Non-communicable Diseases In Region Research Articles

Moving Towards Optimized Noncommunicable Disease Management in the ASEAN Region: Recommendations from a Review and Multidisciplinary Expert Panel.

IntroductionNoncommunicable diseases (NCDs) are the leading cause of morbidity and mortality in the Association of Southeast Asian Nations (ASEAN) member states. Progress has been slow despite the World Health Organization action plan for the prevention and control of NCDs in the region. This paper presents recommendations focused on practical strategies for optimizing NCD management in the ASEAN region.MethodsA multidisciplinary group of experts from six ASEAN member states convened for two face-to-face meetings to discuss barriers and possible recommendations for optimizing NCD management, focused on cardiovascular diseases and mental disorders, in the region. Multiple approaches, ie, analysis of insights from the meetings and a review of existing literature on NCD programs in the ASEAN region were followed. The proposed recommendations were also based on selected successful interventions in ASEAN member states, thus providing actionable strategies.ResultsThe gaps identified in NCD management for cardiovascular diseases and mental disorders in the ASEAN region were classified into gaps relating to policies and to clinical and public health practice. The proposed solutions addressing policy gaps include fostering multisectoral public–private partnerships, employing “whole-of-government” and “whole-of-society” approaches and promoting “health-in-all policies approach” to manage issues with financing, accessibility, efficiency and quality of health services. Whereas proposed solutions to bridge clinical and public health practice gaps entail strengthening primary care services, building the capacity of trained healthcare workers and employing collaborative care for holistic management of patients.ConclusionThe scale of premature and preventable deaths from NCDs in the ASEAN region remains a serious public health concern and requires a “whole-of-system approach”. The interventions proposed in this paper build on regional collaborations and knowledge sharing to help develop a concerted and targeted response to NCDs.

Role of Health Check-Ups in Non-Communicable Diseases’ Detection at Primary Health Care

Uzbekistan has been conducting the pioneering health care reform activities for the last 15 years. One of the main aims of the reform was creating accessible and quality primary health care (PHC) services. If in first years of the reform the attention was paid to prevention of infectious diseases and maternal and child health issues currently the focus has shifted to prevention of non-communicable diseases ( NCD). While country has building a national stratedy to combat NCD Navoi Regional Health Administration (NOHA) has implemented a study to reveal a true frequence of NCD in region that might be applicable for whole country. The purpose of the research was to conduct basic health check-up at the 4 rural Primary Health Care (PHC) facilities in Navoi region and timely detect non - communicable diseases, with special emphasis on the diabetes mellitus. Results: We have examined 6852 people at 4 rural PHC facilities, among them men – 3042 (44,4 %), women 3810 (55,6%). In general, the quantity of NCD increased for 1012 new (24,6%) cases. According the diabetes mellitus, it was detected that 35 people were registered as “D” category of chronic patients and received appropriate care. In the frame of the health check-up there were 24 new cases detected, the total number of patients with diabetes mellitus is 59 people. This exceeded the available rates of DM in 1,7 times. Our results are comparable with NCD situation in other countries developed and non-developed as well. Conclusion: We clearly detected that there is high number of people with hidden forms and higher risks for the DM development. Mass screening of our rural population in the PHC facilities has confirmed that the global DM incidence tendencies are true for our population as well There is a need to pay attention has to aged people with increased BMI. We consider this group as main, we would like to register these people as “D” category of patients, who will be receiving the constant follow-up and will be a target group for the health promotion activities to prevent NCD and its consenquenses. There is a further plan to expand health check-up acitivities to 28 additional PHC facilities in Navoi Region and strengthen capacity of health care providers prevent and early detect NCD in order to decrease related to them morbidity and mortality. DOI: http://dx.doi.org/10.11591/ijphs.v2i4.4067