Learning from progress: global NCD policy implementation at national level

Kishore, Sandeep P.; Majumdar, Usnish

doi:10.1016/s2214-109x(19)30496-6

Cited by 6 publications

(6 citation statements)

References 3 publications

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“…Allen et al (2020) found significant international variation in the implementation of WHO-recommended policies aimed at curbing MCC correlated with underlying differences in wealth and overall investment in healthcare, as well as differences in tax burden and other commercial determinants of health. [28,29]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of multiple chronic conditions by U.S. state and territory, 2017

et al. 2020

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Having multiple (two or more) chronic conditions (MCC) is associated with an increased risk of mortality and functional decline, health resource utilization, and healthcare expenditures. As a result, understanding the prevalence of MCC is increasingly being recognized as a public health imperative. This research describes the prevalence and distribution of adults with MCC across the United States using 2017 data from the Behavioral Risk Factors Surveillance System (BRFSS). Prevalence of MCC was calculated for each U.S. state and territory overall, by sex and by age. Additionally, the most common condition dyads (two condition combinations) and triads (three condition combinations) were assessed for each state. Prevalence of MCC ranged from 37.9% in the District of Columbia to 64.4% in West Virginia. Females had a higher prevalence than males in 47 of 53 states and territories, and MCC prevalence increased with age in every state and territory. Overall prevalence estimates were higher than estimates using data from the National Health Interview Survey (NHIS), especially in the younger population (aged 18-44), due partly to the inclusion of high cholesterol, obesity, and depression as chronic conditions. Analysis of the most prevalent dyads and triads revealed the greatest state-by-state variability in the 18-44-year-old population. Multiple states' most prevalent dyads and triads for this population included obesity and depression. These findings build an accurate picture of the prevalence of multiple chronic conditions across the United States and will aid public health officials in creating programs targeted to their region.

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Section: Discussionmentioning

confidence: 99%

Prevalence of multiple chronic conditions by U.S. state and territory, 2017

et al. 2020

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“…vulnerable Gruppen eingingen, sich aber vermutlich besonders schwertun, kommerzielle Bestimmungsfaktoren für Gesundheit zu adressieren [23].…”

Section: Deutschland Kein Vorreiter Bei Ernährungsbezogener Ncd-präveunclassified

Lebensmittel-bezogene Verhältnisprävention von Adipositas und nichtübertragbaren Krankheiten – der politische Prozess in Deutschland

Gerlach¹

2020

Adipositas - Ursachen, Folgeerkrankungen, Therapie

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Zusammenfassung Ziel Der Artikel beschreibt den politischen Prozess der Etablierung der Nationalen Reduktions- und Innovationsstrategie für Zucker, Fette und Salz in Fertigprodukten und eines verbesserten Nährwertkennzeichnungssystems in Deutschland, mit Fokus auf dem Beitrag und der Rolle von Wissenschafts- und Gesundheitsorganisationen. Methodik Narrativ. Ergebnisse Vom Bundesministerium für Landwirtschaft und Ernährung (BMEL) eingeladen, als Berater den Prozess der Etablierung der nationalen Reduktions- und Innovationsstrategie für Zucker, Fette und Salz in Fertigprodukten sowie einer verbesserten Nährwertkennzeichnung zu begleiten, konnten Wissenschafts- und Gesundheitsorganisationen den politisch vorgegebenen, freiwilligen Ansatz nicht verhindern. Ihre konzertierte und öffentlichkeitswirksame Kommunikation beeinflusste die öffentliche Meinung jedoch stark und unterstützte den Durchbruch des Nutri-Score in Deutschland. Schlussfolgerungen Wollen Wissenschafts- und Gesundheitsorganisationen evidenzbasierte Strategien politisch umgesetzt sehen, reichen Forschung und Sachkenntnis nicht aus. Es bedarf des Aufbaus einer gesellschaftlichen Dynamik mittels einer nachhaltigen und strategischen „Lobby pro Gesundheit“, um über die Modifikation des öffentlichen Diskurses die Politik zu beeinflussen.

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“…The challenge is creating global policy that is grounded in local experience but interpreted into principles that find relevance and applicability across contexts. In recent years these development processes have been helpful for rapidly progressing global policy with respect to mental health, 8 NCDs, 9 antimicrobial resistance, 10 tobacco control and alcohol and other drugs. 9 , 11 - 13 …”

Section: Introductionmentioning

confidence: 99%

From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development

Schneider

Parambath

Young

et al. 2022

Int J Health Policy Manag

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Background: Global policy to guide action on musculoskeletal (MSK) health is in a nascent phase. Lagging behind other noncommunicable diseases there is currently little global policy to assist governments to develop national approaches to MSK health. Considering the importance of comparison and learning for global policy development, we aimed to perform a comparative analysis of national MSK policies to identify areas of innovation and draw common themes and principles that could guide MSK health policy. Methods: Multi-modal search strategy incorporating a systematic online search targeted at the 30 most populated nations ; a call to networked experts; a specified question in a related eDelphi questionnaire; and snowballing methods.. Extracted data were organised using an a priori framework adapted from the WHO Building Blocks and further inductive coding. Subsequently, texts were open coded and thematically analysed to derive specific sub-themes and principles underlying texts within each theme, serving as abstracted, transferrable concepts for future global policy. Results: The search yielded 165 documents with 41 retained after removal of duplicates and exclusions. Only three documents were comprehensive national strategies addressing MSK health. The most common conditions addressed in the documents were pain (noncancer), low back pain, occupational health, inflammatory conditions, and osteoarthritis. Across eight categories, we derived 47 sub-themes with transferable principles that could guide global policy for: service delivery; workforce; medicines and technologies; financing; data and information systems; leadership and governance; citizens, consumers and communities; and research and innovation. Conclusion: There are few examples of national strategic policy to address MSK health; however, many countries are moving towards this by documenting the burden of disease and developing policies for MSK services. This review found a breadth of principles that can add to this existing work and may be adopted to develop comprehensive system-wide MSK health approaches at national and global levels.

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Learning from progress: global NCD policy implementation at national level

Cited by 6 publications

References 3 publications

Prevalence of multiple chronic conditions by U.S. state and territory, 2017

Prevalence of multiple chronic conditions by U.S. state and territory, 2017

Lebensmittel-bezogene Verhältnisprävention von Adipositas und nichtübertragbaren Krankheiten – der politische Prozess in Deutschland

From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development

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