A Comprehensive Public Health Approach to Address the Burden of Renal Disease in Singapore

Ramirez, Sylvia

doi:10.1097/01.asn.0000070154.00058.b4

Cited by 10 publications

(12 citation statements)

References 27 publications

(22 reference statements)

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“…As evidenced by a substudy of the screening program, 73.7% of the diabetic patients studied had poor glycemic control as defined by a hemoglobin A1c of 7.0% or greater. In addition, 88.2% were found to have an elevated blood pressure, and 47% of the screened diabetics had incipient diabetic nephropathy as defined by the presence of microalbuminuria (20). These observations supported the design of a secondary prevention strategy, which has 2 main components.…”

Section: Early Intervention and Disease Management Programmentioning

confidence: 67%

“…In Singapore, several factors influenced the development of a chronic kidney disease screening program (19,20). The rising annual incidence of ESRD in Singapore (1), its profound impact on morbidity and mortality, and the country's ethnic composition, which may suggest an increased predisposition to kidney disease such as IgA nephropathy (21), among others, led to the development of the Prevention Program of the NKF Singapore.…”

Section: Epidemiologic Basis For Screening For Chronic Kidney Diseasementioning

confidence: 99%

“…The NKF Singapore Prevention Program presents a unique approach that incorporates a comprehensive multilevel strategy to address chronic kidney disease (19,20). What makes the NKF Singapore program different is that it incorporated a public health approach to preventing ESRD by using primary, secondary, and tertiary prevention initiatives that can intervene at several stages in the progression of kidney disease.…”

Section: Nkf Singapore Prevention Program Overviewmentioning

confidence: 99%

“…Between November 1997 and December 2001, a total of 621,183 Singaporeans had participated in the program (20). In an analysis of 213,873 adult workplace screening participants with a mean age of 36.3 yr and a median age of 34.0 yr, clinically significant proteinuria defined as a dipstick protein of Ն1 was detected in 1.1%, and isolated hematuria defined as dipstick hematuria of Ն1 was detected in 9.06% (16).…”

Section: Primary Prevention and Early Disease Detection Programmentioning

confidence: 99%

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Chronic Kidney Disease Prevention in Singapore

Ramirez¹

2008

Clinical Journal of the American Society of Nephrology

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In consideration of the epidemiologic basis for screening and surveillance, a comprehensive program for chronic kidney disease prevention was initiated in Singapore by the National Kidney Foundation Singapore (NKF Singapore) in 1997. Reasons for developing this include the rising rate of end-stage renal disease in the country, and the projected escalation because of the increase in chronic diseases that lead to end-stage renal disease (ESRD) such as diabetes mellitus and hypertension. Presented are progress and preliminary findings of this program, as well as that of the parallel initiative of Singapore's Ministry of Health. The NKF Singapore program incorporates primary, secondary and tertiary approaches to the prevention of chronic kidney disease. These include the population-based screening for early chronic kidney disease and chronic diseases that are associated with kidney disease and the implementation of disease management programs that aim to improve the multi-faceted care of patients with chronic diseases that lead to ESRD, including the development of community-based "Prevention Centers." The screening program identified risk factors for proteinuria, including the Malay race, increasing age, family history of kidney disease, and higher levels of systolic and diastolic BP even within the normal ranges. Longitudinal follow-up of both prevention programs are critical to provide evidence for the efficacy of such screening and intervention programs in improving chronic kidney disease outcomes, while reducing the cost of care.

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Section: Early Intervention and Disease Management Programmentioning

confidence: 67%

Section: Epidemiologic Basis For Screening For Chronic Kidney Diseasementioning

confidence: 99%

Section: Nkf Singapore Prevention Program Overviewmentioning

confidence: 99%

Section: Primary Prevention and Early Disease Detection Programmentioning

confidence: 99%

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Chronic Kidney Disease Prevention in Singapore

Ramirez¹

2008

Clinical Journal of the American Society of Nephrology

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“…Focus on IEC measures, intervention programs, facility provisioning and expansion along with extensive research has been identified as the ultimate gainful resource for the successful public health program in Singapore. 3 It surely facilitates collaborative, correctional and coordinated inputs by all possible stakeholders.…”

Section: Introductionmentioning

confidence: 99%

Strategic approach selection for public health through evidenced analytical tools

Gumashta

2017

Int J Community Med Public Health

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INTRODUCTIONThe beneficiary focused onsite interventions have been identified as preferred public health initiatives in developed countries.1 It hence underlines the importance of predominant and important factor identification for the purpose of identifying an effective and result oriented approach suitable to serve the needs of developing nations as well. The opportunities and challenges of demographic shifts require technical measures suited to behavior change and appropriate policy designs. The strategic inputs have to address cross cutting issues of socio cultural dimensions, while fitting with the local needs, requirements and preferences. Focus on IEC measures, intervention programs, facility provisioning and expansion along with extensive research has been identified as the ultimate gainful resource for the successful public health program in Singapore.3 It surely facilitates collaborative, correctional and coordinated inputs by all possible stakeholders.Public health model supported by quality data and information dissemination drives has been observed to have impacted upon in improving the clinical outcome of the critical cases.4 Preservation and protection of environment, economy, agriculture and human health is the ultimate goal of spectrum of academic, research and interactive platform activities and hence public health ABSTRACT Background: The multi-dimensional perspectives of evidence based public health strategic approaches necessitates use of efficient analytical tools towards decision making for project and programmatic interventions on a larger framework of policy, behavior and resource utilization. Methods: Respondent driven sampling (RDS) was obtained through discussion, interview and participation in the status assessment questionnaire devised for the study. Results: Lack of new initiatives supported by non-dissemination of findings of research (75%), difficult logistics management (67.39%), unaddressed training needs (46.67%), lessons learnt remaining untransformed into actionable inputs (82.60%) and less emphasis on monitoring cum evaluation (44.56%) is observed respectively while assessing quality adherence, program design, vision statement and choices of public health approaches. Conclusions: 'Comprehensive Management and Monitoring Approach' is found to be the best public health approach for project design, formulation, plan extension, implementation, monitoring, evaluation and revision thereby necessitating targeted interventions through well managed technical cum financial inputs.

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Glomerulonephritis and Managing the Risks of Chronic Renal Disease

Singh

2009

Pediatric Clinics of North America

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A Comprehensive Public Health Approach to Address the Burden of Renal Disease in Singapore

Cited by 10 publications

References 27 publications

Chronic Kidney Disease Prevention in Singapore

Chronic Kidney Disease Prevention in Singapore

Strategic approach selection for public health through evidenced analytical tools

Glomerulonephritis and Managing the Risks of Chronic Renal Disease

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