Abstract
BackgroundThis paper aims to demonstrate how systems modeling methodology of Group Model Building (GMD) can be applied for exploring and reaching consensus on non-communicable disease (NCD) management. This exercise was undertaken as a first step for developing a quantitative simulation model for generating credible estimates to make an investment case for the prevention and management of NCDs.MethodsStakeholder engagement was facilitated through the use of a Group Model Building (GMB) approach. This approach combines various techniques in order to gain a whole system perspective.ResultsA conceptual qualitative model framework that connects prevention—via risk factors reduction—screening and treatment of non-communicable diseases (NCDs) was developed with stakeholders that draws on stakeholders personal experiences, beliefs, and perceptions through a moderated interactions to gain in-depth understanding of NCDs management.ConclusionManaging NCDs in Cambodia will require concerted effort to tackle NCD risk factors, identifying individuals with NCDs through screening and providing adequate and affordable consistent care to improve health and outcomes of NCDs.
Highlights
Introduction and BackgroundOverviewPurpose of the Group Model Building (GMB) conferenceHopes and Fears Introduction of stakeholdersDistribution of coloured sheets for writing hopes and fearsStakeholders are asked to share hopes and fearsFacilitator collects the sheets and cluster on the wallConcept Model-SD IntroDraw bathtub with faucet and drain
Tobacco use, unhealthy diets, and physical inactivity were considered as modifiable factors that could benefit from public health interventions
According to the stakeholder group, physical inactivity is influenced by urbanisation and lack of non-communicable disease (NCD) knowledge; while tobacco use decreases with urbanization
Summary
Introduction and BackgroundOverviewPurpose of the GMB conferenceHopes and Fears Introduction of stakeholdersDistribution of coloured sheets for writing hopes and fearsStakeholders are asked to share hopes and fearsFacilitator collects the sheets and cluster on the wallConcept Model-SD IntroDraw bathtub with faucet and drain. Distribution of coloured sheets for writing hopes and fears. This paper aims to demonstrate how systems modeling methodology of Group Model Building (GMD) can be applied for exploring and reaching consensus on non-communicable disease (NCD) management. This exercise was undertaken as a first step for developing a quantitative simulation model for generating credible estimates to make an investment case for the prevention and management of NCDs. Non-communicable diseases (NCDs) have become an emerging pandemic globally, with disproportionately higher rates in developing countries [1]. Non-communicable diseases (NCDs) have become an emerging pandemic globally, with disproportionately higher rates in developing countries [1] This trend may be attributed to a confluence of genetic, physiological, environmental and behavioural factors. Mortality from NCDs has a greater impact on developing countries, with 80% of premature deaths occurring in low and middle-income countries (LMICs) [4]
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