Noncommunicable Diseases Prevention In Low- and Middle-Income Countries: An Overview of Health in All Policies (HiAP)
Open accessAbstract
Noncommunicable disease (NCD) causes about 35 million deaths and accounts for 60% of all deaths, of which 80% is in low- and middle-income countries (LMIC). NCDs will account for 80% of the global burden of disease by 2020 and account for 7 out of every 10 deaths in LMIC. NCD is no longer an emerging problem in developing countries, it’s assuming an alarming dimension, and taking on the proportion of an epidemic. Several literatures document the known risk factors for significant NCDs. The critical risk factors are tobacco usage, unhealthy diet, physical inactivity, and detrimental usage of alcohol. To reverse the trend that leads to an increase in poor dietary patterns, sedentary lifestyle, tobacco use, and harmful alcohol use will need policies that transcend the health sector and policy change in different areas such as finance, urban planning, education, agriculture, and transportation.
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Substantial gaps exist in most primary healthcare systems, particularly in LMICs, including limited human resources and capacity, shortages in medicines and equipment, and suboptimal quality of care.
“The literature, however, has shown that substantial gaps exist in most primary healthcare systems, particularly in low-and middle-income countries (LMICs), including limited human resources and capacity, shortages in medicines and equipment, and suboptimal quality of care11–13.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [11]
NCDs are characterized by long disease durations and a continuous need to anticipate and mitigate risk factors through lifestyle modifications, which is better addressed by primary health care than higher-level health facilities.
“This is because NCDs—such as hypertension, diabetes, and cardiovascular diseases—are characterized by long disease durations and a continuous need to anticipate and mitigate risk factors through lifestyle modifications8–11, which is better addressed by primary health care than higher-level health facilities.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [11]
Existing studies on NCD management list four major NCD behavioral risk factors: tobacco use, harmful alcohol consumption, unhealthy diet, and physical inactivity.
“Existing studies on NCD management listed four major NCD behavioral risk factors—tobacco use, harmful alcohol consumption, unhealthy diet, and physical inactivity11.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [11]
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- Authors
- Ndubuisi, N. E.
- Affiliations
- University of Southern Denmark (DK)
- Corresponding author
- Ndubuisi, Nweke Ebele
- Venue
- INQUIRY: The Journal of Health Care Organization, Provision, and Financing
- Publisher
- SAGE Publications
- Published
- 2021-01
- Volume
- 58
- Pages
- 46958020927885-46958020927885
- ISSN
- 0046-9580 (ISSN-L)
- 1945-7243
- PMC
- PMC8385577
- OpenAlex
- W2978748110
- Cited by
- 96
- References
- 20
- Citations by year
- 2026: 14 · 2025: 29 · 2024: 26 · 2023: 17 · 2022: 10
- FWCI
- 2.26
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- INQUIRY The Journal of Health Care Organization Provision and Financing (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (acceptedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Syddansk Universitet
- Topics
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Keywords
- non-communicable diseases, Health in All Policies, low- and middle-income countries, tobacco use, unhealthy diet, physical inactivity, hazardous drinking, NCD risk factors, non-communicable disease prevention, cross-sectoral policy, global burden of disease
- MeSH terms
- Noncommunicable Diseases, Developing Countries, Diet, Health Policy, Humans, Income, Risk Factors
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