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Moving Towards Optimized Noncommunicable Disease Management in the ASEAN Region: Recommendations from a Review and
Nina T Castillo-Carandang1, Robert D Buenaventura2, Yook-Chin Chia3
1Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines; and Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.
Risk Management and Healthcare Policy
|August 9, 2020
Summary
Noncommunicable diseases (NCDs) are a major concern in ASEAN. This study offers practical strategies, including policy and practice improvements, to optimize NCD management and reduce premature deaths across the region.
Area of Science:
- Public Health
- Health Policy
- Noncommunicable Diseases
Background:
- Noncommunicable diseases (NCDs) are the primary cause of illness and death in ASEAN member states.
- Progress in controlling NCDs has been limited despite global action plans.
- This paper focuses on actionable recommendations for enhancing NCD management within the ASEAN region.
Purpose of the Study:
- To identify barriers and propose practical strategies for optimizing NCD management in the ASEAN region.
- To address cardiovascular diseases and mental disorders within the scope of NCD management.
- To provide actionable recommendations based on expert insights and literature review.
Main Methods:
- Convened a multidisciplinary expert group from six ASEAN member states.
- Conducted two face-to-face meetings to discuss NCD management challenges and solutions.
- Analyzed meeting insights and reviewed existing literature on NCD programs in the ASEAN region, incorporating successful interventions.
Main Results:
- Identified policy and clinical/public health practice gaps in NCD management.
- Proposed solutions for policy gaps: multisectoral partnerships, "whole-of-government," "whole-of-society," and "health-in-all policies" approaches.
- Proposed solutions for practice gaps: strengthening primary care, healthcare worker capacity building, and collaborative patient care.
Conclusions:
- Premature, preventable NCD deaths in ASEAN are a significant public health issue requiring a "whole-of-system approach."
- Proposed interventions aim to foster regional collaboration and knowledge sharing.
- A concerted, targeted response is crucial for effective NCD control in the ASEAN region.
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