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
收藏
页数:9
相关论文
共 42 条
  • [31] Unhealthy Snack Food and Beverage Consumption Is Associated with Lower Dietary Adequacy and Length-for-Age z-Scores among 12-23-Month-Olds in Kathmandu Valley, Nepal
    Pries, Alissa M.
    Rehman, Andrea M.
    Filteau, Suzanne
    Sharma, Nisha
    Upadhyay, Atul
    Ferguson, Elaine L.
    [J]. JOURNAL OF NUTRITION, 2019, 149 (10) : 1843 - 1851
  • [32] Challenges and opportunities towards the road of universal health coverage (UHC) in Nepal: a systematic review
    Ranabhat, Chhabi Lal
    Kim, Chun-Bae
    Singh, Ajanta
    Acharya, Devaraj
    Pathak, Krishna
    Sharma, Basundhara
    Mishra, Shiva Raj
    [J]. ARCHIVES OF PUBLIC HEALTH, 2019, 77 (1)
  • [33] Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help?
    Rosland, Ann-Marie
    Heisler, Michele
    Choi, Hwa-Jung
    Silveira, Maria J.
    Piette, John D.
    [J]. CHRONIC ILLNESS, 2010, 6 (01) : 22 - 33
  • [34] Non-communicable disease prevention in Nepal: systemic challenges and future directions
    Sharma, Sudesh Raj
    Page, Rachel
    Matheson, Anna
    Lambrick, Danielle
    Faulkner, James
    Mishra, Shiva Raj
    [J]. GLOBAL HEALTH PROMOTION, 2019, 26 (03) : 94 - 97
  • [35] The Need for Palliative Care in Adults in Nepal: Projections Based on Modeling Mortality Data
    Swarbrick, Eleanor M.
    Pietroni, Mark A. C.
    Munday, Daniel M.
    [J]. INDIAN JOURNAL OF PALLIATIVE CARE, 2019, 25 (01) : 41 - 45
  • [36] Implementing Federalism in the Health System of Nepal: Opportunities and Challenges
    Thapa, Rajshree
    Bam, Kiran
    Tiwari, Pravin
    Sinha, Tirtha Kumar
    Dahal, Sagar
    [J]. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 2019, 8 (04) : 195 - 198
  • [37] Obesity Prevalence in Nepal: Public Health Challenges in a Low-Income Nation during an Alarming Worldwide Trend
    Vaidya, Abhinav
    Shakya, Suraj
    Krettek, Alexandra
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2010, 7 (06) : 2726 - 2744
  • [38] Family behaviours that have an impact on the self-management activities of adults living with Type 2 diabetes: a systematic review and meta-synthesis
    Vongmany, J.
    Luckett, T.
    Lam, L.
    Phillips, J. L.
    [J]. DIABETIC MEDICINE, 2018, 35 (02) : 184 - 194
  • [39] World Health Organization, 2018, 2018 HLTH SDG PROF N
  • [40] World Health Organization, DECLARATION OF ASTAN