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Preventing chronic diseases: taking stepwise action
Joanne E Epping-Jordan1, Gauden Galea, Colin Tukuitonga
1Department of Chronic Diseases and Health Promotion, WHO, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland. eppingj@who.int
Lancet (London, England)
|November 8, 2005
Summary
Existing scientific knowledge can help reduce chronic disease deaths by 2% annually. A new stepwise framework aids resource-limited countries in implementing prevention strategies for chronic diseases.
Area of Science:
- Public Health
- Chronic Disease Prevention
- Health Policy
Background:
- Global goal set for 2% annual reduction in chronic disease mortality.
- Low- and middle-income countries face resource limitations and a dual burden of infectious and chronic diseases.
Purpose of the Study:
- Introduce a novel stepwise framework for chronic disease prevention.
- Provide a flexible public health approach for ministries of health in resource-limited settings.
Main Methods:
- The stepwise framework offers a practical approach to balancing diverse health needs and priorities.
- It facilitates the implementation of evidence-based interventions, aligning with WHO recommendations.
Main Results:
- The framework has been applied in countries including Indonesia, the Philippines, Tonga, and Vietnam.
- Experiences demonstrate the stepwise approach's general applicability and adaptability to specific national contexts.
Conclusions:
- The stepwise framework is a viable strategy for chronic disease prevention in resource-constrained environments.
- It enables countries to address chronic disease challenges effectively without compromising national specificity.
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