Title |
Towards a comprehensive global approach to prevention and control of NCDs
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Published in |
Globalization and Health, October 2014
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DOI | 10.1186/s12992-014-0074-8 |
Pubmed ID | |
Authors |
Martin McKee, Andy Haines, Shah Ebrahim, Peter Lamptey, Mauricio L Barreto, Don Matheson, Helen L Walls, Sunia Foliaki, J Jaime Miranda, Oyun Chimeddamba, Luis Garcia-Marcos, Paolo Vineis, Neil Pearce |
Abstract |
BackgroundThe ¿25x25¿ strategy to tackle the global challenge of non-communicable diseases takes a traditional approach, concentrating on a few diseases and their immediate risk factors. Discussion: We propose elements of a comprehensive strategy to address NCDs that takes account of the evolving social, economic, environmental and health care contexts, while developing mechanisms to respond effectively to local patterns of disease. Principles that underpin the comprehensive strategy include: (a) a balance between measures that address health at the individual and population level; (b) the need to identify evidence-based feasible and effective approaches tailored to low and middle income countries rather than exporting questionable strategies developed in high income countries; (c) developing primary health care as a universal framework to support prevention and treatment; (d) ensuring the ability to respond in real time to the complex adaptive behaviours of the global food, tobacco, alcohol and transport industries; (e) integrating evidence-based, cost-effective, and affordable approaches within the post-2015 sustainable development agenda; (f) determination of a set of priorities based on the NCD burden within each country, taking account of what it can afford, including the level of available development assistance; and (g) change from a universal ¿one-size fits all¿ approach of relatively simple prevention oriented approaches to more comprehensive multi-sectoral and development-oriented approaches which address both health systems and the determinants of NCD risk factors.SummaryThe 25x25 is approach is absolutely necessary but insufficient to tackle the the NCD disease burden of mortality and morbidity. A more comprehensive approach is recommended. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Switzerland | 3 | 12% |
United States | 3 | 12% |
United Kingdom | 2 | 8% |
Colombia | 1 | 4% |
France | 1 | 4% |
Brazil | 1 | 4% |
Mongolia | 1 | 4% |
Canada | 1 | 4% |
Sweden | 1 | 4% |
Other | 2 | 8% |
Unknown | 9 | 36% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 16 | 64% |
Practitioners (doctors, other healthcare professionals) | 4 | 16% |
Scientists | 3 | 12% |
Science communicators (journalists, bloggers, editors) | 2 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 1% |
Brazil | 1 | <1% |
Unknown | 220 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 43 | 19% |
Researcher | 27 | 12% |
Student > Ph. D. Student | 19 | 8% |
Student > Postgraduate | 18 | 8% |
Student > Bachelor | 18 | 8% |
Other | 41 | 18% |
Unknown | 58 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 56 | 25% |
Social Sciences | 34 | 15% |
Nursing and Health Professions | 28 | 13% |
Economics, Econometrics and Finance | 9 | 4% |
Environmental Science | 7 | 3% |
Other | 29 | 13% |
Unknown | 61 | 27% |