Setting the Stage to Address the Dual Challenge of MDGs and NCDs
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World Bank, Washington, DC
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The purpose of this discussion paper is
to assist countries in exploring synergies in service
delivery and disease dynamics that can positively affect
both non-communicable diseases (NCDs) and the Millennium
Development Goals (MDGs). The paper examines the challenges
countries face in addressing both infectious and
non-communicable diseases, and highlights examples of
integrated interventions in addressing this double burden of
disease. Many low- and middle-income countries are faced
with a rising burden of NCDs while working to improve health
outcomes to meet health-related MDGs. This dual challenge
takes place in an environment of increasingly limited
resources, which is why the efficient integration of
prevention, diagnosis and treatment of NCDs with MDG-related
activities will be, in many instances, the best option these
countries will have to address such challenges. Brazil’s
Family Health Program and Turkey’s Health Transformation
Program provide useful examples to draw on, and have been
highlighted in this paper. Both programs have demonstrated
impressive results, which can serve as an impetus for
countries to take action.
Palabras clave
PSYCHOSOCIAL SUPPORT, CHILD HEALTH, ANTIRETROVIRAL THERAPIES, RISKS, TREATMENT, DIAGNOSIS, COUNSELORS, CHRONIC DISEASES, VACCINATION, STROKE, DIABETES MELLITUS, MIDWIFERY, PREVENTION, LAWS, DISEASE BURDEN, MORBIDITY, HEALTH EDUCATION, SEXUAL HEALTH, COMMUNITY HEALTH, HEALTH CARE, DEATH, DEATH RATE, CERVICAL CANCER, HEALTH, DEPRESSION, BACK PAIN, HEALTH WORKERS, EATING HABITS, BREAST CANCER, HIGH BLOOD PRESSURE, SMOKERS, HYPERTENSION, RUBELLA, SEXUALLY TRANSMITTED INFECTION, PUBLIC HEALTH, DAY CARE, LIFE EXPECTANCY, HOSPITALIZATION, KNOWLEDGE, DIABETES, ANALGESICS, WORKPLACE, DISEASES, OCCUPATIONAL HEALTH, IRON, IMMUNIZATION, INFECTIOUS DISEASES, PATIENTS, PATIENT, LIFE, SMOKING, INTERVENTION, LEUKEMIA, HEALTH INDICATORS, MENTAL ILLNESS, AGING, NURSES, HEALTH MANAGEMENT, VIOLENCE, ANXIETY, POLLUTION, TUBERCULOSIS, GYNECOLOGY, SCREENING, CARDIOVASCULAR DISEASE, HIV/AIDS, MENTAL HEALTH, MORTALITY, GENERAL PRACTICE, HEALTH PROMOTION, PALLIATIVE CARE, CANCER, CHILDBIRTH, PREGNANCY COMPLICATIONS, MEDICAL RESEARCH, WORKERS, SURGERY, PROGNOSIS, INFLUENZA, NCD, HIV, TB, SURVEILLANCE, IMMUNODEFICIENCY, LIFESTYLE, HEALTH POLICY, HEALTH EFFECTS, MORALITY, NONCOMMUNICABLE DISEASES, HEALTH OUTCOMES, HYGIENE, HEPATITIS B, DENTAL HEALTH, FAMILY PLANNING, MEDICAL SUPPLIES, DECISION MAKING, THERAPIES, CHEMOTHERAPY, NUTRITION, INJURIES, MALARIA, QUALITY OF LIFE, PRIMARY HEALTH CARE, BURDEN OF DISEASE, INTERNET, RISK FACTORS, VACCINES, WEIGHT, PHYSICIANS, COMMUNICABLE DISEASES, PREGNANT WOMEN, MATERNAL HEALTH, OBESITY, CARDIOVASCULAR DISEASES, CHILDREN, DISEASE, LIVER CANCER, CLINICS, INFECTION, DISABILITY, PHYSICAL ACTIVITY, ALL, HOSPITALIZATIONS, MATERNAL AND CHILD HEALTH, BLOOD SUGAR, STRATEGY, EPIDEMIOLOGY, SODIUM, FAMILIES, MEDICINES, HOSPITALS, HEALTH INTERVENTIONS, AIDS, HEALTH SERVICES, IMPLEMENTATION, MENTAL, PREGNANCY, ALCOHOL CONSUMPTION, CONDOMS, FOOD INDUSTRY, NURSING, BREASTFEEDING