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Systemic Solutions for Addressing Non-Communicable Diseases in Low- and Middle-Income Countries
Aakash Ganju1, Alessandra C Goulart2, Amrit Ray3
1Executive Office, Saathealth, Mumbai, India.
Journal of Multidisciplinary Healthcare
|August 18, 2020
Summary
Non-communicable diseases (NCDs) are a growing crisis in low- and middle-income countries (LMICs), causing over 85% of premature deaths. This review examines challenges and proposes pragmatic solutions to combat the rising NCD burden.
Area of Science:
- Global Health
- Public Health Policy
- Health Economics
Background:
- Non-communicable diseases (NCDs) pose a significant and increasing healthcare challenge in low- and middle-income countries (LMICs).
- Over 85% of premature NCD deaths globally occur in LMICs, representing a substantial economic burden due to rising healthcare expenditures.
- Addressing NCDs in LMICs is complicated by evolving health systems, a focus on acute conditions, and systemic issues like limited universal health coverage, inadequate regulations, funding shortages, workforce distribution challenges, and poor health data availability.
Purpose of the Study:
- To examine the multifaceted issues contributing to the rising burden of NCDs in LMICs.
- To identify and propose pragmatic, evidence-based solutions to combat NCDs in these settings.
- To inform policy and practice through insights from a Think Tank of health sector experts in LMICs.
Main Methods:
- A comprehensive review of existing evidence on NCDs in LMICs.
- Analysis of challenges within LMIC health systems, including universal health coverage, regulatory frameworks, funding mechanisms, healthcare workforce dynamics, and health data infrastructure.
- Synthesis of expert opinions and recommendations from a dedicated Think Tank focused on NCDs in LMICs.
Main Results:
- NCDs represent a major and escalating public health and economic concern in LMICs.
- Significant systemic barriers impede effective NCD management, including fragmented healthcare systems and resource limitations.
- A Think Tank identified key areas requiring strategic intervention to mitigate the NCD burden.
Conclusions:
- Urgent, pragmatic strategies are needed to address the escalating NCD crisis in LMICs.
- Strengthening health systems, improving data collection, and ensuring equitable access to care are crucial for NCD prevention and management.
- Collaborative efforts and targeted policy interventions can help reduce premature mortality and economic strain caused by NCDs in LMICs.
Keywords:
low- and middle-income countriesmultisectoralnon-communicable diseasespublic–private partnershipuniversal health coverageMore Related Videos
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