The role of local and regional authorities in prevention and control of NCDs: the case of Poland

Abstract

Background: Freedom from noncommunicable diseases is a component of the human right to health. The obligation to reduce the pandemic of civilisation diseases should result from the provisions of the constitution, national law and local regulations. This means that representatives of local and regional communities also take responsibility for limiting the pandemic of civilisation diseases. Main body: The goal of this debate is to examine the effectiveness of the decentralised polish model for dividing the competences of preventing and combating non-communicable diseases into three levels: local, regional and central. The representatives of regional and local communities are responsible for encouraging the inhabitants of their communities to change their lifestyle: eating habits, increase physical activity, remain outdoors more frequently, reduce stimulants, and apply prevention, namely undergo regular medical checkups and provide the body with all the necessary nutrients. Limiting the proliferation of noncommunicable diseases also requires, in vertical terms, sound financial efforts on the part of local authorities. In the example of Poland, the claim about the effectiveness of the multi-level governance model which is presented in the literature will be verified. Conclusion: The excessive division of competences and the dispersion of resources between regional and local authorities may hamper the effective treatment and prevention of NCDs. A lack of cooperation between the central government, which carries out an independent policy on public health, and local authorities, which use only a portion of the public funds allocated to health, obstructs the debate on priorities at the societal level and does not encourage residents to take a stand on how to allocate extra funds.

National Rural Health Mission reforms in light of decentralised planning in Kerala, India: a realist analysis of data from three witness seminars

“…A critique of the decentralised planning process in health from our study was that gradual institutionalisation of the process has hampered innovation after a certain point as additional fund allocations for innovations were not provided and existing funds were earmarked to ongoing programs. A recent study in Poland which looked at the role of local and regional authorities in NCD care also documented similar finding [ 39 ]. Our study finds that constitutional amendments to decentralise planning and the PPC initiative improved the decision space, in health planning i.e., the choices allowed by a central authority to the local authority to utilise.…”

Türkiye’de Ergenlik Döneminde Bağımlılıkla Mücadele Konusunu Ele Alan Çalışmaların İncelenmesi: Teknoloji ve Madde Bağımlılıkları

“…Özellikle madde bağımlılığı konusunda yerel yönetimlerin, bulundukları bölgedeki bağımlı bireylerin rehabilitasyonunda oldukça önemli rol ve sorumlulukları bulunmaktadır. Bu merkezler hem bağımlı bireyi hem de bu bireyin çevresini ele alacak şekilde yapılandırılmış çalışmaları gerçekleştirmekle yükümlüdür (37)(38)(39).…”

Preventing Non-Communicable Diseases in Tourist Sites Through Healthy Canteen Management

“…The community also has a stake in this issue. As business actors (direct managers of healthy canteens), the community can ensure that the canteen is healthy and hygienic (Tabaszewski, 2020). The community's involvement in managing a healthy canteen is community empowerment in the health sector.…”