Management of NCD in Low- and Middle-Income Countries

Checkley, William, Ghannem, Hassen, Irazola, Vilma, Kimaiyo, Sylvester, Levitt, Naomi S., Miranda, J. Jaime, Niessen, Louis ORCID: https://orcid.org/0000-0002-8639-5191, Prabhakaran, Dorairaj, Rabadán-Diehl, Cristina, Ramirez-Zea, Manuel, Rubinstein, Adolfo, Sigamani, Alben, Smith, Richard, Tandon, Nikhil, Wu, Yangfeng, Xavier, Denis and Yan, Lijing L. (2014) 'Management of NCD in Low- and Middle-Income Countries'. Global Heart, Vol 9, Issue 4, pp. 431-443.

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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.

Item Type:	Article
Subjects:	WA Public Health > WA 30 Socioeconomic factors in public health (General) WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WA Public Health > Health Administration and Organization > WA 540 National and state health administration WA Public Health > Health Administration and Organization > WA 546 Local Health Administration. Community Health Services WA Public Health > Health Administration and Organization > WA 590 Health education, Health communication
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1016/j.gheart.2014.11.003
Depositing User:	Lynn Roberts-Maloney
Date Deposited:	02 Jun 2015 10:50
Last Modified:	30 Aug 2019 17:25
URI:	https://archive.lstmed.ac.uk/id/eprint/5181

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