Comprehensive Strategies for the Prevention and Control of Diabetes and Cardiovascular Diseases in Africa: Future Directions

Muna, W. F. T.

doi:10.1016/j.pcad.2013.10.012

Cited by 10 publications

(7 citation statements)

References 15 publications

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“…Policy implications of this study are consistent with findings from the 2010 Global Survey related to inadequate funding of plans, inadequate population-based surveillance, and gaps in health systems related to NCD prevention and control (WHO, 2012). Specific opportunities for strengthening NCD programming in Malawi suggested by results of the present study and previous global policy recommendations include expanded partnerships and networking, service integration, creative funding strategies, and effective use of technology (Amuyunzu-Nyamongo et al, 2013; Muna, 2013; WHO, 2013). Priorities for enhancing and expanding NCD prevention and management services should include (a) better integration of services within the existing infrastructure and human resources with emphasis on capacity building; (b) greater implementation of planned NCD activities; (c) a stronger, more comprehensive data management system; and (d) innovative funding solutions.…”

Section: Discussion Policy Implications and Conclusionmentioning

confidence: 73%

“…The Malawi NCD Control program serves as an example of efforts by low-income and SSA countries to adjust their health care systems to respond to the increasing prevalence of NCDs amid serious challenges in funding and inadequate capacity to address the double burden of disease (Amuyunzu-Nyamongo, Owuor, & Blanchard, 2013; Atun et al, 2013; Muna, 2013; WHO, 2008, 2012, 2013, 2014). This study supports the national program in identifying gaps in implementation of NCD policies and action plan strategies.…”

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confidence: 99%

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Implementation of Policies and Strategies for Control of Noncommunicable Diseases in Malawi

Lupafya¹,

Mwagomba

Hosig

et al. 2016

Health Educ Behav

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Malawi is a Sub-Saharan African country experiencing the epidemiological transition from predominantly infectious to noncommunicable diseases (NCDs) with dramatically increasing prevalence of lifestyle-related diseases such as obesity, hypertension, and diabetes. Malawi's 2011-2016 Health Sector Strategic Plan included NCDs, and an NCD Control Program was established with subsequent development of a National Action Plan for prevention and management of NCDs launched in 2013. The current study was designed to identify gaps in implementation of NCD control program policies and action plan strategies by describing current efforts toward prevention and management of NCDs in Malawi with emphasis on challenges and opportunities. Semistructured questionnaires were used to collect quantitative and qualitative data from Malawi Ministry of Health personnel (senior officers, service providers, health education officers, and nutritionists) in 10 health districts and 3 central hospitals. Frequencies were generated for quantitative data. Qualitative data were used to generate themes and most common responses. Results showed that current services focus on facility-based NCD screening and clinical services rather than active screening, prevention, and community awareness and outreach, although respondents emphasized the importance of prevention, lifestyle education, and community outreach. Respondents indicated inadequate resources for NCD services including financial capital, human resources, equipment and supplies, and transportation. While Malawi has begun to address NCDs, policy and practice implications include (a) better integration of services within the existing infrastructure with emphasis on capacity building; (b) greater implementation of planned NCD activities; (c) a stronger, more comprehensive data management system; and (d) innovative funding solutions.

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Section: Discussion Policy Implications and Conclusionmentioning

confidence: 73%

mentioning

confidence: 99%

Implementation of Policies and Strategies for Control of Noncommunicable Diseases in Malawi

Lupafya¹,

Mwagomba

Hosig

et al. 2016

Health Educ Behav

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“…However, most cardiovascular diseases are preceded by CV risk factors and a major preventive strategy is to address CV risk factors such as tobacco use, unhealthy diet and obesity, physical inactivity, high blood pressure diabetes and dyslipidaemia. 5 7 Effectively tackling these risk factors indicates that these risk factors are picked and modified early in the course of the disease progression. 8 The individual or population awareness about these risk factors are therefore essential in adequate prevention.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of heart disease risk factors among workers in a Nigerian University: A call for concern

Akintunde

Opadijo

2015

Niger Med J

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Introduction:Cardiovascular disease is the commonest cause of mortality worldwide. Many risk factors predate the development of cardiovascular diseases. Adequate knowledge of risk factors for cardiovascular diseases is the first step towards effective preventive strategies to combat the cardiovascular diseases burden in any population. This study aims to determine the knowledge of workers in a Nigerian University on risk factors for cardiovascular diseases.Materials and Methods:A cross-sectional survey of 206 academic and non-academic staff of Ladoke Akintola University of Technology, Ogbomoso, Nigeria using the Heart Disease Fact Questionnaire (HDFQ). Demographic data were taken. The lipid profile and random blood sugar were taken. Statistical analysis was done using SPSS 17.0.Results:The mean age of the study participants was 45.3 ± 7.9 years. There were 96 males (46.6%). The mean HDFQ score was 48.6%. Only 41 (19.9%) of participants were assessed to have good knowledge of heart disease risk factors. Majority, 101 (49.0%) had poor knowledge while 64 (31.2%) had fair knowledge of heart disease risk factors. There was no significant difference between prevalence of CV risk factors between those with good or fair or low level of knowledge. Most participants did not have a good level of knowledge about risk factors, prevention, treatment and association with diabetes as it relates to heart diseases.Conclusion:Knowledge of heart disease risk factors is low among University workers in Nigeria. Effective education on heart disease risk factors and appropriate preventive strategies are indeed important to reduce cardiovascular disease burden in Nigerian University communities.

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“…CVD is the top cause of death globally, [1] and an estimated 80% of CVD-related deaths occur in low-to middle-income countries, including South Africa (SA). [2] Although epidemiological transition is an important factor contributing to the rise in cardiovascular risk factors and CVD, [3] the emerging interaction between communicable diseases such as HIV/AIDS and CVD should not be neglected. HIV infection is now recognised as an independent cardiovascular risk factor; however, the data are mainly from developed countries.…”

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confidence: 99%

HIV/AIDS: Emerging threat to cardiovascular health in sub-Saharan Africa

et al. 2016

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Comprehensive Strategies for the Prevention and Control of Diabetes and Cardiovascular Diseases in Africa: Future Directions

Cited by 10 publications

References 15 publications

Implementation of Policies and Strategies for Control of Noncommunicable Diseases in Malawi

Implementation of Policies and Strategies for Control of Noncommunicable Diseases in Malawi

Knowledge of heart disease risk factors among workers in a Nigerian University: A call for concern

HIV/AIDS: Emerging threat to cardiovascular health in sub-Saharan Africa

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