Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana.
Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana.
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DOI：
10.1186/1471-2458-14-s2-s3
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发表时间：
2014
影响因子：
4.5
通讯作者：
Ogedegbe G
中科院分区：
文献类型：
--
作者：
de-Graft Aikins A;Kushitor M;Koram K;Gyamfi S;Ogedegbe G
低收入和中等收入国家慢性非传染性疾病的负担日益加重，对这些国家实现全民医保的能力产生重大影响。在本文中，我们讨论的影响，心血管疾病（CVD）的初级卫生保健服务在城市贫困社区在阿克拉，加纳。我们审查的证据在加纳全民健康覆盖的演变和社区为基础的健康规划服务（CHPS）计划和国家健康保险计划在初级卫生保健的核心作用。我们介绍了一项关于社区心血管疾病知识、经验、反应和服务获取的研究的初步结果。加纳的非传染性疾病负担日益加重，这将影响全民医保的实现，特别是在城市地区。在研究社区中，CVD护理的需求显著未得到满足。为心血管疾病提供的初级卫生保健服务无法获得，不公平或不符合目标社区的需求。我们在初级卫生保健系统的背景下考虑这些发现，并讨论了加强低收入和中等收入国家卫生系统的挑战和机遇。
The rising burden of chronic non-communicable diseases in low and middle income countries has major implications on the ability of these countries to achieve universal health coverage. In this paper we discuss the impact of cardiovascular diseases (CVD) on primary healthcare services in urban poor communities in Accra, Ghana. We review the evidence on the evolution of universal health coverage in Ghana and the central role of the community-based health planning services (CHPS) programme and the National Health Insurance Scheme in primary health care. We present preliminary findings from a study on community CVD knowledge, experiences, responses and access to services. The rising burden of NCDs in Ghana will affect the achievement of universal health coverage, particularly in urban areas. There is a significant unmet need for CVD care in the study communities. The provision of primary healthcare services for CVD is not accessible, equitable or responsive to the needs of target communities. We consider these findings in the context of the primary healthcare system and discuss the challenges and opportunities for strengthening health systems in low and middle-income countries.