South Asia at Health Crossroads with High Rates of Heart Disease, Diabetes, and Obesity
World bank February 2011
Available online PDF [127p.] at: http://bit.ly/dXVL2k
February 9, 2011 - “……The unfair burden of noncommunicable diseases (NCDs) is especially harsh on poor people, who, after heart attacks, face life-long major illnesses, have to pay for most of their care out of their savings or by selling their possessions, and then find themselves caught in a poverty trap where they can’t get better and they can’t work……..” - Michael Engelgau,.
Over half of the disease burden is now attributable to Noncommunicable Diseases (NCDs), and therefore a larger share than communicable diseases, maternal and child health issues, and nutritional causes combined. This pattern is similar to that of high-income countries decades ago. Ischemic heart disease (IHD) is the leading cause of both deaths and forgone disability adjusted life years (DALYs) in working-age adults (15–69 years). By contrast, communicable diseases (e.g., tuberculosis, respiratory infections, and water- and vectorborne disease) still remain prominent in the total population creating what is referred to as a “double-disease burden.”
Tackling NCDs early on with better prevention and treatment would significantly spare poor people the crushing burden of poor health, lost earnings, deepening poverty, and the risk of disability and premature death, which are becoming all too common in the changing demographics of the region….”
Content:
Chapter 1: Chapter 1: Regional Aging and Disease Burden
Chapter 2: Chapter 2: Country-level Aging and Disease Burden
Why the Need to Act Now
Chapter 3: Chapter 3: Rationale for Action
Chapter 4: Chapter 4: Opportunities for Prevention and Control
How to Respond
Chapter 5: Chapter 5: Developing a Policy Options Framework for Prevention and Control of NCDs
Chapter 6: Chapter 6: Country Capacity and Accomplishments and Application fo the Policy Options Framework
Chapter 7: Chapter 7: Regional Strategies for NCD Prevention and Control
Chapter 8: References
Appendices
Appendix 1: Country Capacity Assessments
Appendix 2: Economic Rationale for Public Policy to Address NCDs
Appendix 3: Disease Control Priorities in Developing Countries
Chapter 12: Appendix 4: Aligning Policy Options with Burden and Capacity
Chapter 13: Appendix 5: Capacity, Key Accomplishments and Situational Analysis for NCDs in South Asian Countries
Country NCDs Policy Briefs
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