Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal

被引:16
作者
Gyawali, Bishal [1 ]
Khanal, Pratik [2 ]
Mishra, Shiva Raj [3 ]
van Teijlingen, Edwin [4 ]
Meyrowitsch, Dan Wolf [1 ]
机构
[1] Univ Copenhagen, Dept Publ Hlth, Global Hlth Sect, Copenhagen, Denmark
[2] Inst Med, Cent Dept Publ Hlth, Kathmandu, Nepal
[3] Nepal Dev Soc, Bharatpur, Nepal
[4] Bournemouth Univ, Fac Hlth & Social Sci, Poole, Dorset, England
关键词
NCDs; primary healthcare; fragile health systems; integrated approach; Nepal; SELF-MANAGEMENT; ADULTS; CHALLENGES; POLICY; STATE;
D O I
10.1080/16549716.2020.1788262
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Nepal is currently facing a double burden of non-communicable diseases (NCDs) and communicable diseases, with rising trends of NCDs. This situation will add great pressure to already fragile health systems and pose a major challenge to the country's development unless urgent action is taken. While the primary health care approach offers a common platform to effectively address NCDs through preventive and curative interventions, yet its potential is not fully tapped in Nepal. In line with the Alma Ata and Astana Declarations, we propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burdens of NCDs.
引用
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页数:9
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