The United Nations High Level Meeting on the Prevention and Control of Noncommunicable Diseases: A Missed Opportunity?

Sivaramakrishnan, Kavita; Parker, Richard

doi:10.2105/ajph.2012.300768

Cited by 15 publications

(15 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Projections show that the burden of NCDs will continue to rise in these countries and significantly contribute to morbidity and mortality by the year 2030 [ 10 , 11 ]. In view of this, the United Nations General Assembly met in 2011 that emphasized on the need to strengthen measures for prevention and control of NCDs in developing countries [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Preparedness of lower-level health facilities and the associated factors for the outpatient primary care of hypertension: Evidence from Tanzanian national survey

Bintabara

Mpondo

2018

PLoS ONE

View full text Add to dashboard Cite

IntroductionSub-Saharan Africa is experiencing a rapid rise in the burden of non-communicable diseases in both urban and rural areas. Data on health system preparedness to manage hypertension and other non-communicable diseases remains scarce. This study aimed to assess the preparedness of lower-level health facilities for outpatient primary care of hypertension in Tanzania.MethodsThis study used data from the 2014–2015 Tanzania Service Provision Assessment survey. The facility was considered as prepared for the outpatient primary care of hypertension if reported at least half (≥50%) of the items listed from each of the three domains (staff training and guideline, basic diagnostic equipment, and basic medicines) as identified by World Health Organization-Service Availability and Readiness Assessment manual. Data were analyzed using Stata 14. An unadjusted logistic regression model was used to assess the association between outcome and explanatory variables. All variables with a P value < 0.2 were fitted into the multiple logistic regression models using a 5% significance level.ResultsOut of 725 health facilities involved in the current study, about 68% were public facilities and 73% located in rural settings. Only 28% of the assessed facilities were considered prepared for the outpatient primary care of hypertension. About 9% and 42% of the assessed facilities reported to have at least one trained staff and guidelines for hypertension respectively. In multivariate analysis, private facilities [AOR = 2.7, 95% CI; 1.2–6.1], urban location [AOR = 2.2, 95% CI; 1.2–4.2], health centers [AOR = 5.2, 95% CI; 3.1–8.7] and the performance of routine management meetings [AOR = 2.6, 95% CI; 1.1–5.9] were significantly associated with preparedness for the outpatient primary care of hypertension.ConclusionThe primary healthcare system in Tanzania is not adequately equipped to cope with the increasing burden of hypertension and other non-communicable diseases. Rural location, public ownership, and absence of routine management meetings were associated with being not prepared. There is a need to strengthen the primary healthcare system in Tanzania for better management of chronic diseases and curb their rising impact on health outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Preparedness of lower-level health facilities and the associated factors for the outpatient primary care of hypertension: Evidence from Tanzanian national survey

Bintabara

Mpondo

2018

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…In the third phase, creating the subsequent 2014 HLM, the direct Caribbean contribution diminished, even though Trinidad and Tobago led the Group of 77 developing countries at the United Nations (17). Although the 2014 HLM was pitched at the political level, no country leaders came.…”

Section: Resultsmentioning

confidence: 99%

“…Third, members’ compliance with the commitments contained in all the outcome documents was measured, using methods developed by the University of Toronto’s Global Governance Program. The assessment next traced, through key informant interviews using a snowball technique, the political and diplomatic process from the POSS to the SDG Summit in 2015, at which the SDG targets were agreed upon, using the same methods as those used for the Caribbean RIs, thus adding to works based on research done before the 2011 HLM (13-17).…”

