Asking the right question: implementation research to accelerate national non-communicable disease responses

Peters, David H.; Peters, Michael A.; Wickramasinghe, Kremlin; Osewe, Patrick L.; Davidson, Patricia M.

doi:10.1136/bmj.l1868

Cited by 11 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Implementation science tries to close the gap between knowledge and practice, by proposing specific frameworks and methods to translate, adapt, and facilitate the implementation of proven interventions. 202 As yet, few examples of implementation science departments in LMICs are available. 203 Finally, mathematical models are increasingly being used in the public health arena to help overcome data limitations, understand the dynamics of complex problems, simulate different intervention scenarios, and provide long term estimates of potential interventions.…”

Section: Improving Our Understanding Of Complex Systemsmentioning

confidence: 99%

Understanding the rise of cardiometabolic diseases in low- and middle-income countries

Miranda

Barrientos‐Gutiérrez

Corvalán

et al. 2019

Nat Med

231

178

View full text Add to dashboard Cite

Increases in the prevalence of non-communicable diseases (NCDs), but in particular cardiometabolic diseases such as cardiovascular disease, stroke and diabetes, and their major risk factors, have not been uniform across settings; for example, cardiovascular disease mortality has declined over recent decades in high-income countries but increased in low-and middle-income countries (LMICs). The factors contributing to this rise are varied and are contributed to by the environmental, social, political and commercial determinants of health, among other factors. This Review focuses on understanding the rise of cardiometabolic diseases in LMICs, with particular emphasis on obesity and its drivers, together with broader environmental and macro determinants of health, and the LMIC-based responses to counteract cardiometabolic diseases.

show abstract

Section: Improving Our Understanding Of Complex Systemsmentioning

confidence: 99%

Understanding the rise of cardiometabolic diseases in low- and middle-income countries

Miranda

Barrientos‐Gutiérrez

Corvalán

et al. 2019

Nat Med

231

178

View full text Add to dashboard Cite

show abstract

“…Specific constructs within these can be systematically analysed to identify barriers and facilitators for successful implementation, and these may then be translated into questions that can be answered through research and used to refine plans, programmes, and policies to better address needs, gaps or inequalities. 21 Thus, an investment case may identify a specific intervention as a cost-effective priority based on national data; implementation research can then indicate how this may impact population groups differently and suggest ways BMJ Global Health that the implementation process and supporting actions should be tailored. For illustration, the Better Health Programme (BHP) is a collaborative technical support programme supported by the UK Foreign Commonwealth Office.…”

Section: Implementation Science: a Tool To Identify Context-specific mentioning

confidence: 99%

Section: Implementation Science: a Tool To Identify Context-specific mentioning

confidence: 99%

Tailored support for national NCD policy and programme implementation: an over-looked priority

Jackson-Morris

Nugent

2020

BMJ Glob Health

View full text Add to dashboard Cite

Many low-income and middle-income countries (LMICs) are unlikely to achieve Sustainable Development Goal 3.4 to reduce premature deaths from non-communicable diseases (NCDs) by one-third by 2030. For some, the prospect is receding: between 2010 and 2020, the decline in premature deaths for the major NCDs slowed compared with the prior decade. Barriers to implementing effective strategies are well known, yet the value of tailored technical support to countries has been overlooked and downplayed. Tailored technical support is specialist guidance for country-specific application of technical tools, and capacity enhancement when needed, that enables an LMIC to advance its NCD priorities and plans. We present a model identifying pivotal junctures where tailored technical support can help surmount implementation obstacles. We draw on our experience preparing NCD investment cases with health ministries, development partners and technical agencies. National investment cases produce evidence based, locally tailored and costed packages of NCD interventions and policies appropriate to national needs and circumstances. They can include analysis of financing needs and point towards sustainable funding mechanisms. Enhancing the NCD-specific knowledge of government and Civil Society Organization leads can capitalise on existing expertise, aid integrative health system developments and unlock capabilities to use global tools and guidance. Investment cases form a platform to develop or review NCD plans and (re)prioritise action, then apply implementation science to trouble-shoot obstacles. Partnering national stakeholders with technical support in this process is critical to develop and implement effective NCD strategies.

show abstract

“…Further operationalization of the recommendations included in this paper requires commitment and participation from other stakeholders such as policy makers. 100 The implementation of NCD programs can be supported through publicprivate partnerships; however, successful partnerships need an established regulatory framework and clearly outlined goals. 101 Evidence-based digital technologies have the potential to improve care coordination, prevent hospitalizations and reduce health wastage.…”

Section: Discussionmentioning

confidence: 99%

<p>Moving Towards Optimized Noncommunicable Disease Management in the ASEAN Region: Recommendations from a Review and Multidisciplinary Expert Panel</p>

Castillo-Carandang¹,

Buenaventura²,

Chia³

et al. 2020

RMHP

View full text Add to dashboard Cite

Introduction: Noncommunicable diseases (NCDs) are the leading cause of morbidity and mortality in the Association of Southeast Asian Nations (ASEAN) member states. Progress has been slow despite the World Health Organization action plan for the prevention and control of NCDs in the region. This paper presents recommendations focused on practical strategies for optimizing NCD management in the ASEAN region. Methods: A multidisciplinary group of experts from six ASEAN member states convened for two face-to-face meetings to discuss barriers and possible recommendations for optimizing NCD management, focused on cardiovascular diseases and mental disorders, in the region. Multiple approaches, ie, analysis of insights from the meetings and a review of existing literature on NCD programs in the ASEAN region were followed. The proposed recommendations were also based on selected successful interventions in ASEAN member states, thus providing actionable strategies. Results: The gaps identified in NCD management for cardiovascular diseases and mental disorders in the ASEAN region were classified into gaps relating to policies and to clinical and public health practice. The proposed solutions addressing policy gaps include fostering multisectoral public-private partnerships, employing "whole-of-government" and "whole-ofsociety" approaches and promoting "health-in-all policies approach" to manage issues with financing, accessibility, efficiency and quality of health services. Whereas proposed solutions to bridge clinical and public health practice gaps entail strengthening primary care services, building the capacity of trained healthcare workers and employing collaborative care for holistic management of patients. Conclusion: The scale of premature and preventable deaths from NCDs in the ASEAN region remains a serious public health concern and requires a "whole-of-system approach". The interventions proposed in this paper build on regional collaborations and knowledge sharing to help develop a concerted and targeted response to NCDs.

show abstract

Asking the right question: implementation research to accelerate national non-communicable disease responses

Abstract: Non-communicable disease programmes can be strengthened by systematically identifying implementation challenges and translating them into questions that can be answered through appropriate research, say David H Peters and colleagues

Cited by 11 publications

References 10 publications

Understanding the rise of cardiometabolic diseases in low- and middle-income countries

Understanding the rise of cardiometabolic diseases in low- and middle-income countries

Tailored support for national NCD policy and programme implementation: an over-looked priority

<p>Moving Towards Optimized Noncommunicable Disease Management in the ASEAN Region: Recommendations from a Review and Multidisciplinary Expert Panel</p>

Contact Info

Product

Resources

About