Cited by 123Health Promotion and Cardiovascular PreventionGlobal Public Health Policies and EpidemiologyPrimary Care and Health Outcomes

Primary Health Care: a strategic framework for the prevention and control of chronic non-communicable disease

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Demaio, Alessandro R., Nielsen, Karoline Kragelund, Tersbøl, Britt Pinkowski, Kallestrup, Per, Meyrowitsch, Dan W.·2014·Global Health Action

Abstract

In 2014, chronic, non-communicable diseases (NCDs) represent the leading causes of global mortality and disability. Government-level concern, and resulting policy changes, are manifesting. However, there continues to be a paucity of guiding frameworks for legislative measures. The surge of NCDs will require strong and effective governance responses, particularly in low and middle-income countries. Simultaneously following the 2008 World Health Report, there has recently been renewed interest in Primary Health Care (PHC) and its core principles. With this, has come strengthened support for revitalizing this approach, which aims for equitable and cost-effective population-health attainment. In this light and reflecting recent major global reports, declarations and events, we propose and critique a PHC approach to NCDs, highlighting PHC, with its core themes, as a valuable guiding framework for health promotion and policy addressing this group of diseases. Responsible Editors: Nawi Ng, Umeå University, Sweden and Julia Schröders, Umeå University, Sweden.

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  • Primary care services already offer pathways for non-communicable disease prevention.

    “Primary care services already offer pathways for non-communicable disease prevention.16”
  • 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.”

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Research works printed but not linked: 2

  1. [8]World Health Organization Declaration of the first global ministerial conference on healthy lifestyles and noncommunicable disease control 2011 Moscow World Health Organization
  2. [18]Kheang S Janssens B Damme WV Zachariah R Delivering anti-retroviral treatment within the framework of a chronic diseases clinic, MSF's experience in Cambodia 2004 International Conference on AIDS 11 July 2004 Bangkok, Thailand: Medecins Sans Frontieres, Phnom Penh, Cambodia

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Authors
Demaio, A. R., Nielsen, K. K., Tersbøl, B. P., Kallestrup, P., & Meyrowitsch, D. W.
Affiliations
  • Copenhagen School of Global HealthUniversity of Copenhagen, Copenhagen, Denmark
  • University of Copenhagen (DK)
  • Aarhus University (DK)
Venue
Global Health Action
Published
2014-08-04
Volume
7
Issue
1
Pages
24504-24504
ISSN
  • 1654-9716 (ISSN-L)
  • 1654-9880
OpenAlex
W2100188894
Cited by
123
References
16
Citations by year
2026: 8 · 2025: 11 · 2024: 15 · 2023: 15 · 2022: 17 · 2021: 18 · 2020: 9 · 2019: 7 · 2018: 10 · 2017: 5 · 2016: 2 · 2015: 5 · 2013: 1
FWCI
3.96
Type
journal article
Language
en
Open access
Locations
  • Global Health Action (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Keywords
primary care, non-communicable diseases, disease prevention and control, health policy, health promotion, low- and middle-income countries, health governance, global health strategy
MeSH terms
Chronic Disease, Community Participation, Humans, Primary Health Care, Primary Prevention, Sweden, Global Health, Delivery of Health Care, Integrated, Healthcare Disparities, Public-Private Sector Partnerships

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