World NCD Federation guidelines for prevention, surveillance and management of noncommunicable diseases at primary and secondary health-care for low resource settings



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World NCD Federation guidelines for prevention, surveillance and management of noncommunicable diseases at primary and secondary health-care for low resource settings

Journalinternational journal of non-communicable diseases
Publication date – Aug – 2020
Authors – JS Thakur, S Kathirvel, Ronika Paika, Nonita Dhirar, Ria Nangia, Kunjan Kunjan, Ajay Duseja, Ankur Gupta, Arun Chockalingam, Ashutosh N Aggarwal, Dheeraj Khurana, Dhirendra Sinha, JP Narain, KR Thankappan, Rajesh Vijayvergiya, Rajveer Singh, Rakesh Kapoor, Renu Madan, Sandeep Grover, Sanjay Jain, Sanjay K Bhadada, SK Jindal, Sunil Taneja, Vivek Kumar, Vivekanand Jha
KeywordsLow-and middle-income countries, Noncommunicable diseases
Open access – Yes
SpecialityHealth policy
World region Global

Language – English
Submitted to the One Surgery Index on September 1, 2020 at 3:09 am

Noncommunicable diseases (NCDs) have emerged as a major public health problem globally due to demographic, epidemiological, nutritional, and socioeconomic transition. NCDs attributed to 73% of global deaths in 2017 and need urgent action guided by the global action plan for prevention and control of NCDs 2013–2020 to achieve the Sustainable Development Goal (SDG). NCDs also cause premature deaths (≤70 years) and nearly 80% of premature deaths happen in low‑ and middle‑income countries (LMICs). In the global framework of “Public Health Approach” to combat any disease, it needs a standard protocol to screen, diagnose, and manage. However, there are no comprehensive guidelines or
protocols available on the prevention, surveillance, and management of common NCDs at primary and secondary healthcare facilities of low resource settings, except for a few conditions. The current guideline provides simple and comprehensive guidance on the prevention,
surveillance, and management aspects of common NCDs targeting primarily healthcare professionals, including community health workers (CHWs), program managers, policy maker, and implementers at these healthcare settings. These evidence‑based, operational guidelines have been developed by experts from various national and international organizations and are explained under the heads of prevention, surveillance, and management. The management part is developed by nine subgroups one for each NCD, namely type 2 diabetes mellitus (DM), hypertension, cardiovascular diseases (CVDs), chronic respiratory diseases (CRDs), cancers, mental health disorders, cerebrovascular diseases/Stroke, chronic kidney diseases (CKDs), and chronic liver diseases (alcoholic liver disease [ALD] and nonalcoholic fatty liver disease [NAFLD]). The guidelines describe the policy and non-policy interventions for the prevention of NCDs, management strategies separately for primary and secondary healthcare settings including when to refer to tertiary healthcare facility, and an implementation framework for uptake of these guidelines at gross root level. These guidelines will serve as a basic tool for the practicing physician and CHWs at every level of healthcare to deliver quality NCD prevention and care. It has been developed taking the primary and secondary health settings and the provisions
and strategies under the National NCD Program.
The World NCD Federation envisions appropriate and effective implementation of these guidelines for reduction of premature NCD mortality, especially in the context of the low resource setting. In a way, this will help to reorient the existing health systems to combat the NCDs. The guidelines will be helpful to take further steps in capacity building for various cadres of healthcare staff on prevention, surveillance, and management of NCDs and evaluation at national, regional, and international levels.

OSI Number – 20658

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