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Prevention and control of selected chronic NCDs in Sri Lanka : policy options and action (English)

Strategic decisions to reorient population-based prevention and clinic- and hospital-based care policies toward non-communicable diseases (NCDs) will enable healthier aging and reduce loss of productivity among the working-age population in Sri Lanka. This report aims to stimulate policy dialogue for NCDs and to provide an evidence base to facilitate decisions. Its focus is mainly on chronic NCDs-that is, cardiovascular disease (CVD), diabetes, and asthma/chronic obstructive pulmonary disease (COPD), and to a lesser extent cancer-and their major modifiable risk factors (tobacco use, unhealthy diet, lack of exercise, and harmful alcohol use). This is not to detract, though, from the importance of injuries and mental health since both are major issues that carry a huge burden, as supported by evidence in this report. Several major areas for policies and actions emerged from the analysis of Sri Lanka's health sector organization and capacity as well as its NCD orientation. Some areas are not specific to NCDs but, rather, will strengthen the health sector generally while leading to better NCD prevention and control. These areas include: (i) increasing financial resources for NCD prevention and control, (ii) increasing access to NCD drugs, especially for the poor, (iii) addressing social determinants, (iv) focusing on specific NCDs, (v) addressing under nutrition and over nutrition, (vi) creating an intensified national NCD program, strengthening and reorganizing NCD prevention and curative care services, (vii) moving services closer to clients and improving efficiency, (viii) further decentralizing and devolving health service delivery, (ix) human resource development for NCD prevention and control, (x) creating a national NCD surveillance system, and (xi) developing public-private partnerships and aligning service delivery.

Details

  • Author

    Engelgau, Michael Okamoto, Kyoko Navaratne, Kumari Vinodhani Gopalan, Sundararajan

  • Document Date

    2010/10/01

  • Document Type

    Working Paper

  • Report Number

    57563

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Sri Lanka,

  • Region

    South Asia,

  • Disclosure Date

    2010/10/29

  • Disclosure Status

    Disclosed

  • Doc Name

    Prevention and control of selected chronic NCDs in Sri Lanka : policy options and action

  • Keywords

    maternal and child health;heart disease;Chronic Obstructive Pulmonary Disease;primary care;Infectious Disease;maternal and child health services;disease burden;ischemic heart disease;primary health care facilities;disability adjusted life years;Disease and risk factors;level of health care;Human Resources for Health;universal access to education;Primary and Secondary Education;decentralization of health service;national health accounts;alternative sources of financing;prevalence of diabetes mellitus;share of total spending;access to health service;Medicine;human resource development;harmful alcohol use;curative care services;quality of care;noncommunicable diseases;health expenditure;primary care facilities;essential medicines;male life expectancy;Health Service Delivery;infectious disease prevention;acute myocardial infarction;health care cost;public health expenditure;service delivery models;reducing tobacco use;Cardiovascular Disease;total public spending;health promotion approaches;mother and child;vulnerable population group;finance and planning;maternal child health;decline in fertility;coronary heart disease;body mass index;education and health;impact of health;Financing of Medicines;dimension of inequality;national health expenditure;medical care utilization;statistics and information;secondary care levels;basic primary care;public policy goal;service delivery system;private sector service;private sector engagement;public health problem;health care service;economies of scale;secondary care services;health sector policy;Road Traffic Crashes;health care utilization;raising tax revenue;mental health issues;Complications of Pregnancy;public sector institution;domestic exchange rate;public sector procurement;intervention strategy;epidemiologic transition;clinic visit;public financing;bed occupancy rate;referral system;Demographic Transition;Moving Service;sri lankans;disease pattern;chronic disease;private source;mental illness;Tobacco Control;curative service;policy option;inpatient care;health infrastructure;public system;prevention effort;diagnostic testing;patient demand;national policy;Death rates;healthy lifestyle;policy simulation;health gain;Public Facilities;public resource;double burden;nutrition intervention;health condition;wealth quintile;poor health;medical equipment;small fraction;education campaign;patient characteristics;outpatient service;emergency treatment;strategic areas;surveillance system;Health ministries;organizational structure;clinical guidelines;working-age population;patient discharge;inpatient service;government health;

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Citation

Engelgau, Michael Okamoto, Kyoko Navaratne, Kumari Vinodhani Gopalan, Sundararajan

Prevention and control of selected chronic NCDs in Sri Lanka : policy options and action (English). Health, Nutrition and Population (HNP) discussion paper Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/965981468114860720/Prevention-and-control-of-selected-chronic-NCDs-in-Sri-Lanka-policy-options-and-action