Introduction: Non-communicable disease prevention policies in six African countries

Juma, Pamel A.; Wisdom, Jennifer P.

doi:10.1186/s12889-018-5824-8

Cited by 9 publications

(7 citation statements)

References 9 publications

(9 reference statements)

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“…While the policy agenda for tobacco and alcohol started much earlier than the time the global agenda came into place in 2013, the renewed commitment to develop policies that address the WHO best buy interventions started after 2013. This seems to be the same case for many countries in the region including Tanzania, Rwanda and Uganda [ 21 ]. The policy adoption approach also seems to vary by country.…”

Section: Discussionmentioning

confidence: 52%

Non-communicable disease prevention policy process in five African countries authors

et al. 2018

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BackgroundThe increasing burden of non-communicable diseases (NCDs) in sub-Saharan Africa is causing further burden to the health care systems that are least equipped to deal with the challenge. Countries are developing policies to address major NCD risk factors including tobacco use, unhealthy diets, harmful alcohol consumption and physical inactivity. This paper describes NCD prevention policy development process in five African countries (Kenya, South Africa, Cameroon, Nigeria, Malawi), including the extent to which WHO “best buy” interventions for NCD prevention have been implemented.MethodsThe study applied a multiple case study design, with each country as a separate case study. Data were collected through document reviews and key informant interviews with national-level decision-makers in various sectors. Data were coded and analyzed thematically, guided by Walt and Gilson policy analysis framework that examines the context, content, processes and actors in policy development.ResultsCountry-level policy process has been relatively slow and uneven. Policy process for tobacco has moved faster, especially in South Africa but was delayed in others. Alcohol policy process has been slow in Nigeria and Malawi. Existing tobacco and alcohol policies address the WHO “best buy” interventions to some extent. Food-security and nutrition policies exist in almost all the countries, but the “best buy” interventions for unhealthy diet have not received adequate attention in all countries except South Africa. Physical activity policies are not well developed in any study countries. All have recently developed NCD strategic plans consistent with WHO global NCD Action Plan but these policies have not been adequately implemented due to inadequate political commitment, inadequate resources and technical capacity as well as industry influence.ConclusionNCD prevention policy process in many African countries has been influenced both by global and local factors. Countries have the will to develop NCD prevention policies but they face implementation gaps and need enhanced country-level commitment to support policy NCD prevention policy development for all risk factors and establish mechanisms to attain better policy outcomes while considering other local contextual factors that may influence policy implementation such as political support, resource allocation and availability of local data for monitoring impacts.

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Section: Discussionmentioning

confidence: 52%

Non-communicable disease prevention policy process in five African countries authors

et al. 2018

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“…Despite encouraging evidence of the impact of these interventions, and high-level commitment, many countries' policy responses to NCD control are limited. Even when polices are in place, there is variation in implementation [18][19][20][21][22]. Previous studies conducted to track Africa's progress in achieving NCD targets found that more than half of the countries had not achieved the interim targets [23] and progress was slow [8,24].…”

Section: Introductionmentioning

confidence: 99%

How well are non-communicable disease services being integrated into primary health care in Africa: A review of progress against World Health Organization’s African regional targets

et al. 2020

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In Africa, mortality due to non-communicable diseases (NCDs) is projected to overtake the combined mortality from communicable, maternal, neonatal, and nutritional diseases by 2030. To address this growing NCD burden, primary health care (PHC) systems will require substantial reorientation. In this study, we reviewed the progress of African countries towards integrating essential NCD services into PHC. Methods A review of World Health Organization (WHO) reports was conducted for all 47 countries in the WHO African Region. To report each country's progress, we used an a priori framework developed by the WHO regional office for Africa (AFRO). Twelve indicators were used to measure countries' progress. The proportion of countries meeting each indicator was tabulated using a heat map. Correlation between country income status and attainment of each indicator was also assessed. Findings No country met all the recommended indicators to integrate NCD services into PHC and seven countries met none of the indicators. Few countries (30%) had nationally approved guidelines for NCD management and very few reported availabilities of all essential NCD

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“…A mesma situação pode ser encontrada em outros países africanos. Na Eritreia, alguém tem falado da hipertensão como uma epidemia silenciosa (Mufunda et al, 2005), ao passo que um estudo recente e comparativo relativo a seis países da África subsaariana (Quênia, África do Sul, Togo, Nigéria, Camarões e Malawi) demonstra (apesar das diferenciações nacionais) que o fraco sistema de saúde e a escassa capacitação dos recursos humanos já tornou crítica a situação quanto à difusão e gestão das DNT (Juma;Widsom, 2018). É esse conjunto de fatores que faz com que a responsabilidade do jornalista, no seio do contexto africano, seja ainda maior se comparada com o trabalho dos colegas de outras partes do mundo.…”

Section: O Jornalismo Para a Saúde: Breve Enquadramento Teóricounclassified

A cobertura das doenças não transmissíveis em Moçambique: caso do jornal Notícias (2006-2018)

Bussotti¹

2021

Saude soc.

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Resumo Este artigo analisa a cobertura da imprensa moçambicana, especificamente do jornal Notícias, relativo às doenças não transmissíveis (DNT). O texto se inscreve em uma moldura teórica dupla: por um lado, no seio da comunicação para saúde “contextualizada”; por outro, no agendamento político da cobertura de imprensa controlada pelo Estado em países de democracia limitada, como Moçambique. A pesquisa foi do tipo exploratória e, em termos metodológicos, primeiro, foi feito um levantamento quantitativo da amostra de artigos do Notícias sobre DNT, de 2006 até 2018; a seguir, usou-se a análise do discurso aplicada aos artigos julgados mais significativos; finalmente, foram realizadas entrevistas junto a testemunhas-chave que complementaram a pesquisa. Os resultados apontaram para uma elevada politização da cobertura das doenças não transmissíveis. As entrevistas realizadas confirmaram tais conclusões, enfatizando, porém, a importância de uma análise contextual: a linha editorial do Notícias foi sim centrada no protagonismo de importantes figuras públicas comprometidas com a luta contra tais doenças, mas essa foi a única forma julgada possível para iniciar a abordagem das DNT na imprensa pública.

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Introduction: Non-communicable disease prevention policies in six African countries

Cited by 9 publications

References 9 publications

Non-communicable disease prevention policy process in five African countries authors

Non-communicable disease prevention policy process in five African countries authors

How well are non-communicable disease services being integrated into primary health care in Africa: A review of progress against World Health Organization’s African regional targets

A cobertura das doenças não transmissíveis em Moçambique: caso do jornal Notícias (2006-2018)

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