dave Clark ◽  
...  
Keyword(s):  
South African ◽  
Communicable Disease ◽  
Low Cost ◽  
Healthcare Delivery ◽  
Strong Support ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
Non Communicable Diseases ◽  
Sub Saharan

In Sub-Saharan Africa, communicable and other tropical infectious diseases remain major challenges apart from the continuing HIV/AIDS epidemic. Recognition and prevalence of non-communicable diseases have risen throughout Africa, and the reimagining of healthcare delivery is needed to support communities coping with not only with HIV, tuberculosis, and COVID-19, but also cancer, cardiovascular disease, diabetes, and depression. Many non-communicable diseases can be prevented or treated with low-cost interventions, yet implementation of such care has been limited in the region. In this Perspective piece, we argue that deployment of an integrated service delivery model is an urgent next step, propose a South African model for integration, and conclude with recommendations for next steps in research and implementation. An approach that is inspired by South African experience would build on existing HIV-focused infrastructure that has been developed by Ministries of Health with strong support from the U.S. President’s Emergency Response for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria. An integrated chronic healthcare model holds promise to sustainably deliver infectious disease and non-communicable disease care. Integrated care will be especially critical as health systems seek to cope with the unprecedented challenges associated with COVID-19 and future pandemic threats.

Global Health Governance and the Challenge of Chronic, Non-Communicable Disease

2010 ◽  
Vol 38 (3) ◽  
pp. 490-507 ◽  
Author(s):  
Roger S. Magnusson
Keyword(s):  
Cardiovascular Disease ◽  
Population Growth ◽  
Communicable Disease ◽  
Chronic Respiratory Disease ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
Middle Income ◽  
Non Communicable Diseases ◽  
Middle Income Countries ◽  
Sub Saharan

Judging by their contribution to the global burden of death and disability, chronic, non-communicable diseases (NCDs) are the most serious health challenge facing the world today. The statistics tell a frightening story. Over 35 million people died from chronic diseases in 2005 — principally cardiovascular disease, cancer, and chronic respiratory disease. Driven by population growth and population ageing, deaths from non-communicable diseases are expected to increase by 17% over the period 2005-2015, accounting for 69% of global deaths by 2030.Cardiovascular disease (CVD), the leading cause of death in all regions except sub-Saharan Africa, is estimated to rise from 17.1 million deaths (2004) to 23.4 million deaths (2030). Cancer deaths will increase from 7.4 million to 11.8 million over the same period. Due to population growth, mergers and acquisitions, and the marketing of global cigarette brands in developing countries, deaths from tobacco will rise from 5.4 million per year (2005), through 6.4 million (2015), to 8.3 million by 2030. These figures include a doubling in tobacco deaths in low- and middle-income countries from 3.4 million to 6.8 million lives annually. By 2015, smoking will cause 50% more deaths than HIV/AIDS.

scholarly journals The Empowerment of Integrated Development Post of Non-Communicable Diseases in Efforts to Prevent and Control Non- Communicable Diseases

2016 ◽  
Vol 5 (3) ◽  
pp. 294
Author(s):  
Yandrizal Yandrizal ◽  
Rizanda Machmud ◽  
Melinda Noer ◽  
Hardisman Hardisman ◽  
Afrizal Afrizal ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Early Detection ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Combination Method ◽  
Integrated Development ◽  
Non Communicable Diseases ◽  
And Control ◽  
Non Communicable Disease

Non-Communicable disease has already been the main cause of death in many countries, as many as 57 million death in the world in 2008, 36 million (63 percent) is because of un-infectious disease, specifically heart illness, diabetes, cancer, and chronic respiratory diseases. Prevention and controlling efforts of un-infectious diseases developing in Indonesia is non-communicable disease integrated development post (Pospindu PTM). This research used combination method approach with exploratory design. Exploratory design with sequential procedure used combination consecutively, the first is qualitative and the second is quantitative method. Public Health Center formed Posbindu PTM has not disseminate yet to all stakeholders. Posbindu PTM members felt benefit by following this activity. Some of them did not know follow the activity because of unknown about it. There was  connection between coming behavior to Posbindu PTM to preventing behavior of non-communicable disease.Percentage for high blood pressure risk indicated 20-25 percent from all visitors. Formulation of its policy implementation started with stakeholder analysis; head of sub district, head of urban village, head of health department in regency/city, head of public health service, head of neighborhood Association, and the head of family welfare development.  Analysis of perception, power and authority found that every stakeholder had authority to manage the member directly or indirectly. It was not implemented because of the lack knowledge of stakeholders about the Posbindu PTM function.They would play a role after knowing the aim and advantage of the post by motivate the people to do early detection, prevention and control the non-communicable disease. The members were given wide knowledge about  early detection, preventing  and control the un-infectious disease, measuring and checking up their healthy continuously so that keep feeling the advantage of coming to the post.

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