Economic Studies on Non-Communicable Diseases and Injuries in India: A Systematic Review

Gupta, Indrani; Roy, Arjun

doi:10.1007/s40258-018-0370-1

Cited by 5 publications

(4 citation statements)

References 97 publications

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“…The current literatures on the discourse of assessing financial burden of NCDs in the low and middle-income countries by Kankeu et al [ 16 ] and Gupta et al[ 17 ] emphasize the need for prioritizing robust research on estimating costs incurred and impoverishment effect due to NCDs. It is important to carry out new research to produce evident knowledge in the resource constraint settings.…”

Section: Introductionmentioning

confidence: 99%

The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review

et al. 2018

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BackgroundOut of pocket payment (OOPP), is the major health financing mechanism in South Asia region. With the rising burden of non-communicable diseases (NCDs), the region is facing a high financial burden. However, the extent and nature of economic impact caused by treatment and management of NCDs at the household level is yet unknown.MethodWe conducted a systematic review using Medline and Embase databases. Only peer-reviewed quantitative studies published between January 2000 to December 2016 assessing OOPP or catastrophic health expenditure or impoverishment or financial coping strategy due to at least one of the four major NCDs—cardiovascular diseases(CVDs), diabetes, cancer, chronic respiratory disease in South Asia region was included in the review. The review is registered in PROSPERO no: CRD42017059345.ResultsA total of 21 studies (of 2693 records identified) met the inclusion criteria. The economic impact was most frequently studied in CVDs and in terms of OOPP. The studies collectively indicated high OOPP, higher likelihood of catastrophic expenditure and impoverishment for inpatient care for these major NCDs which was visible in all income levels. Borrowing and selling off assets were the most common forms of coping strategies adopted and varied inconsistently between urban and rural households. The true extent of the economic impact, however, remains difficult to determine due to methodological heterogeneity regarding outcomes reported and measures employed for calculation of OOPP, catastrophic expenditure, and impoverishment across these four major NCDs and between nations.ConclusionThe economic impact due to treatment and management of CVDs, diabetes, cancer and chronic respiratory diseases among households in South Asia seems dire. Given the lack of sufficient evidence the review stresses the need for further research in the region to develop evidence-informed nationally tailored prepayment mechanisms covering NCDs to reduce economic vulnerability and standardization of tools measuring the economic impact for generating comparable estimates.

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Section: Introductionmentioning

confidence: 99%

The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review

et al. 2018

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“…NCDs are perceived as ailments in which microbial interference is alienated in favor of lifestyle factors, and environmental genetical factors, with a few accompanied risk factor consequences, such as increased industrialization and urbanization, changes in lifestyle habits, and longer life expectancy, the prevalence of the non-communicable disease is predicted to be raised in the coming years. [ 5 6 ] Tobacco use and alcoholism, sedentary behavior, being overweight or obese, intake of fruits, and vegetables insufficient, having higher blood pressure (BP), blood glucose, and cholesterol levels, and consuming excessive fat and sodium, seem to be biological and behavioral risk factors that are contributing to the development of NCDs. [ 7 ] Non-communicable illnesses (NCDs) such as diabetes mellitus, hypertension, pulmonary (COPD/bronchial asthma), and heart disease have been known to enhance susceptibility to Covid-19 disease among individuals.…”

Section: Introductionmentioning

confidence: 99%

The burden of non-communicable diseases: A scoping review focus on the context of India

Ramesh

Kosalram

2023

Journal of Education and Health Promotion

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The mortality rate of non-communicable diseases (NCDs) contributes more in low-income and middle-income countries, also among individuals with lower socioeconomic status in high-income countries, making NCDs a big hurdle to minimizing global and national health disparities. Among 55 million fatalities worldwide in 2019, NCDs accounted for about 41 million (71%) deaths. The purpose of this scoping review was to comprehend the available literature on the burden of NCDs in India. This review included the studies that have been published between the period of 2009–2020. For this review, 18 full-text articles have been selected. A preliminary search was done to obtain articles from the search engines such as PubMed, Google Scholar, web of science, and Scopus. Our scoping review was focused on five major NCDs which are cardiovascular, hypertension, diabetes, cancer, and stroke. In 2019, around 17.9 million individuals died from cardiovascular disease (CVD), which is accounting for 32% of all deaths. As compared to Chandigarh and Jharkhand (0.12 million and 0.96 million, respectively) Tamil Nadu and Maharashtra (4.8 million and 9.2 million, respectively) have a higher percentage of the population affected by diabetes. In India, stroke is the fifth-significant cause of disability and the fourth-leading cause of fatality, which is accounting for 3.5 percent of all disabilities. India should construct a higher-level coordinating framework and devise an overarching policy or strategy tailored to NCDs. To limit risk factor exposure, it is necessary to emphasize health promotion and preventive actions.

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“…Reform in primary health care structure through the strengthening of health promotion programs (HPPs) is recommended to reduce disease burden in low expenditure, low growth health economies such as India. [12] In such countries, the presence of the large number of healthcare students[34] may serve as a potential resource for augmenting health promotion workforce in primary care akin to nonphysician clinicians. [5678910] Such HPPs may also diversify professional education.…”

Section: Introductionmentioning

confidence: 99%

“…It is, therefore, important to address measures for healthy food habits as well as oral and personal hygiene in a program directed toward health promotion in India as well as other parts of the developing world. Additionally, HPPs for nutritional and dental conditions; even though advocated,[111121314151617] have been inadequately implemented due to lack of public health education reforms and trans-disciplinary approach in health education. [1819]…”

Section: Introductionmentioning

confidence: 99%

Testing of a dental student-administered multidisciplinary health promotion program

Sharma

Jain

Singh

et al. 2019

J Family Med Prim Care

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Background:A multidisciplinary approach involving healthcare students for health promotion has been recommended. With this view, the primary phase of the integrated health promotion program (IHPP) was designed and pilot tested.Methods:A pre-post-intervention study was conducted among 55 housewives of two self-help groups in India. The intervention consisted of a motivational interview, interactive session with a nutritionist, group discussion, personal hygiene training, and an illustrative reinforcement leaflet. Interventions were provided by trained dental students. The evaluation was based on outcomes from six tools specifically tailored for the program. These were the health self-regulation self-efficacy scale (HSSS), visual analogue scale (VAS) for self-health perception, oral health knowledge and attitude questionnaire, motivational interview, group discussion, and personal hygiene demonstration test.Results:Statistically significant change in mean pre- and postprogram scores in HSSS (P < 0.001), its two components, metacognitive component, action component, as well as VAS (P = 0.001) indicated a change in health-related perceptions in the participants. Mean oral health knowledge score (6.1), as well as attitude score (3.8), was fair. Most of the participants were able to demonstrate personal hygiene and tooth brushing correctly; take collective decisions about their health, plan changes in their diet, and resolve upon bringing about healthy changes in their lifestyle.Conclusion:The program evaluation indicated successful intervention and may be replicated in a larger population. Healthcare student population may be used in developing countries to bring about an attitude change in the underprivileged population through an IHPP.

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Economic Studies on Non-Communicable Diseases and Injuries in India: A Systematic Review

Cited by 5 publications

References 97 publications

The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review

The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review

The burden of non-communicable diseases: A scoping review focus on the context of India

Testing of a dental student-administered multidisciplinary health promotion program

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