Noncommunicable Diseases In East Africa: Assessing The Gaps In Care And Identifying Opportunities For Improvement
Noncommunicable Diseases In East Africa: Assessing The Gaps In Care And Identifying Opportunities For Improvement
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DOI：
10.1377/hlthaff.2015.0382
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发表时间：
2015-09-01
期刊：
影响因子：
9.7
通讯作者：
Schwartz, Jeremy I.
中科院分区：
文献类型：
--
作者：
Siddharthan, Trishul;Ramaiya, Kaushik;Schwartz, Jeremy I.
东非非传染性疾病的流行率正在迅速上升。虽然低收入国家正在进行流行病学、人口和营养方面的转变，但这些国家的投资和关注仍然主要集中在传染病上。我们讨论传染病管理的现有基础设施以及东非非传染性和传染性疾病之间的联系。我们描述了该地区卫生系统在非传染性疾病管理方面的差距。我们还讨论了东非在解决非传染性疾病方面的不足，从基础科学研究和医学培训到卫生服务提供、公共卫生倡议和获得基本药物。最后，我们强调东非各国政府和民间社会在应对非传染性疾病方面的合作作用，并倡导建立健全的初级卫生保健系统，重点关注健康的社会决定因素。
The prevalence of noncommunicable diseases in East Africa is rising rapidly. Although the epidemiologic, demographic, and nutritional transitions are well under way in low-income countries, investment and attention in these countries remain focused largely on communicable diseases. We discuss existing infrastructure in communicable disease management as well as linkages between noncommunicable and communicable diseases in East Africa. We describe gaps in noncommunicable disease management within the health systems in this region. We also discuss deficiencies in addressing noncommunicable diseases from basic science research and medical training to health services delivery, public health initiatives, and access to essential medications in East Africa. Finally, we highlight the role of collaboration among East African governments and civil society in addressing noncommunicable diseases, and we advocate for a robust primary health care system that focuses on the social determinants of health.