Primary Health Care: a strategic framework for the prevention and control of chronic non-communicable disease

Abstract

In 2014, chronic, non-communicable diseases (NCDs) represent the leading causes of global mortality and disability. Government-level concern, and resulting policy changes, are manifesting. However, there continues to be a paucity of guiding frameworks for legislative measures. The surge of NCDs will require strong and effective governance responses, particularly in low and middle-income countries. Simultaneously following the 2008 World Health Report, there has recently been renewed interest in Primary Health Care (PHC) and its core principles. With this, has come strengthened support for revitalizing this approach, which aims for equitable and cost-effective population-health attainment. In this light and reflecting recent major global reports, declarations and events, we propose and critique a PHC approach to NCDs, highlighting PHC, with its core themes, as a valuable guiding framework for health promotion and policy addressing this group of diseases.

Preventing CKD in Low- and Middle-Income Countries: A Call for Urgent Action

“…57 Another vital principle of primary health care is community participation. 58 Health promotion activities that ensure primary prevention of CKD may be more easily implemented in LMICs where there is still communal living, especially in the rural communities. One of the guiding principles for screening programs is that case finding should be a continuous process and not a "once and for all" project 59 as it is being done in many LMICs for CKD.…”

Primary care doctor fostering and clinical research training in Sweden: Implications for Japan

“…We focused on the Swedish physician fostering system, which has faced very similar problems to those seen in Japan (ie, an aging society and many rural settings). The primary health care center, to be described later, has an important role as a field placement for clinicians, as a training center for undergraduate and postgraduate clinical medical students, and as a flagship center for clinical research . To improve the training system for primary care physicians in remote areas in Japan, we visited several primary health care (PHC) centers and Lund University in Sweden between April 19 and 26 in 2018 .…”

“…The primary health care center, to be described later, has an important role as a field placement for clinicians, as a training center for undergraduate and postgraduate clinical medical students, and as a flagship center for clinical research. [2][3][4][5] To improve the training system for primary care physicians in remote areas in Japan, we visited several primary health care (PHC) centers and Lund University in Sweden between April 19 and 26 in 2018. 2 In this paper, we will express our opinions and describe the differences in the primary care fostering systems and clinical research training for generalists in Japan and Sweden.…”

Customers’ perceptions of and satisfaction with medicine retail outlet services in Addis Ababa, Ethiopia: a cross-sectional study

“…About 80% of the diseases in the country are attributable to preventable conditions related to infectious diseases, malnutrition and personal and environmental hygiene . Moreover, the emergence of non‐communicable diseases, for example diabetes and hypertension, are posing challenges to the healthcare system …”

“…[9] Moreover, the emergence of non-communicable diseases, for example diabetes and hypertension, are posing challenges to the healthcare system. [10,11] Employing a task-shifting strategy from physicians to community pharmacies could certainly fill some of the gaps. For instance, studies conducted in the UK indicate that managing minor illnesses at community pharmacies is cost-effective and of the same quality as services provided by physicians.…”