scholarly journals Public-Private Partnerships With Unhealthy Commodity Industries: Are They Undermining Real Progress in Non-Communicable Disease Prevention? Competing Frames in Global Health Governance: An Analysis of Stakeholder Influence on the Political Declaration on Non-communicable Diseases

Author(s):  
Chiara Rinaldi

Public-private partnerships (PPPs) and whole-of-society approaches are increasingly common in public health promotion and non-communicable disease prevention, despite a lack of evidence in favour of their effectiveness in improving health outcomes. While PPPs may have advantages, they also give industry actors more influence over the design and implementation of public health strategies and interventions. Partnering with unhealthy commodity industries in particular – including the alcohol and ultra-processed food and beverages industries – can pose significant risks to public health due to these industries’ deep-rooted conflicts of interest. In this commentary, I reiterate Suzuki et al.’s message about the importance of assessing and managing conflicts of interest before engaging with non-state actors through PPPs or other forms of engagement.

Author(s):  
Hilary Burton ◽  
Mark Kroese

After reading this chapter, you will have a better understanding of: the absolute basics of genomics (and how it relates to genetics) from DNA to sequence to healthcare decision; genomics in healthcare: how understanding the molecular basis of disease forms the basis of personalized medicine; genomics and disease prevention; genomics and reproductive choice; genomics and formal population health screening programmes; genomics and common non-communicable disease prevention; genomics and infectious disease; genomics and society: ethical issues in the use of genomics; the roles that public health specialists might play; where to get further information.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Damiani ◽  
V Pettinicchio ◽  
R Markovic ◽  
L Rosi

Abstract Global health governance is defined as the use of institutions, rules and processes “to deal with challenges to health that require cross-border collective action to be addressed effectively”. Several studies on this have been published, but there is no consensus about the measure of its various aspects. The aim of this study was to search for strategies used by healthcare systems to evaluate their care in global settings and for shared indicators to assess global health governance worldwide. This systematic analysis of qualitative and quantitative studies was conducted according to the Population-Intervention-COntext model and the Population-Intervention-Comparison-Outcome models, using search string “global health and governance and assessment”, from 2014 to 2018 (in biennium 2013-14 WHO and others identified health governance as a global priority). Articles that reported quantitative and/or qualitative evaluation on global health governance were included. Outcomes were screened by title and abstract, and then by full texts in order to assess eligibility. From a total of 98, six studies met inclusion criteria. 4 main strategies of global health governance were identified: intersectoral policies (demographic factors, sanitation practices, housing characteristics and social behaviors); food and nutrition, caring to strengthen country-owned governance capacity (high levels of governance are associated with signing up initiatives for undernutrition prevention, OR = 30); disability and rehabilitation, crucial for realization of the right to health; risk factors control and non-communicable disease prevention (tobacco control). Two set of indicators were found: an expert-informed framework for assessing rehabilitation and a set of primary data sources to evaluate nutrition in fragile countries. Although lots of evidence in literature about globalization, only few areas are adequately measured. Literature about this topic should pay attention to assessment. Key messages In literature, four local areas were identified having perspective of global health governance: intersectoral policies, nutrition, rehabilitation and non-communicable disease prevention. For two of these areas, nutrition and rehabilitation, shared patterns of indicators were found, from primary data sources and expert consensus.


Author(s):  
Kent Buse ◽  
Mélissa Mialon ◽  
Alexandra Jones

As evidence mounts that corporate actor engagement in United Nations (UN) policy-making processes leads to weaker and shallower public health commitments, greater attention is being paid to how to minimise undue interference and manage conflicts of interest (CoI). While we welcome efforts to develop normative guidance on managing such conflicts, we argue that there is the need to go further. In particular, we propose that an index be developed that would assess the health impacts of individual corporate actors, and those actors who fail to achieve a set benchmark would not have engagement privileges. We further propose the establishment of an independent panel of experts to advise on corporate actor engagement as well as on ambiguous and potentially health-harming commitments in text under negotiation in the UN. Recognising that the implementation of such measures will be contested, we recommend a number of practical steps to make their implementation more politically palatable.


2019 ◽  
Vol 34 (4) ◽  
Author(s):  
Amy Moran-Thomas

Long-accepted models of causality cast diseases into the binary of either “contagious” or “non-communicable,” typically with institutional resources focused primarily on interrupting infectious disease transmission. But in southern Belize, as in much of the world today, epidemic diabetes has become a leading cause of death and a notorious contributor to organ failure and amputated limbs. This ethnographic essay follows caregivers’ and families’ work to survive in-between public health categories, and asks what responses a bifurcated model of infectious versus non-communicable disease structures or incapacitates in practice. It proposes an alternative focus on diabetes as a “para-communicable” condition—materially transmitted as bodies and ecologies intimately shape each other over time, with unequal and compounding effects for historically situated groups of people. The article closes by querying how communicability relates to community, and why it matters to reframe narratives about contributing causalities in relation to struggles for treatment access.


2016 ◽  
Vol 5 (3) ◽  
pp. 294
Author(s):  
Yandrizal Yandrizal ◽  
Rizanda Machmud ◽  
Melinda Noer ◽  
Hardisman Hardisman ◽  
Afrizal Afrizal ◽  
...  

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.


2021 ◽  
Author(s):  
Jaideep Menon ◽  
Mathews Numpeli ◽  
Sajeev.P. Kunjan ◽  
Beena.V. Karimbuvayilil ◽  
Aswathy Sreedevi ◽  
...  

UNSTRUCTURED Abstract: India has a massive non-communicable disease (NCD) burden at an enormous cost to the individual, family, society and health system at large, in spite of which prevention and surveillance is relatively neglected. Risk factors for atherosclerotic cardiovascular disease if diagnosed early and treated adequately would help decrease the mortality and morbidity burden. India is in a stage of rapid epidemiological transition with the state of Kerala being at the forefront, pointing us towards likely disease burden and outcomes for the rest of the country, in the future. A previous study done by the same investigators, in a population of >100,000, revealed poor awareness and treatment of NCDs and also poor adherence to medicines in individuals with CVD. The investigators are looking at a sustainable, community based model of surveillance for NCDs with corporate support wherein frontline health workers check all individuals in the target group ( > age 30 years) with further follow up and treatment planned in a “spoke and hub” model using the public health system of primary health centres (PHCs) as spokes to the hubs of Taluk or District hospitals. All data entry done by frontline health workers would be on a Tab PC ensuring rapid acquisition and transfer of participant health details to PHCs for further follow up and treatment. The model will be evaluated based on the utilisation rate of various services offered at all tier levels. The proportions of the target population screened, eligible individuals who reached the spoke or hub centres for risk stratification and care and community level control for hypertension and diabetes in annual surveys will be used as indicator variables. The model ensures diagnosis and follow up treatment at no cost to the individual entirely through the tiered public health system of the state and country.


The Lancet ◽  
2018 ◽  
Vol 391 (10134) ◽  
pp. 2029-2035 ◽  
Author(s):  
Rachel Nugent ◽  
Melanie Y Bertram ◽  
Stephen Jan ◽  
Louis W Niessen ◽  
Franco Sassi ◽  
...  

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