Universidad Peruana Cayetano Heredia

Towards a comprehensive global approach to prevention and control of NCDs

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dc.contributor.author McKee, Martin
dc.contributor.author Haines, Andy
dc.contributor.author Ebrahim, Shah
dc.contributor.author Lamptey, Peter
dc.contributor.author Barreto, Lauricio
dc.contributor.author Matheson, Don
dc.contributor.author Walls, Helen L.
dc.contributor.author Foliaki, Sunia
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Chimeddamba, Oyun
dc.contributor.author Garcia-Marcos, Luis
dc.contributor.author Vineis, Paolo
dc.contributor.author Pearce, Neil
dc.date.accessioned 2022-01-04T20:29:59Z
dc.date.available 2022-01-04T20:29:59Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/10482
dc.description.abstract Background: The “25×25” strategy to tackle the global challenge of non-communicable diseases takes a traditional approach, concentrating on a few diseases and their immediate risk factors. Discussion: We propose elements of a comprehensive strategy to address NCDs that takes account of the evolving social, economic, environmental and health care contexts, while developing mechanisms to respond effectively to local patterns of disease. Principles that underpin the comprehensive strategy include: (a) a balance between measures that address health at the individual and population level; (b) the need to identify evidence-based feasible and effective approaches tailored to low and middle income countries rather than exporting questionable strategies developed in high income countries; (c) developing primary health care as a universal framework to support prevention and treatment; (d) ensuring the ability to respond in real time to the complex adaptive behaviours of the global food, tobacco, alcohol and transport industries; (e) integrating evidence-based, cost-effective, and affordable approaches within the post-2015 sustainable development agenda; (f) determination of a set of priorities based on the NCD burden within each country, taking account of what it can afford, including the level of available development assistance; and (g) change from a universal “one-size fits all” approach of relatively simple prevention oriented approaches to more comprehensive multi-sectoral and development-oriented approaches which address both health systems and the determinants of NCD risk factors. Summary: The 25×25 is approach is absolutely necessary but insufficient to tackle the the NCD disease burden of mortality and morbidity. A more comprehensive approach is recommended. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries Globalization and Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject priority journal en_US
dc.subject health en_US
dc.subject risk factor en_US
dc.subject Risk Factors en_US
dc.subject cardiovascular disease en_US
dc.subject chronic obstructive lung disease en_US
dc.subject diabetes mellitus en_US
dc.subject health service en_US
dc.subject Health Services Needs and Demand en_US
dc.subject procedures en_US
dc.subject chronic disease en_US
dc.subject Chronic Disease en_US
dc.subject water supply en_US
dc.subject economics en_US
dc.subject Global Health en_US
dc.subject health care availability en_US
dc.subject health care delivery en_US
dc.subject air pollution en_US
dc.subject mortality en_US
dc.subject health care planning en_US
dc.subject morbidity en_US
dc.subject Prevention en_US
dc.subject health care policy en_US
dc.subject health care quality en_US
dc.subject diet en_US
dc.subject lowest income group en_US
dc.subject health care en_US
dc.subject smoking en_US
dc.subject alcohol consumption en_US
dc.subject disease control en_US
dc.subject disease treatment en_US
dc.subject health care access en_US
dc.subject health risk en_US
dc.subject Health systems en_US
dc.subject law en_US
dc.subject middle income group en_US
dc.subject neoplasm en_US
dc.subject Nicotiana tabacum en_US
dc.subject non communicable disease en_US
dc.subject Non-communicable diseases en_US
dc.subject organization and management en_US
dc.subject palliative therapy en_US
dc.subject prevention and control en_US
dc.subject primary health care en_US
dc.subject Primary Health Care en_US
dc.subject program sustainability en_US
dc.subject Quality Assurance, Health Care en_US
dc.subject Quality of Health Care en_US
dc.subject resource allocation en_US
dc.subject Resource Allocation en_US
dc.title Towards a comprehensive global approach to prevention and control of NCDs en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12992-014-0074-8
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn 1744-8603


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