Reframing noncommunicable diseases and injuries for the poorest Malawians: the Malawi National NCDI Poverty Commission

Cundale, Katie; Wroe, Emily; Matanje-Mwagomba, Beatrice; Muula, Adamson S; Gupta, Neil; Berman, Josh; Kasomekera, Noel; Masiye, Jones

doi:10.4314/mmj.v29i2.22

Cited by 24 publications

(27 citation statements)

References 3 publications

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“…In many parts of the world, including Malawi, a considerable greater part of the NCD burden falls on the young and the poor and rural dwellers, and cannot be straightforwardly attributed to the 'big four' conditions and their 'big four' risk factors. Malawi is one of the countries taking part in the work of the Lancet Commission and in November 2016 the Malawi National NCDI Poverty Commission was launched to investigate the underlying patterns and causes of NCDs in the country (Cundale et al 2017).…”

Section: Resultsmentioning

confidence: 99%

Conceptualising metabolic disorder in Southern Africa: Biology, history and global health

Vaughan

2018

BioSocieties

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This paper traces the history of the concept of metabolic disorder in global health and its application to the collection of health metrics relating to the 'epidemic' of non-communicable diseases in Southern Africa, with a focus on Malawi. Although the contemporary science of metabolism points to complexity and contingency, the application of a simplified version of 'metabolic disorder' or 'metabolic syndrome' as the supposed central driver of non-communicable disease in low-and middle-income countries runs the risk of obscuring the ways in which local circumstances and histories interact with global forces to produce epidemiological change. The paper discusses health data collection and its interpretation in Malawi to demonstrate how the use of this concept has led to a narrowing of the category of non-communicable disease and a neglect of the role of infectious disease in producing chronic conditions. Finally, the paper points to alternative approaches which might yield a better understanding of pressing health problems.Keywords Metabolic disorder Á Non-communicable disease Á Africa Á Malawi Á Epidemiologic transition All over the world, and particularly where laboratory conditions are in short supply, the measurement of the waist circumference has come to be used as an indicator of susceptibility to 'metabolic syndrome' or 'metabolic disorder': a set of conditions including obesity, raised blood pressure, raised triglycerides, reduced HDL cholesterol and raised plasma glucose levels. These conditions in turn indicate susceptibility to heart disease, diabetes mellitus, stroke and other serious health consequences. Although officially the definition of metabolic syndrome requires that an individual display central obesity and at least two of these other indicators,

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Section: Resultsmentioning

confidence: 99%

Conceptualising metabolic disorder in Southern Africa: Biology, history and global health

Vaughan

2018

BioSocieties

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“…While terms such as 'infectious diseases' point directly toward a step in the aetiological pathway of these conditions (namely infections), NCDs are defined in terms of what they are not, as highlighted by Allen and Feigl [44]. Part of the complication is that they are a diverse group encompassing not only the 'big four' conditions, but also mental illnesses (which were recently added to the WHO NCD framework [36]), genetic and congenital disorders, autoimmune disorders and musculoskeletal conditions, among others [46,53]. Moreover, many NCDs have very complex aetiologies [4], including gene-environment interactions and epigenetic changes.…”

Section: Themes: Complex Aetiologies and Multimorbiditiesmentioning

confidence: 99%

Reframing NCDs? An analysis of current debates

Adjaye-Gbewonyo

Vaughan

2019

Global Health Action

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There have been many debates in recent years as to whether the communicable disease versus non-communicable disease (NCD) division is a meaningful one in disease classification. Several critiques have been raised about the framing of NCDs, regarding not only the prominent role that infections play in the aetiology of NCDs, but also the communicability of many social determinants of NCDs and the individualistic, 'lifestyle' framing of NCDs that tends to focus on health behaviours to the neglect of socio-political, environmental, and structural determinants of health. In this paper, we give a historical overview of the usage of the NCD terminology and analyse some of the recent debates regarding the naming and framing of NCDs. We argue that a lack of reflection on the assumptions underlying the naming and framing of NCDs may lead to the collection of insufficient epidemiological data, the development of inappropriate interventions and the provision of inadequate care. Work in social epidemiology, health promotion, medical anthropology, demography, and other fields may provide insights into the ways in which efforts targeting NCDs may be reframed to improve impact and efficacy. In addition, concepts such as multimorbidity and syndemics, frameworks such as ecosocial theory and approaches based in the social sciences may provide a way forward in the conceptualization of disease.

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“…No contexto epidemiológico as DCNT's, apresentam elevadas taxas de morbidade e mortalidade, ao passo que são responsáveis por cerca de 70% das mortes em todo o mundo, estudos contrastam que 75% dessas mortes ocorrem em países não desenvolvidos ou subdesenvolvidos (CUNDALE, 2017). Mundialmente, elas compreendem: o diabetes, as doenças cardiovasculares, o câncer e as doenças respiratórias crônicas (CUNDALE, 2017).…”

Section: Introductionunclassified

Produção Científica Acerca Do Assédio Moral No Âmbito Da Saúde

Arruda¹,

Xavier²,

Costa³

et al. 2021

Dinamismo E Clareza No Planejamento Em Ciências Da Saúde 3

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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Reframing noncommunicable diseases and injuries for the poorest Malawians: the Malawi National NCDI Poverty Commission

Cited by 24 publications

References 3 publications

Conceptualising metabolic disorder in Southern Africa: Biology, history and global health

Conceptualising metabolic disorder in Southern Africa: Biology, history and global health

Reframing NCDs? An analysis of current debates

Produção Científica Acerca Do Assédio Moral No Âmbito Da Saúde

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