Abstract

Various health programs addressing noncommunicable diseases (NCDs) have been launched in India. Integration of these health programs will avoid duplication of efforts and will address the problem of NCD prevention in a holistic manner. Integration to address the comorbidity due to communicable diseases and NCDs is also required. Various approaches like disease domain, action level, and system level integration should be tried at state level on pilot basis followed by national level integration. Integration of concepts focusing on public health approach and clinical medicine; allopathic system and other Indian System of Medicine; and involvement of private sector in NCD prevention activities will go a long way in combating the already established epidemic in India. Integrated approaches focusing on population and personal clinical services with health system strengthening may be more appropriate strategy for controlling NCDs in India.

Highlights

  • This paper describes the types and ways in which integration can be achieved in noncommunicable diseases (NCDs) prevention initiatives

  • The paradigm of NCD prevention is multidisciplinary in nature; it calls for a diverse range of actions involving policy development, legislation, regulation, public and professional education, guideline development, media interventions, and research

  • Various programs namely National Tobacco Control Program (NTCP), National Mental Health Program (NMHP), National Program for Health Care of Elderly (NPHCE), and National Injury Prevention Framework are being implemented in phase-wise manner

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Summary

INTRODUCTION

Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 1Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India. S. Thakur, Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical. Education and Research, Chandigarh - 160 012, Punjab, India

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DISEASE DOMAIN INTEGRATION
ACTION LEVEL INTEGRATION
Vertical vs horizontal approach
Interministerial groups
Public health approach and curative medicine
DISTRICT LEVEL INTEGRATION
Findings
The way forward
Full Text
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