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

Aikins, Ama de‐Graft; Kushitor, Mawuli; Koram, Kwadwo A.; Gyamfi, Stella; Ogedegbe, Gbenga

doi:10.1186/1471-2458-14-s2-s3

Cited by 86 publications

(91 citation statements)

References 27 publications

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“…These weaknesses create the conditions for endemicity of infectious diseases like Cholera [6] the rising burden of chronic non-communicable diseases like diabetes and hypertension [7,8] and further heightens the lack of preparedness for epidemics like EVD.…”

Section: Introductionmentioning

confidence: 99%

Preparing for Ebola Virus Disease in West African countries not yet affected: perspectives from Ghanaian health professionals

et al. 2015

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BackgroundThe current Ebola Virus Disease (EVD) epidemic has ravaged the social fabric of three West African countries and affected people worldwide. We report key themes from an agenda-setting, multi-disciplinary roundtable convened to examine experiences and implications for health systems in Ghana, a nation without cases but where risk for spread is high and the economic, social and political impact of the impending threat is already felt.DiscussionParticipants’ personal stories and the broader debates to define fundamental issues and opportunities for preparedness focused on three inter-related themes. First, the dangers of the fear response itself were highlighted as a threat to the integrity and continuity of quality care. Second, healthcare workers’ fears were compounded by a demonstrable lack of societal and personal protections for infection prevention and control in communities and healthcare facilities, as evidenced by an ongoing cholera epidemic affecting over 20,000 patients in the capital Accra alone since June 2014. Third, a lack of coherent messaging and direction from leadership seems to have limited coordination and reinforced a level of mistrust in the government’s ability and commitment to mobilize an adequate response. Initial recommendations include urgent investment in the needed supplies and infrastructure for basic, routine infection control in communities and healthcare facilities, provision of assurances with securities for frontline healthcare workers, establishment of a multi-sector, “all-hazards” outbreak surveillance system, and engaging directly with key community groups to co-produce contextually relevant educational messages that will help decrease stigma, fear, and the demoralizing perception that the disease defies remedy or control.SummaryThe EVD epidemic provides an unprecedented opportunity for West African countries not yet affected by EVD cases to make progress on tackling long-standing health systems weaknesses. This roundtable discussion emphasized the urgent need to strengthen capacity for infection control, occupational health and safety, and leadership coordination. Significant commitment is needed to raise standards of hygiene in communities and health facilities, build mechanisms for collaboration across sectors, and engage community stakeholders in creating the needed solutions. It would be both devastating and irresponsible to waste the opportunity.

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Section: Introductionmentioning

confidence: 99%

Preparing for Ebola Virus Disease in West African countries not yet affected: perspectives from Ghanaian health professionals

et al. 2015

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“…High transport costs and medical bills for patients with NCDs/HIV co-morbid conditions are an important factor affecting the QoC of NCDs/HIV. Ama de-Graft [29] in Ghana report that failure to keep up with treatment schedules and pay medical bills are a challenge in African settings.…”

Section: Overview Of the Resultsmentioning

confidence: 99%

The occurrence and quality of care of non-communicable diseases in people living with HIV in Maseru, Lesotho: a mixed-methods study

Mugomeri¹,

Khama²,

Seshea³

et al. 2017

HIV & AIDS Review

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Introduction: Chronic non-communicable diseases (NCDs) constitute a health problem worldwide. This problem is particularly important in people living with human immunodeficiency virus (PLHIV) in sub-Saharan countries where the prevalence of NCDs is expected to increase due to the epidemiological transition of life spans for PLHIV as treatment outcomes for HIV continue to improve. This study is the first to assess the occurrence and quality of care (QoC) of NCDs in PLHIV and to identify the contextual issues underpinning the QoC in Lesotho -a sub-Saharan country with the second highest prevalence of HIV globally.

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“…Furthermore, one cannot be silent about the need for sustainable health financing to NCDs through the National Health Insurance Scheme in Ghana (NHIS) [8][9]. Thus, financially resourcing the primary health care providers in patients centered service provision to NCDs patients have strong reflection on the policy aim of Universal Health Coverage (UHC), which has a global tone of making healthcare accessible and equitable irrespective of the management and cure cost of the diseases [10][11][12].…”

Section: Winning the Fight Against Non-communicable Disease (Ncd)mentioning

confidence: 99%

Public-Private Partnership Approach to Non-Communicable Diseases Prevention in Ghana

Aduo-Adjei¹

2017

MOJPH

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The increasing prevalence of Non-Communicable Diseases (NCDs) related deaths in Ghana have become a general concern for both researchers and policy actors. As a measure to lowering NCDs deaths incidence, this paper provides an integrated approach to NCDs prevention emphasizing the need for a public-private approach to fighting this health menace. The review indicates that a consensual goal-oriented actions and guidelines between international agencies, state actors and Coalition of Non-governmental organization for Health (CNGO) is the drive to eradicating the incidence of NCDs in Ghana. In conclusion, the paper advocate that PPP approach should be built on a multicultural and resilient action plans in order to win the fight against the high prevalence of NCDs which is inadvertently causing high level of mortality in Ghana and beyond.

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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

Cited by 86 publications

References 27 publications

Preparing for Ebola Virus Disease in West African countries not yet affected: perspectives from Ghanaian health professionals

Preparing for Ebola Virus Disease in West African countries not yet affected: perspectives from Ghanaian health professionals

The occurrence and quality of care of non-communicable diseases in people living with HIV in Maseru, Lesotho: a mixed-methods study

Public-Private Partnership Approach to Non-Communicable Diseases Prevention in Ghana

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