Challenges of the Health System in Preventing Non‑Communicable Diseases; Systematized Review
Abstract
Background: The basis of prevention of non‑communicable diseases is the identification of primary risk factors and the prevention and control of these factors. The purpose is to prevent the spread of the disease and to control it as much as possible. If population growth continues at this rate, by 2030, 52 million people will die from these diseases each year. The aim of this study was to evaluate the challenges of preventing non‑communicable diseases.
Methods: The present study was a systematic review that conducted in July 2020 and the articles related to prevention of non‑communicable diseases on databases of web of science, PubMed, Scopus, science direct, Ovid, Pro Quest and Google Scholar. Strategy for searching and selecting the articles was PRISMA Guidelines.
Results: Challenges of non‑communicable disease prevention, in 4 main codes, including infrastructure, economic, demographic and management and 12 sub‑codes that include, lack of preventive infrastructure, restrictions on access to medicine, restrictions on primary health care, restrictions on access to Technology, disease‑oriented disease, unsustainable financial resources, failure to implement poverty reduction projects, increase in aging population, migration, rapid and unplanned urban planning, hasty planning and lack of internal and external coordination were classified.
Conclusions: To reduce non‑communicable diseases, strengthen global capacities, reduce risk factors for NCDs and place social determinants by creating health‑promoting environments, strengthen health systems to implement prevention and control of NCDs, and place determinants Social can play an effective role through people‑centered primary health care
Keywords
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Organization WH. Assessing national capacity for the prevention
and control of noncommunicable diseases: Report of the 2019
global survey. 2020.
Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B,
Thamarangsi T, et al. Profits and pandemics: Prevention of
harmful effects of tobacco, alcohol, and ultra‑processed food and
drink industries. Lancet 2013;381:670‑9.
Organization WH. Noncommunicable diseases progress monitor
2015.
Nugent R, Bertram MY, Jan S, Niessen LW, Sassi F, Jamison DT,
et al. Investing in non‑communicable disease prevention and
management to advance the Sustainable Development Goals.
Lancet 2018;391:2029‑35.
Juma PA, Mohamed SF, Mwagomba BLM, Ndinda C,
Mapa‑Tassou C, Oluwasanu M, et al. Non‑communicable disease
prevention policy process in five African countries authors. BMC
Public Health 2018;18:961.
Allen L, Williams J, Townsend N, Mikkelsen B, Roberts N, Foster C, et al. Socioeconomic status and non‑communicable
disease behavioural risk factors in low‑income and
lower‑middle‑income countries: A systematic review. Lancet
Glob Health 2017;5:e277‑89.
Etemad K, Heidari A, Panahi M, Lotfi M, Fallah F,
Sadeghi S. A challenges in implementing package of essential
noncommunicable diseases interventions in Iran’s Healthcare
System. J Health Res Community 2016;2:32‑43.
Di Cesare M, Khang Y‑H, Asaria P, Blakely T, Cowan MJ,
Farzadfar F, et al. Inequalities in non‑communicable diseases and
effective responses. Lancet 2013;381:585‑97.
Bennett JE, Stevens GA, Mathers CD, Bonita R, Rehm J,
Kruk ME, et al. NCD countdown 2030: Worldwide trends
in non‑communicable disease mortality and progress
towards sustainable development goal target 3.4. Lancet.
;392:1072‑88
Grant MJ, Booth A. A typology of reviews: An analysis of 14
review types and associated methodologies. Health Info Libr J
;26:91‑108.
CASP U. Critical Appraisal Skills Programme (CASP) Check
lists. 2017.
Hutton B, Salanti G, Caldwell DM, Chaimani A, Schmid CH,
Cameron C, et al. The PRISMA extension statement for reporting
of systematic reviews incorporating network meta‑analyses of
health care interventions: Checklist and explanations. Ann Inter
Med 2015;162):777‑84.
Salinas A, Kones R. Barriers to global action plan for
the prevention and control of noncommunicable diseases:
Proposal modifications to the voluntary targets. J Prev Med
;3:1‑5.
Organization WH. Assessing national capacity for the prevention
and control of noncommunicable diseases: Report of the 2017
global survey. 2018.
Organization WH. Global Health Estimates: Deaths,
disability‑adjusted life year (DALYs), years of life lost (YLL)
and years lost due to disability (YLD) by cause, age, and sex:
–2012. 2016.
Galambos L, Sturchio JL. Addressing the gaps in global policy
and research for non‑communicable diseases. Baltimore: Johns
Hopkins University; 2012.
Van Donkelaar A, Martin RV, Brauer M, Boys BL. Use of
satellite observations for long‑term exposure assessment of
global concentrations of fine particulate matter. Environm Health
Perspect 2015;123:135‑43.
Mendenhall E, Kohrt BA, Norris SA, Ndetei D, Prabhakaran D.
Non‑communicable disease syndemics: Poverty, depression,
and diabetes among low‑income populations. Lancet
;389:951‑63.
Beaglehole R, Epping‑Jordan J, Patel V, Chopra M, Ebrahim S,
Kidd M, et al. Improving the prevention and management of
chronic disease in low‑income and middle‑income countries:
A priority for primary health care. Lancet 2008;372:940‑9.
Organization WH. Political Declaration of the High‑level
Meeting of the General Assembly on the Prevention and Control
of Non‑communicable Diseases. 66th Session of the Unites
Nations General Assembly New York: WHO; 2011.
Atun R, Jaffar S, Nishtar S, Knaul FM, Barreto ML,
Nyirenda M, et al. Improving responsiveness of health systems
to non‑communicable diseases. Lancet 2013;381:690‑7.
Mohan V, Seedat YK, Pradeepa R. The rising burden of diabetes
and hypertension in southeast asian and african regions: Need
for effective strategies for prevention and control in primary
health care settings. Int J Hypertens 2013;2013:409083. doi:
1155/2013/409083.
Kontis V, Mathers CD, Rehm J, Stevens GA, Shield KD,
Bonita R, et al. Contribution of six risk factors to achieving the
×25 non‑communicable disease mortality reduction target:
A modelling study. Lancet 2014;384:427‑37.