Barriers and solutions to implementing a multisectoral action plan to prevent and control non-communicable diseases within UNRWA settings: a mixed-methods study

Albeik, Shatha; Saleh, Suha; Turki, Yassir; Mousa, Ayoub; Kishk, Nada Abu; Tan, Mengxin; Shahin, Yousef; Seita, Akihiro

doi:10.1016/s0140-6736(22)01163-1

Cited by 2 publications

(1 citation statement)

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“…Non-health sectors lack clarity on MSA but express willingness to contribute to NCD prevention efforts. Another study conducted in refugee camp also cited lack of motivation as a challenge for MSA in NCDs 19 .…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Assessment of Multi-sectoral Action for Non-communicable Diseases (NCDs) in Uttar Pradesh, India

tiwari,

singh,

Manar

et al. 2024

Preprint

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Introduction Non-communicable diseases (NCDs) are increasing globally, especially affecting vulnerable populations in low- and middle-income countries. To tackle this, urgent and comprehensive actions are needed. The main preventable risk factors for NCDs are tobacco and alcohol use, unhealthy diet, physical inactivity, and air pollution, rooted in social determinants of health (SDOH). In India, some states are adopting a multi-sectoral approach (MSA) to manage NCDs. A qualitative assessment was conducted to evaluate MSA implementation in Uttar Pradesh, India. Methods Inductive approach i.e., grounded theory was used to understand the perceptions regarding MSA. Key-Informant Interviews (KIIs) of senior level officers from both non-health and health sectors were conducted using an interview guide. We targeted all 17 priority non-health sectors as identified in National Multi-sectoral Action plan (NMAP) for prevention and control of NCDs in India. Data thus collected was transcribed, translated and coded for identifying themes. Results The non-health sectors are ready to act but don’t have a lead to guide them. They did explain the risk factors such as behaviours, nutrition and physical inactivity for NCDs and also appreciated the role of MSA in prevention and control of NCD. The attitude and perception of health sector towards implementation of MSA is not very promising. It is based upon the existing vertical structures, response and support they have experienced before from other sectors and from administration. All the non-health sectors opine that health needs to take lead for MSA as health sector has scientific knowledge and experience regarding operationalization of health programs. Conclusion There is still a long way to bring all priority non-health and health sectors on a common action platform for NCDs prevention and control. The trade-off between the two needs to involve a dedicated but separate structure which would act within or parallel to existing system and translate policy to practice.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Assessment of Multi-sectoral Action for Non-communicable Diseases (NCDs) in Uttar Pradesh, India

tiwari,

singh,

Manar

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

A qualitative assessment of multi-sectoral action for non-communicable diseases (NCDs) in Uttar Pradesh, India

Tiwari,

Singh,

Manar

et al. 2024

Discov Public Health

View full text Add to dashboard Cite

Introduction Non-communicable diseases (NCDs) on the rise globally, especially affecting vulnerable populations in low- and middle-income countries. To tackle this, urgent and comprehensive actions are needed. The main preventable risk factors for NCDs are tobacco and alcohol use, unhealthy diet, physical inactivity, and air pollution, rooted in social determinants of health (SDOH). In India, some states are adopting a multi-sectoral approach (MSA) to manage NCDs. A qualitative assessment was conducted to evaluate MSA implementation in Uttar Pradesh, India. Methods Inductive approach i.e., grounded theory was used to understand the perceptions regarding MSA. Key-Informant Interviews (KIIs) of senior level officers from both non-health and health sectors were conducted using an interview guide. We targeted all 17 priority sectors as identified in National Multi-sectoral Action plan (NMAP) for prevention and control of NCDs in India. Data could be collected from officials of 14 sectors. Data thus collected was transcribed, translated and coded for identifying themes. Results The non-health sectors expressed readiness to act but don’t have guidelines. They explained the risk factors such as behaviours; nutrition and physical inactivity associated with NCDs and also appreciated the role of MSA in prevention and control of NCD. The attitude and perception of health sector towards implementation of MSA was less promising. Their perspective was based upon the existing vertical structures, response and support they have experienced before from other sectors and from the administration. Non-health sectors uniformly emphasised that health should lead MSA as health sector has scientific knowledge and experience in operationalizing health programs. Conclusion There is a need to have a common action platform for NCD prevention and control to bridge the gap between health and non-health sectors. A dedicated, parallel structure is essential to translate policy into practice effectively.

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Barriers and solutions to implementing a multisectoral action plan to prevent and control non-communicable diseases within UNRWA settings: a mixed-methods study

Cited by 2 publications

References 0 publications

A Qualitative Assessment of Multi-sectoral Action for Non-communicable Diseases (NCDs) in Uttar Pradesh, India

A Qualitative Assessment of Multi-sectoral Action for Non-communicable Diseases (NCDs) in Uttar Pradesh, India

A qualitative assessment of multi-sectoral action for non-communicable diseases (NCDs) in Uttar Pradesh, India

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