Section: Methodsmentioning

confidence: 99%

Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases

Kirton

Knight

Hospedales

et al. 2019

Revista Panamericana De Salud Pública

View full text Add to dashboard Cite

Objective.To assess how well Caribbean regional institutions (RIs) met their commitments from the 2007 Port-of-Spain Summit (POSS) declaration on noncommunicable diseases (NCDs), and evaluate the POSS impact on the United Nations High-level Meeting (HLM) on NCDs in 2011 (2011 HLM), HLM NCD review in 2014 (2014 HLM), World Health Organization’s 2025 NCD targets (2025 WHO), and 2030 Sustainable Development Goals (SDGs) agreed upon in 2015.Methods.This study uses a method developed by the University of Toronto’s Global Governance Program to measure institutions’ compliance with commitments from a summit and the match with commitments from earlier summits. This approach was supplemented using data from published literature, primary documents, and semistructured key informant interviews to detail how and why Caribbean RIs met the 2007 POSS commitments, how the 2007 POSS commitments led to compliance, and how the 2007 POSS influenced international NCD commitments.Results.Caribbean RIs implemented the 2007 POSS commitments better when they had more public legitimacy, when their missions aligned with those commitments, and when more resources were available to them. Implementation constraints arose from multiple, sometimes competing, interests of the decision-making and national implementing bodies of the Caribbean Community (CARICOM). Internationally, the early, expanding efforts of the POSS pioneers had an initially important but subsequently diminishing impact on the HLMs.Conclusions.For the Caribbean region, the Caribbean Public Health Agency should be funded to lead strengthened Caribbean RIs in coordinated action on NCDs. At the international level, the United Nations should embed NCDs in a “whole-of-global-governance” approach, monitor implementation annually, foster transregional partnerships on NCD-related themes, engage civil society, and support regular regional and global summits to enhance implementation and improvement, aimed at future HLMs on NCDs, the 2025 WHO targets, and the SDG NCD targets.

show abstract

“…9 Therefore, the ASian Collaboration for Excellence in Non-Communicable Disease (ASCEND) Research Network Program was designed to contribute to this end, with a specific focus on NCDs. [10][11][12] The ASCEND Research Network Program was implemented in Sri Lanka, India, and Malaysia between 2011 and 2015. Learning outcomes included improving skills and knowledge about NCD research, prevention, and management both globally and within the South Asian context.…”

Section: Introductionmentioning

confidence: 99%

Strengthening Noncommunicable Disease Research Capacity and Chronic Disease Outcomes in Low- and Middle-Income Countries in South Asia: Implementation and Evaluation of the ASCEND Program

Byrnes¹,

Haregu

Pasricha

et al. 2019

Asia Pac J Public Health

View full text Add to dashboard Cite

This article describes the design, outcomes, challenges, and lessons learned from the ASian Collaboration for Excellence in Non-Communicable Disease (ASCEND) program, implemented between 2011 and 2015 in India, Sri Lanka, and Malaysia. The program involved a blended-delivery model, incorporating online and face-to-face training, mentoring, and supervision of trainees’ research projects. Evaluation data were collected at baseline, 6, 12, 18, and 24 months. Intended outcomes, lessons, and challenges were summarized using a logic model. During the program period, 48 participants were trained over 2 cohorts in June 2011 and 2012. The trainees published 83 peer-reviewed articles between 2011 and 2015. Additionally, 154 presentations were given by trainees at national and international conferences. Underutilization of the online learning management system was an important challenge. Utilizing a combination of intensive face-to-face and online learning and mentoring of early career researchers in low- and middle-income countries has great potential to enhance the research capacity, performance, and outputs.

show abstract

The United Nations High Level Meeting on the Prevention and Control of Noncommunicable Diseases: A Missed Opportunity?

Cited by 15 publications

References 3 publications

Preparedness of lower-level health facilities and the associated factors for the outpatient primary care of hypertension: Evidence from Tanzanian national survey

Preparedness of lower-level health facilities and the associated factors for the outpatient primary care of hypertension: Evidence from Tanzanian national survey

Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases

Strengthening Noncommunicable Disease Research Capacity and Chronic Disease Outcomes in Low- and Middle-Income Countries in South Asia: Implementation and Evaluation of the ASCEND Program

Contact Info

Product

Resources

About