Strengthening policy and governance to address the growing burden of diabetes in Nepal
| Autor: | Lonim Prasai Dixit, Senendra Raj Upreti, Guna Raj Lohani, Akjemal Magtymova |
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| Rok vydání: | 2016 |
| Předmět: |
Financing
Government medicine.medical_specialty National Health Programs Population Psychological intervention Developing country 030209 endocrinology & metabolism Health informatics 03 medical and health sciences 0302 clinical medicine Nepal Diabetes Mellitus medicine Humans 030212 general & internal medicine education Socioeconomics Health policy education.field_of_study Government business.industry Health Policy Public health Health Status Disparities Government Programs Workforce business Delivery of Health Care |
| Zdroj: | WHO South-East Asia Journal of Public Health. 5:40 |
| ISSN: | 2224-3151 |
| DOI: | 10.4103/2224-3151.206551 |
| Popis: | Diabetes poses a major challenge to Nepal's health-care system. Deaths due to noncommunicable diseases (NCDs) have increased from 51% of all deaths in the country in 2010 to 60% in 2014. In 2014, diabetes and other essential NCDs accounted for 46% of the total deaths and 22% of premature deaths in the country. As diabetes is common in adults of working age, the impact will further impoverish individuals and families in Nepal, where out-of-pocket expenditure for health remains high. To halt the rise in diabetes and obesity, the government of Nepal will have to adopt a public health approach that balances individual and population-level interventions. Awareness, early diagnosis and prevention are key to management and control of diabetes. To date, there has been no nationwide robust programme for diabetes prevention in the country and services are inaccessible to much of the Nepalese population. However, under the NCD Multisectoral Action Plan (2014-2020), there will be phase-wise implementation of the World Health Organization Package of Essential Noncommunicable (PEN) disease interventions for primary health care in low-resource settings. The NCD PEN brings opportunities to strengthen the health workforce, diagnostics, medicines and supplies, the health information system, and research and surveillance and to reduce inequity in diabetes care in Nepal. |
| Databáze: | OpenAIRE |
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