Abstract
ABSTRACT Nepal is currently facing a double burden of non-communicable diseases (NCDs) and communicable diseases, with rising trends of NCDs. This situation will add great pressure to already fragile health systems and pose a major challenge to the country’s development unless urgent action is taken. While the primary health care approach offers a common platform to effectively address NCDs through preventive and curative interventions, yet its potential is not fully tapped in Nepal. In line with the Alma Ata and Astana Declarations, we propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burdens of NCDs.
Highlights
Non-communicable Diseases (NCDs) have become the leading cause of morbidity and mortality globally
In line with the Alma Ata and Astana Declarations, we propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burdens of non-communicable diseases (NCDs)
NCDs contributed to the largest propor tion of total Disability Adjusted Life Years (DALYs) and for just over half (51%) of all deaths in the country in 2018 [4]
Summary
Non-communicable Diseases (NCDs) have become the leading cause of morbidity and mortality globally. This increasing trend of NCDs and their related risk factors has put enormous pressure on the already fragile and challenged health systems [10], and this underlines the urgency of an innovative, com prehensive and potentially cost-effective approach to the prevention and management of NCDs. Primary healthcare system in Nepal
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