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The challenge of non-communicable diseases and road traffic injuries in Sub-Saharan Africa : an overview (English)

This report draws on a comprehensive review of the literature and on input from policy makers, researchers, and practitioners to address four questions: (1) how is the growing burden of non-communicable diseases (NCDs) and road traffic injuries (RTIs) changing the epidemiology of Sub-Saharan Africa? (2) What determines and drives this burden, and what are the commonalities with communicable diseases? (3) What is the rationale for public intervention? (4) How could resource-constrained governments approach NCD prevention and treatment and road safety in a comprehensive, effective and efficient way? The data show that action against NCDs and RTIs in Sub-Saharan Africa is needed, together with continued efforts to address communicable diseases and maternal and child health as well as to reach the Millennium Development Goals (MDGs). The report suggests that NCDs and RTIs should not be tackled separately as a vertical program, nor should they displace communicable diseases as priorities. Instead, given resource constraints, and some shared determinants, characteristics, and interventions, there is scope for an integrated approach focusing on functions (prevention, treatment, and care) rather than on disease categories. Examples are cited of potential opportunities to integrate and add NCD prevention and treatment into existing services and programs. Proven, cost-effective, prevention interventions are clearly needed, many of which (such as tobacco and alcohol taxes, road safety measures, and fuel-efficient ventilated cook-stoves) require action beyond the health sector. These can deliver broader development benefits in addition to their benefits for health. Selective, evidence-based actions to reduce NCDs and RTIs will address the changing disease burden in Africa and achieve a more sustainable improvement in health outcomes, more efficient use of resources, and better equity across patients and populations.

Details

  • Author

    Marquez, Patricio V. Farrington, Jill L.

  • Document Date

    2013/06/01

  • Document Type

    Working Paper

  • Report Number

    79293

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Africa,

  • Region

    Africa,

  • Disclosure Date

    2013/07/12

  • Disclosure Status

    Disclosed

  • Doc Name

    The challenge of non-communicable diseases and road traffic injuries in Sub-Saharan Africa : an overview

  • Keywords

    maternal and child health;efficient use of resource;leading cause of death;Democratic Republic of Congo;total expenditure on health;health expenditure per capita;National Institute of Health;attributable burden of disease;social and economic development;School of Public Health;exposure to tobacco smoke;health care delivery system;early stage of development;chronic respiratory disease;road traffic injury;cervical cancer screening;ischemic heart disease;public health system;Human Immunodeficiency Virus;food to child;trained health worker;delivery of good;decision support tool;per capita consumption;road safety measure;mode of transport;fund for health;primary health care;Vulnerable Road Users;equity in access;outdoor air pollution;legislation and regulation;public awareness campaign;fragile health system;exposure to smoke;intimate partner violence;quality health care;hepatitis b virus;Partners in Health;school of hygiene;HIV and AIDS;international health;health care system;obstructive pulmonary disease;service delivery models;regional integration effort;maternal mortality ratio;risk of cancer;chronic care model;rheumatic heart disease;body mass index;active civil society;disease burden;primary care;chronic condition;diabetes;health outcome;human capital;health systems;Social Protection;chronic disease;cost-effective intervention;Maternal Health;preventive measure;prevention intervention;emergency care;existing resources;universal coverage;seat belt;social care;tropical disease;clinical service;Cardiovascular Disease;alcohol tax;epidemiological transition;perinatal condition;children of ages;inequitable distribution;nutritional deficiency;case management;care strategies;mechanical force;macro policy;congenital anomalies;civil registration;macro policies;Job Creation;Distance Learning;resident representative;baseline scenario;clinical setting;literature review;private employer;life expectancy;government action;noncommunicable diseases;poverty alleviation;neuropsychiatric conditions;population health;interpersonal violence;health indicator;Skills Deficit;international community;young age;rapid urbanization;resource-poor country;average age;protein-energy malnutrition;unintentional injury;financial system;urban population;health survey;hiv incidence;acute disease;cerebrovascular disease;malaria death;health perspective;diarrhoeal disease;high-burden countries;sedentary life;health focus;national bodies;government institution;international level;public intervention;global target;respiratory infection;increase growth;Learning and Innovation Credit;increasing investment;birth complication;premature mortality;maternal death;male circumcision;liver cancer;glycemic control;myocardial infarction;drug treatment;debt level;road injury;malaria control;severe shortage;political stability;diagnostic system;parasitic disease;originator medicines;test kit;unsafe abortion;circulatory diseases;hypertensive disorders;bulk purchase;safe sex;social determinant;insufficient information;survival rate;social objective;care program;environmental hazard;common problems;heavy reliance;external financing;market failure;social cost;road environment;raise awareness;welfare gains;health aid;primary focus;Transport Systems;injury reduction;informed choice;double burden;health challenge;unhealthy environment;care needs;disease pattern;social condition;young people;early age;elderly person;Social Welfare;private market;screening programs;young men;premature death;relative increase;nutritional condition;deaths globally;physical activity;global development;female health;population group;global health;cultural nuances;social stigma;address information;resource constraint;aids relief;electronic health;social change;visual inspection;female population;clinical excellence;medical center;administrative support;tobacco product;conceptual framework;child survival;aids program;collaborative framework;social impact;integrated care;quality improvement;healthy workplace;

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Citation

Marquez, Patricio V. Farrington, Jill L.

The challenge of non-communicable diseases and road traffic injuries in Sub-Saharan Africa : an overview (English). Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/844381468209068874/The-challenge-of-non-communicable-diseases-and-road-traffic-injuries-in-Sub-Saharan-Africa-an-overview