A research agenda for non-communicable disease prevention and control in India

Abstract Background Non-communicable diseases contribute to 62% of total deaths in India; of concern are the preventable premature deaths, which account for a staggering 48% of mortality. The objective of this study was to establish a consensus research agenda for non-communicable disease prevention and control that has the potential to impact polices, programmes and healthcare delivery in India. Methods To develop a non-communicable disease research agenda, we engaged our community collaborative board and scientific advisory group in a three-step process using two web-based surveys and one in-person meeting. First, the Delphi methodology was used to generate topics. Second, these ideas were deliberated upon during the in-person meeting, leading to the prioritisation of 23 research questions, which were subjected to Strength, Weakness, Opportunities and Threat analysis by the stakeholders using the Snow Card methodology with the scientific advisory group and community collaborative board. This step resulted in the identification of 15 low effort, high impact priority research questions for various health outcomes across research disciplines based on discussion with the larger group to reach consensus. Finally, the second web-based survey resulted in the identification of 15 key priority research questions by all stakeholders as being the most important using a linear mixed effect regression model. Results The final set of 15 priority research questions focused on interventions at the individual, community, systems and policy levels. Research questions focused on identifying interventions that strengthen healthcare systems and healthcare delivery, including models of care and improved access to non-communicable disease screening, diagnosis and treatment, determining the impact of government policies, assessing the effectiveness of prevention programmes (e.g. tobacco, environmental improvements), and testing research tools and resources to monitor non-communicable diseases at the population level. Conclusion To produce the evidence base for selecting and implementing non-communicable disease programmes and policies in India, investments are needed. These investments should be guided by a national research agenda for the prevention and control of non-communicable diseases in India. Our findings could form the backbone of a national research agenda for non-communicable diseases in India that could be refined and then adopted by government agencies, the private sector, non-governmental and community-based organisations.

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Research Capacity for Prevention and Control of Non-communicable Diseases and Their Risk Factors in Nepal: Findings of a Needs Assessment Study

10.21203/rs.3.rs-788008/v1 ◽

2021 ◽

Author(s):

Natalia Oli ◽

Pranil MS Pradhan ◽

Reshu A Sagtani ◽

Archana Shrestha ◽

Lindsay M. Jaacks ◽

...

Keyword(s):

Public Health ◽

Prevention And Control ◽

Research Training ◽

Communicable Disease ◽

Research Capacity ◽

Communicable Diseases ◽

Non Communicable Diseases ◽

University Curricula ◽

And Control ◽

Non Communicable Disease

Abstract BackgroundDespite a high burden, there is limited training available in non-communicable disease research in Nepal. In order to understand research capacity gap in non-communicable diseases in the country, we conducted a needs assessment. We aimed to assess existing research training capacity in academic health institutions of Nepal for the prevention and control of non-communicable diseases, identify gaps in research training in these institutions, and explore the feasibility of developing research training program in Nepal targeting non-communicable diseases and their risk factors. MethodsWe did qualitative and quantitative research and reviewed academic institution curricula review and scientific literature. We conducted 14 Focus Group Discussions with bachelor and Masters level students of public health and community medicine; 25 In-depth Interviews with department heads and faculties, and government stakeholders. We surveyed medical and public health students on their research knowledge and skills development. Further, we reviewed university curricula of bachelors in medicine and public health Masters in community medicine and public health. We also reviewed non-communicable disease related scientific articles authored by Nepali researchers. ResultsWe found that the research methodology component was addressed differently across academic programs. One-third (33.7%) of students expressed lack of skills for analysis and interpretation of data. They felt that there is a wide scope and career-interest in non-communicable diseases research in Nepal. However, specific objectives in the curriculum and practical aspects regarding non-communicable diseases were lacking. Most of the non-communicable diseases research in Nepal are prevalence studies. Most of the studies did not have any financial support. Lack of funding, conflicting priorities with curative services, and inadequate training for advanced research tools were reported as major barriers. Likewise, availability of trained human resources and international funding for non-communicable diseases research were perceived facilitators.ConclusionsNepal must strengthen the whole spectrum of research capacity: epidemiological skills, research management, and fund generation. University curricula should match up with the disease burden and must emphasize on applied practical research projects. Generation of a critical mass of non-communicable disease researchers must go together with improved funding from the government, non-governmental organizations, and external funding organizations.

