The how: a message for the UN high-level meeting on NCDs

Buse, Kent; Marten, Robert; Hawkes, Sarah; Alleyne, George A.O.; Baker, Phillip; Baum, Fran; Beaglehole, Robert; Blouin, Chantal; Bonita, Ruth; Brumana, Luisa; Butler, John; Capewell, Simon; Casswell, Sally; Alba-Castro, José Luis; Chopra, Mickey; Clark, Helen; Dain, Katie; Demaio, Alessandro; Feigl, Andrea B; Frenz, Patricia; Friberg, Peter; Friel, Sharon; Glassman, Amanda; Gopinathan, Unni; Gostin, Lawrence O.; Gruskin, Sofia; Hawkes, Corinna; Hipgrave, David; Johns, Paula; Jones, Alexandra; Kadandale, Sowmya; Magnusson, Roger; Marquez, Patricio V.; McKee, Martin; Meier, Benjamin Mason; Monteiro, Carlos Augusto; Mwatsama, Modi; Nugent, Rachel; Patterson, David; Peterson, Stefan; Pillay, Yogan; Ralston, Johanna; Reddy, K. Srinath; Rivera, Juan Á.; Singh, Sandhya; Singh, Sudhvir; Sladden, Tim; Smith, Richard; Sperkova, Kristina; Thamarangsi, Thaksaphon; Thompson, Francis; Webb, Douglas

doi:10.1016/s0140-6736(18)31475-2

Cited by 8 publications

(3 citation statements)

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“…Effective NCD prevention efforts must be more robust and multi-faceted. These should include proven population-level strategies, such as the WHO Best Buys [ 21 ], public health awareness campaigs using mass/social media, and community empowerment efforts such as at schools and places of work [ 22 ]. But public health campaigns must also be accompanied by individual-level health promotion efforts.…”

Section: Discussionmentioning

confidence: 99%

“…Improvement of the capacity of health facilities and personnel to effectively detect and manage NCDs can yield significant economic gain for Uganda through a reduction in premature mortality, improved quality of life, and increased productivity [ 11 ]. Finally, as the world prepares for the third United Nations General Assembly high-level meeting on NCDs later this year, it is imperative to state that any system changes that seek to fill gaps such as those identified in this study must come in the context of attention to equitable distribution of resources and attention to the socioecomonic determinants of health [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards

Rogers

Akiteng

Mutungi

et al. 2018

BMC Health Serv Res

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BackgroundNon-communicable diseases (NCDs) are increasing in prevalence in low-income countries including Uganda. The Uganda Ministry of Health has prioritized NCD prevention, early diagnosis, and management. However, research on the capacity of public sector health facilities to address NCDs is limited.MethodsWe developed a survey guided by the literature and the standards of the World Health Organization Pacakage of Essential Noncommunicable Disease Interventions for Primary Health Care in Low-Resource Settings. We used this tool to conduct a needs assessment in 53 higher-level public sector facilities throughout Uganda, including all Regional Referral Hospitals (RRH) and a purposive sample of General Hospitals (GH) and Health Centre IVs (HCIV), to: (1) assess their capacity to detect and manage NCDs; (2) describe provider knowledge and practices regarding the management of NCDs; and (3) identify areas in need of focused improvement. We collected data on human resources, equipment, NCD screening and management, medicines, and laboratory tests. Descriptive statistics were used to summarize our findings.ResultsWe identified significant resource gaps at all sampled facilities. All facilities reported deficiencies in NCD screening and management services. Less than half of all RRH and GH had an automated blood pressure machine. The only laboratory test uniformly available at all surveyed facilities was random blood glucose. Sub-specialty NCD clinics were available in some facilities with the most common type being a diabetes clinic present at eleven (85%) RRHs. These facilities offered enhanced services to patients with diabetes. Surveyed facilities had limited use of NCD patient registries and NCD management guidelines. Most facilities (46% RRH, 23% GH, 7% HCIV) did not track patients with NCDs by using registries and only 4 (31%) RRHs, 4 (15%) GHs, and 1 (7%) HCIVs had access to diabetes management guidelines.ConclusionsDespite inter-facility variability, none of the facilities in our study met the WHO-PEN standards for essential tools and medicines to implement effective NCD interventions. In Uganda, improvements in the allocation of human resources and essential medicines and technologies, coupled with uptake in the use of quality assurance modalities are desperately needed in order to adequately address the rapidly growing NCD burden.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3426-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards

Rogers

Akiteng

Mutungi

et al. 2018

BMC Health Serv Res

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“…1 The 2018 United Nations General Assembly high level meeting on NCDs set an agenda from strategy to action. 2 Each country faces challenges in implementing NCD policies, programmes, and interventions effectively. This is particularly difficult in countries where there are limited data about NCDs, and where resources are limited.…”

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confidence: 99%

Asking the right question: implementation research to accelerate national non-communicable disease responses

Peters

Wickramasinghe

et al. 2019

BMJ

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Sugar-sweetened beverage taxes in 2018: a year of reflections and consolidation

Backholer

Vandevijvere

Blake

et al. 2018

Public Health Nutr.

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Sugar-sweetened beverage taxes in 2018: a year of reflections and consolidation The year 2018 was undoubtedly momentous for sugarsweetened beverage (SSB) tax implementation, with the enactment of SSB taxes in nine additional jurisdictions around the world. The year was also marked by new evidence supporting the effectiveness of SSB taxes to reduce the purchase and consumption of SSB. On the other hand, industry opposition reached new heights and further global commitment to tax SSB in 2018 was minimal. But the public health agenda is consolidating and there is reason for optimism that past momentum will continue into the new year and beyond. Below we reflect on the year that was 2018 for policies to tax SSB.

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The how: a message for the UN high-level meeting on NCDs

Abstract: Submissions should be made via our electronic submission system at http://ees.elsevier.com/ thelancet/

Cited by 8 publications

References 4 publications

Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards

Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards

Asking the right question: implementation research to accelerate national non-communicable disease responses

Sugar-sweetened beverage taxes in 2018: a year of reflections and consolidation

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