Management of NCD in Low- and Middle-Income Countries
Year: 2014
Type: review
Abstract: Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified ‘best buys’ it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.HighlightsNoncommunicable diseases are increasing in prevalence in LMICs.The WHO has identified “best buys” it advocates as interventions in LMICs.Non-laboratory-based risk scores can be a useful tool.There is a need to identify and target those at high risk for developing diabetes in LMICs.Cookstoves with chimneys can be effective in COPD prevention.
Source: Global Heart
Institutions: Johns Hopkins University, Universidad Peruana Cayetano Heredia, Hôpital Farhat Hached, Instituto de Efectividad Clínica y Sanitaria, Moi University, AMPATH, University of Cape Town, University of Liverpool, Liverpool School of Tropical Medicine, International Centre for Diarrhoeal Disease Research, Public Health Foundation of India, United States Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute, Institute of Nutrition of Central America and Panama, St.John's Medical College Hospital, All India Institute of Medical Sciences, Peking University, George Institute for Global Health, Duke Kunshan University
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,300
Award: G1311294432
OpenAlex ID: W1987462532