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

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v5i3.4799 ◽

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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The Effect of Counseling on Improving Knowledge, Attitude, and Behavior in Efforts to Prevent and Control Non-Communicable Diseases

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v14i3.10469 ◽

2019 ◽

Vol 14 (3) ◽

pp. 297-302

Author(s):

Desri Suryani ◽

Ahmad Rizal ◽

Eliana Eliana ◽

Darwis Darwis ◽

Wulan Angraini ◽

...

Keyword(s):

Prevention And Control ◽

Quantitative Research ◽

Community Health Centers ◽

Communicable Disease ◽

Communicable Diseases ◽

Test Analysis ◽

Non Communicable Diseases ◽

Quasi Experimental ◽

And Behavior ◽

And Control

Non-communicable diseases in Bengkulu Province has been increasing from 2007 to 2013. Integrated non-communicable disease development post (Posbindu PTM) is a platform for community participation in early detection and monitoring of risk factors in an integrated and periodic manner. Counseling on Posbindu PTM activities is one of the factor that could improve knowledge, attitude and behavior towards prevention and control of non-infectious diseases (NCDs). The study aimed to investigate the influence of counseling on the improvement of knowledge, attitude and behavior towards NCDs prevention and control. Through a quantitative research with quasi-experimental design, counseling at Posbindu PTM Damai and Padang Harapan Kota Bengkulu was conducted. The population and samples were all 32 members of Posbindu PTM. We found a difference in knowledge, attitude, and behavior before and after counseling from dependent and independent t-test analysis. The Community Health Centers (Puskesmas) need to train their cadres so that they are capable to counsel Posbindu PTM members to improve their knowledge, attitudes, and behavior towards prevention and control of NCDs.

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Exploring the mechanisms of collaboration between the Tuberculosis and Diabetes Programs for the control of TB-DM Comorbidity in Ghana

BMC Research Notes ◽

10.1186/s13104-021-05637-1 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Rita Suhuyini Salifu ◽

Khumbulani W. Hlongwana

Keyword(s):

Communicable Disease ◽

Control Program ◽

Communicable Diseases ◽

Local Health ◽

National Tuberculosis Control Program ◽

National Tuberculosis ◽

Local Health Facility ◽

Control And Prevention ◽

And Control ◽

Non Communicable Disease

Abstract Objectives To explore the mechanisms of collaboration between the stakeholders, including National Tuberculosis Control Program (NTP) and the Non-Communicable Disease Control and Prevention Program (NCDCP) at the national, regional, and local (health facility) levels of the health care system in Ghana. This is one of the objectives in a study on the “Barriers and Facilitators to the Implementation of the Collaborative Framework for the Care and Control of Tuberculosis and Diabetes in Ghana” Results The data analysis revealed 4 key themes. These were (1) Increased support for communicable diseases (CDs) compared to stagnant support for non-communicable diseases (NCDs), (2) Donor support, (3) Poor collaboration between NTP and NCDCP, and (4) Low Tuberculosis-Diabetes Mellitus (TB-DM) case detection.

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Universal Health Coverage, Non-communicable Disease, and Equity: Challenges to Implementation Comment on "Universal Health Coverage for Non-communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"

International Journal of Health Policy and Management ◽

10.34172/ijhpm.2021.80 ◽

2021 ◽

Author(s):

Tim Woodruff

Keyword(s):

Health Equity ◽

Universal Health Coverage ◽

Primary Healthcare ◽

Communicable Disease ◽

Communicable Diseases ◽

Health Coverage ◽

Non Communicable Diseases ◽

Universal Health ◽

Non Communicable Disease

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

Berita Kedokteran Masyarakat ◽

10.22146/bkm.37633 ◽

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.

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