Scientific background for programs to combat chronic non-communicable diseases on the basis of benchmarking of administrative-territorial units of Turkmenistan

Abstract

Introduction . Template approaches to the formation of strategies and action plans to combat chronic noncommunicable diseases (CNCDs) are fraught with low efficiency, a mismatch between the resources spent and the results obtained. There is a need for "individualization" of strategies, taking into account local characteristics, capabilities and needs of individual administrative-territorial units. Objective . Scientifically substantiate a set of programs and activities to combat chronic NCDs, taking into account the characteristics and needs of each administrative-territorial unit of Turkmenistan. Material and methods . A general benchmarking of the administrative-territorial units of Turkmenistan was carried out. The rating parameters are determined by the logical and methodological deduction procedure. The included parameters reflect in a balanced way the socio-economic and demographic status of the region, the readiness of the healthcare system, the development of prevention, treatment and diagnostic work in relation to chronic NCDs. Results and discussion . For the first time, a rating was compiled and benchmarking of the administrative-territorial units of Turkmenistan was carried out in the aspect of combating NCDs; for the first time, the corresponding needs, opportunities and characteristics of each region were objectively characterized, which is the basis for planning and management decisions. Based on the rating and benchmarking, an original tool for strategic planning has been developed - a matrix of the prevailing influence of typical barriers to combat NCDs in the administrative-territorial units of Turkmenistan. Conclusions . A matrix of the prevailing influence of typical barriers to combat NCDs in the administrative-territorial units of Turkmenistan has been developed, which serves as the basis for strategic planning of a set of measures.