Evolution of non-communicable disease prevention and control in China

2017 ◽  
Vol 26 (4) ◽  
pp. 90-95 ◽  
Author(s):  
Mengge Han ◽  
Xiao Ming Shi ◽  
Chun Cai ◽  
Yong Zhang ◽  
Wang Hong Xu

The 70-year experience of China in fighting against non-communicable diseases (NCDs) can be classified into three distinct periods: 1) the disease-oriented strategy period (from 1950 to 1994); 2) the risk factor-focused strategy period (from 1995 to 2008); and 3) the social and policy priority strategy period (since 2009). A number of projects were successful and valuable experience and lessons were accumulated during the three periods. Due to the underestimation of the ‘explosive’ epidemic of NCDs, however, it took China quite a long time to find the right path to curb the upward trend in these diseases. In this commentary, the authors review the evolution of strategies and the healthcare service system, examine advances and challenges, and summarize experience and lessons in NCD control in China. In view of development, China’s experience may have valuable implications for other low- and middle-income countries.

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 ◽  
...  

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.


2019 ◽  
Vol 14 (8) ◽  
pp. 1167-1181 ◽  
Author(s):  
Joseph Ali ◽  
Michael J. DiStefano ◽  
Iris Coates McCall ◽  
Dustin G. Gibson ◽  
Gulam Muhammed Al Kibria ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e050632
Author(s):  
Sonja Klingberg ◽  
Bipin Adhikari ◽  
Catherine E Draper ◽  
Edna N Bosire ◽  
Priscilla Tiigah ◽  
...  

IntroductionEngaging communities and intended beneficiaries at various stages of health research is a recommended practice. The contribution of community engagement to non-communicable disease research in low- and middle-income countries has not yet been extensively studied or synthesised. This protocol describes the steps towards generating an understanding of community engagement in the context of non-communicable disease research, prevention and health promotion using a realist review approach. A realist lens enables a rich explanatory approach to causation while capturing complexity, and an openness to multiple outcomes, including unintended consequences. The review will thus develop an understanding of community engagement without assuming that such practices result in more ethical research or effective interventions.Methods and analysisWe propose a realist approach aiming to examine how, why, under what circumstances and for whom community engagement works or does not work. The iterative review steps include clarifying the review scope; searching for evidence; appraising studies and extracting data; synthesising evidence and drawing conclusions; and disseminating, implementing and evaluating the findings. Principles of meta-narrative review (pragmatism, pluralism, historicity, contestation, reflexivity and peer review) are employed to ensure practicable and contextualised review outputs. The proposed review will draw on theoretical and empirical literature beyond specific diseases or settings, but with a focus on informing non-communicable disease research and interventions in low- and middle-income countries. The synthesis of existing literature will be complemented by qualitative realist interviews and stakeholder consultation. Through drawing on multiple types of evidence and input from both experts and intended beneficiaries, the review will provide critical and pragmatic insights for research and community engagement in low- and middle-income countries.Ethics and disseminationEthical approval has been obtained from the University of the Witwatersrand. Dissemination will include traditional academic channels, institutional communications, social media and discussions with a wide range of stakeholders.


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