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

Jackson-Morris, Angie; Nugent, Rachel

doi:10.1136/bmjgh-2020-002598

Cited by 7 publications

(9 citation statements)

References 6 publications

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“…Jackson-Morris and Nugent provide a model of support for national NCDs policy and program in which investment is a key component. This model emphasizes working with national stakeholders to select the most effective and cost-effective policies and programs for a specific national context, identifying sustainable sources of funding, and creating a costed and actionable implementation plan [ 41 ], which are consistent with the present findings.…”

Section: Discussionsupporting

confidence: 73%

Enhancing global health diplomacy for non-communicable diseases: application of the global health network framework

et al. 2023

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Background and aim Understanding the characteristics of global policy actors and the political context in which they address diplomatic issues in the field of NCDs can play an important role in advancing NCD-related goals. The purpose of this study was to identify and analyze the network of global health actors in the field of NCDs in Iran. Methods This study was conducted in 2020 using a qualitative methodology and framework analysis. In-depth semi-structured interviews were conducted with subject-matter experts from all levels of diplomacy, including global, regional, and national, who had managerial, administrative, and academic experience. Findings A total of 21 interviews were conducted with individuals who met the inclusion criteria. Following the framework of the World Health Network, the findings were divided into three general areas: the features of the network and the actors; the policy environment; and the characteristics of the issue. Conclusion A successful and sustainable program to combat NCDs requires the participation of multiple actors from governments, the private sector, and civil society at international, national, and local levels. The Global Network for Prevention and Control of NCDs should enhance the effectiveness of NCDs policies by highlighting the need to simultaneously improve the internal factors of the network, including relationships among the actors; external factors, including the policy environment; and the complex nature of NCDs.

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Section: Discussionsupporting

confidence: 73%

Enhancing global health diplomacy for non-communicable diseases: application of the global health network framework

et al. 2023

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“…The MoH presented findings at parliamentary hearings relating to the implementation of the WHO FCTC. 23 By prohibiting smoking in enclosed work and public places, comprehensively banning tobacco advertising, promotion, and sponsorship and introducing plain packaging requirements, Georgia’s landmark tobacco control law makes the country a leader in protecting people from the harms of tobacco. 24 At the same time, Georgia also illustrates the need for sustained tobacco control efforts: the standardised packaging regulations are yet to take effect (as of 2024) following a series of delays and proposed changes that would limit their public health impact.…”

Section: Results: Observed Tobacco Control Advancements In the 21 Cou...mentioning

confidence: 99%

Advancing progress on tobacco control in low-income and middle-income countries through economic analysis

Small,

Nugent,

Webb

et al. 2024

Tob Control

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BackgroundMore than 80% of the world’s 1.3 billion tobacco users live in low-income and middle-income countries (LMICs), where progress to address tobacco and its harms has been slow. The perception that tobacco control detracts from economic priorities has impeded progress. The Secretariat of the WHO Framework Convention on Tobacco Control (FCTC) is leading the FCTC 2030 project, which includes technical assistance to LMICs to analyse the economic costs of tobacco use and the benefits of tobacco control.MethodsThe Secretariat of the WHO FCTC, United Nations Development Programme and WHO supported 21 LMICs between 2017 and 2022 to complete national investment cases to guide country implementation of the WHO FCTC, with analytical support provided by RTI International. These country-level cases combine customised estimates of tobacco’s economic impact with qualitative analysis of socio-political factors influencing tobacco control. This paper overviews the approach, observed tobacco control advancements and learnings from 21 countries: Armenia, Cabo Verde, Cambodia, Chad, Colombia, Costa Rica, El Salvador, Eswatini, Georgia, Ghana, Jordan, Laos, Madagascar, Myanmar, Nepal, Samoa, Sierra Leone, Sri Lanka, Suriname, Tunisia and Zambia.ResultsTobacco control advancements in line with investment case findings and recommendations have been observed in 17 of the 21 countries, and many have improved collaboration and policy coherence between health and economic stakeholders.ConclusionsTobacco control must be seen as more than a health concern. Tobacco control leads to economic benefits and contributes to sustainable development. National investment cases can support country ownership and leadership to advance tobacco control.

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“…Like other global health collaborations we were able to create tailored support for national NCD policy and programme implementation [ 32 ], promote global standards to develop primary health care guidelines, and create a ToT cascade to support the successful adoption of evidence-based guidelines for HTN, DM diagnosis and CV risk management. Innovations to nurture the ToT intervention towards sustainability included the design of locally agreed clinical guidelines and training materials relevant to the context, an intensive support and strong local ownership, the engagement of leadership, and continuous empowering of healthcare workers over time.…”

Section: Discussionmentioning

confidence: 99%

Empowering Frontline Primary Healthcare Workers in a Global Health Partnership Training of Trainers Intervention to Strengthen the Prevention and Control of Cardiovascular Disease in Mozambique

Harris

Juga

Bay³

et al. 2022

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Background: Unpreparedness of health professionals to address non-communicable diseases (NCD) at peripheral health facilities is a critical health system challenge in Mozambique. To address this weakness and decentralize NCD care, training of the primary care workforce is needed. We describe our experience in the design and implementation of a cascade training of trainers (ToT) intervention to strengthen the prevention and control of cardiovascular disease.Methods: Between October 2018 and March 2020 a multidisciplinary global technical partnership was used to train frontline primary care health professionals from a resource-poor suburban setting in Maputo, Mozambique. Following engagement with local policy makers, clinicians, and academics, core training materials were developed, and a ToT cascade was implemented, supported by an on-site pilot clinic. Knowledge and confidence acquisition by participants and new local trainers were assessed using pre-and post-training surveys, while trainees and trainers completed further evaluation surveys at the end of the program.Results: Three ToT workshops trained 60 mixed cadre healthcare workers in assessment, diagnosis and management of hypertension, diabetes, and cardiovascular risk; of these, 11 became new local trainers. Mean pre-and post-test scores improved in all three training workshops (53% to 90%, 59% to 78%, and 58% to 74% respectively). New local trainers were highly rated by their trainees and reported increased confidence as trainers (mean Likert scale 3.0/5 pre-training to 4.8/5 post-training). Conclusion:This global health partnership delivered interprofessional training with good knowledge acquisition and increased self-reported confidence. Intensive local supervision and hands-on training empowered a new cohort of trainers to strengthen the prevention and control of cardiovascular disease and is likely to improve coordination and integration at primary care level as well as support the national scale up of NCD care delivery. 2 Harris and Juga et al.

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

Cited by 7 publications

References 6 publications

Enhancing global health diplomacy for non-communicable diseases: application of the global health network framework

Enhancing global health diplomacy for non-communicable diseases: application of the global health network framework

Advancing progress on tobacco control in low-income and middle-income countries through economic analysis

Empowering Frontline Primary Healthcare Workers in a Global Health Partnership Training of Trainers Intervention to Strengthen the Prevention and Control of Cardiovascular Disease in Mozambique

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