Catalysing the response to NCDI Poverty at a time of COVID-19

Sliwa, Karen; Yacoub, Magdi

doi:10.1016/s0140-6736(20)31911-5

Cited by 11 publications

(9 citation statements)

References 10 publications

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“…The sustainability of animal production is also affected by a shortage of workers due to the lockdown/curfew and the strong decrease in the purchasing power of the consumer. The result of the impact of non-pharmaceutical interventions, namely, lockdown, restrictions to movement of people and goods and physical distancing, among others, may result in economic collapse, increased unemployment, poverty deterioration and widespread famines, as food security becomes a global concern [ [86] , [87] , [88] , [89] , [90] , [91] , [92] , [93] , [94] , [95] , [96] , [97] , [98] , [99] ].…”

Section: Evidence Of the Syndemic Nature Of The Sars-cov-2 Pandemicmentioning

confidence: 99%

The SARS-CoV-2 pandemic: A syndemic perspective

et al. 2021

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The SARS-CoV-2 pandemic has affected communities, populations, and countries throughout the world. As the SARS-CoV-2 pandemic developed, the extent to which the disease interacted with already existing endemic, non-communicable and infectious diseases became evident, hence deeply influencing health outcomes. Additionally, a synergistic effect has been demonstrated also with socio-economic, cultural, and contextual determinants of health which seem to contribute to poorer health and accumulating social disadvantages. In this essay, using as a starting point the syndemic theory that translates the cumulative and intertwined factors between different epidemics, we argue that the SARS-CoV-2 is a one health issue of a syndemic nature and that the failure to acknowledge this contributes to weakened policy-making processes and public health responses and ineffective health policies and programs.

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Section: Evidence Of the Syndemic Nature Of The Sars-cov-2 Pandemicmentioning

confidence: 99%

The SARS-CoV-2 pandemic: A syndemic perspective

et al. 2021

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“…Over 90% of the poorest billion live in LICs and lower-MICs. 8 Second, despite the current available knowledge of evidence-based interventions for stroke prevention and treatment, this has not translated to reduce stroke burden in LMICs due to barriers limiting implementation. 9 The Lancet Neurology Commission on Stroke is a collaboration with the World Health Organization (WHO) and the World Stroke Organization (WSO) 10 to tackle the global burden of stroke with focus on LMICs.…”

Section: Introductionmentioning

confidence: 99%

The state of stroke services across the globe: Report of World Stroke Organization–World Health Organization surveys

Owolabi

Thrift

Martins

et al. 2021

International Journal of Stroke

104

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Background: Improving stroke services is critical for reducing the global stroke burden. The World Stroke Organization (WSO)-World Health Organisation (WHO)-Lancet Neurology Commission on Stroke conducted a survey of the status of stroke services in low and middle income countries (LMICs) compared to high income countries (HICs). Methods: Using a validated WSO comprehensive questionnaire, we collected and compared data on stroke services along four pillars of the stroke quadrangle (surveillance, prevention, acute stroke, and rehabilitation) in 84 countries across WHO regions and economic strata. The WHO also conducted a survey of non-communicable diseases in 194 countries in 2019. Results: Fewer surveillance activities (including presence of registries, presence of recent risk factors surveys and participation in research) were reported in low-income countries (LICs) than HICs. The overall global score for prevention was 40.2%. Stroke units were present in 91% of HICs in contrast to 18% of LICs (p<0.001). Acute stroke treatments were offered in ~60% of HICs compared to 26% of LICs (p=0.009). Compared to HICs, LMICs provided less rehabilitation services including in-patient rehabilitation, home assessment, community rehabilitation, education, early hospital discharge program, and presence of rehabilitation protocol. Conclusions: There is an urgent need to improve stroke services globally especially in LMICs. Countries with less stroke services can adapt strategies from those with better services. This could include establishment of a framework for regular monitoring of stroke burden and services, implementation of integrated prevention activities and essential acute stroke care services, and provision of interdisciplinary care for stroke rehabilitation.

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“…The urgent need for strong integrated health systems to mitigate and address the adverse effects of NCDs in LLMICs has been magnified by the COVID-19 pandemic. 38 , 39 NCDI Poverty Commissions provide an opportunity for local definition and accountability for a context-specific and locally relevant NCDI agenda under rapidly evolving epidemiology and health system constraints. National commissioners highlighted the impact of these commissions in changing the traditional perceptions and framing of NCDIs with a focus on severe conditions affecting poor, rural populations at young ages.…”

Section: Discussion and Next Stepsmentioning

confidence: 99%

Prioritizing Health-Sector Interventions for Noncommunicable Diseases and Injuries in Low- and Lower-Middle Income Countries: National NCDI Poverty Commissions

Gupta

Mocumbi

Arwal

et al. 2021

Glob Health Sci Pract

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Noncommunicable Disease and Injury (NCDI) Poverty Commissions in 16 low- and middle-income countries provided evidence-based recommendations on a local, expanded set of priority NCDIs and health-sector interventions needed in national initiatives to attain universal health coverage. These commissions provide a collective platform for policy, research, and advocacy efforts to improve coverage of cost-effective and equitable health-sector interventions for populations living in extreme poverty.

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Catalysing the response to NCDI Poverty at a time of COVID-19

Cited by 11 publications

References 10 publications

The SARS-CoV-2 pandemic: A syndemic perspective

The SARS-CoV-2 pandemic: A syndemic perspective

The state of stroke services across the globe: Report of World Stroke Organization–World Health Organization surveys

Prioritizing Health-Sector Interventions for Noncommunicable Diseases and Injuries in Low- and Lower-Middle Income Countries: National NCDI Poverty Commissions

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