Health information priorities for more effective implementation and monitoring of non-communicable disease programs in low- and middle-income countries: lessons from the Pacific

BMC Medicine

Alan D. Lopez¹  Ruth Bonita³  Robert Beaglehole³  Nicola C. Richardson⁴  Hebe N. Gouda² 

[1] Melbourne School of Population and Global Health, the University of Melbourne, Melbourne, VIC, Australia;School of Public Health, University of Queensland, Brisbane, QLD, Australia;School of Population Health, University of Auckland, Auckland, New Zealand;World Health Organization, Western Pacific Regional Office, Suva, Fiji

关键词: Monitoring and surveillance;    Non-communicable diseases;    Health information systems;   

Others  :  1226297
DOI  :  10.1186/s12916-015-0482-5

 received in 2015-07-17, accepted in 2015-09-04,  发布年份 2015

【 摘 要 】

Background

Non-communicable diseases (NCDs) place enormous burdens on individuals and health systems. While there has been significant global progress to guide the development of national NCD monitoring programs, many countries still struggle to adequately establish critical information systems to prioritise NCD control approaches.

Discussion

In this paper, we use the recent experience of the Pacific as a case study to highlight four key lessons about prioritising strategies for health information system development for monitoring NCDs: first, NCD interventions must be chosen strategically, taking into account local disease burden and capacities; second, NCD monitoring efforts must align with those interventions so as to be capable of evaluating progress; third, in order to ensure efficiency and sustainability, NCD monitoring strategies must be integrated into existing health information systems; finally, countries should monitor the implementation of key policies to control food and tobacco industries.

Summary

Prioritising NCD interventions to suit local needs is critical and should be accompanied by careful consideration of the most appropriate and feasible monitoring strategies to track and evaluate progress.

【 授权许可】

   
2015 Gouda et al.

【 图 表 】

Fig. 1.

【 参考文献 】

• [1]Political declaration of the high-level meeting of the General Assembly on the prevention and control of NCDs. United Nations, New York; 2011.
• [2]Outcome document of the high-level meeting of the General Assembly on the comprehensive review and assessment of the progress achieved in the prevention and control of non-communicable diseases. United Nations, New York; 2014.
• [3]Phillips DE, AbouZahr C, Lopez AD, Mikkelsen L, de Savigny D, Lozano R, et al. Are well functioning civil registration and vital statistics systems associated with better health outcomes? Lancet. 2015. Ahead of print. doi:10.1016/S0140-6736(15)60172-6.
• [4]AbouZahr C, de Savigny D, Mikkelsen L, Setel PW, Lozano R, Lopez AD. Towards universal civil registration and vital statistics systems: the time is now. Lancet. 2015. Ahead of print. doi:10.1016/S0140-6736(15)60170-2.
• [5]GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;385:117–71.
• [6]Tuitama LT, Young-soo S, Clark H, Tukuitonga C, Beaglehole R. Acting on the Pacific crisis in non-communicable diseases. Lancet. 2014; 384:1823-4.
• [7]Kankeu HT, Saksena P, Xu K, Evans DB. The financial burden from non-communicable diseases in low- and middle-income countries: a literature review. Health Res Policy Syst. 2013; 11:31. BioMed Central Full Text
• [8]Bloom D, Cafiero ET, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S et al.. The global economic burden of noncommunicable diseases. World Economic Forum, Geneva; 2011.
• [9]From burden to “best buys”: reducing the economic impact of non-communicable diseases in low- and middle-income countries. WHO, Geneva; 2012.
• [10]Agyepong I, Corrah T, Guo Y, Hollingsworth B, Klag M, Longfield K et al.. Making sense of health estimates. Lancet. 2015; 385(9976):1377-9.
• [11]World Bank. Measurement and accountability for results in health summit. http://live.worldbank.org/measurement-and-accountability-for-results-in-health-summit. Accessed 20 June 2015.
• [12]Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C et al.. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014; 384:766-81.
• [13]Noncommunicable diseases country profiles 2011: WHO global report. WHO, Geneva; 2011.
• [14]Kessaram T, McKenzie J, Girin N, Roth A, Vivili P, Williams G et al.. Noncommunicable diseases and risk factors in adult populations of several Pacific Islands: results from the WHO STEPwise approach to surveillance. Aust N Z J Public Health. 2015; 39:336-43.
• [15]GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;385:117–71.
• [16]Pacific Health Ministers. Joint Forum Economic and Pacific Health Ministers Meeting. Honiara: Outcomes Statement; 2014.
• [17]Carter KL, Rao C, Lopez AD, Taylor R. Mortality and cause-of-death reporting and analysis systems in seven Pacific Island countries. BMC Public Health. 2012; 12:436. BioMed Central Full Text
• [18]Hodge N, Slatyer B, Skiller L. Solomon Islands Health System Review. Health Systems in Transition. 2015, Vol. 5(1). Geneva: World Health Organization on behalf of the Asia Pacific Observatory on Health Systems and Policies; 2015.
• [19]The World Bank. Non-communicable Disease Roadmap Report. 2014. http://documents.worldbank.org/curated/en/2014/07/19778739/non-communicable-disease-ncd-roadmap-report. Accessed 24 September 2014.
• [20]Byass P, de Savigny D, Lopez AD. Essential evidence for guiding health system priorities and policies: anticipating epidemiological transition in Africa. Global Health Action. 2014; 7:233-59.
• [21]Murray CJ, Lozano R, Flaxman AD, Serina P, Phillips D, Stewart A et al.. Using verbal autopsy to measure causes of death: the comparative performance of existing methods. BMC Med. 2014; 12:5. BioMed Central Full Text
• [22]Gouda H, Hodge N, AbouZahr C, Aumua A, Beaglehole R, Bell C et al.. Strengthening health information systems for preventing and controlling non-communicable diseases in the Pacific Region. Health Information Systems Knowledge Hub. University of Queensland, Brisbane; 2013.
• [23]Hoy D, Roth A, Viney K, Souares Y, Lopez A. Findings and implications of the Global Burden of Disease 2010 Study for the Pacific Islands. Prev Chronic Dis. 2014; 11: Article ID E75
• [24]The Pacific Vital Statistics Action Plan. Progress in the Pacific: CRVS achievements and challenges in the Pacific Islands. Ministerial Conference on Civil Registration and Vital Statistics in Asia and the Pacific. Bangkok, Thailand; 2014.
• [25]Beaglehole R, Bonita R, Ezzati M, Alleyne G, Dain K, Kishore SP et al.. NCD Countdown 2025: accountability for the 25 x 25 NCD mortality reduction target. Lancet. 2014; 384:105-7.
• [26]Pacific NCD Network. http://www.pacificncdnetwork.org/accountability-systems.html. Accessed 13 June 2015.
• [27]Secretariat PIF. Forty-Fifth Pacific Islands Forum. Palau: Koror; 2014.
• [28]Lopez AD, Setel PW. Better health intelligence: a new era for civil registration and vital statistics? BMC Med. 2015; 13:73. BioMed Central Full Text
• [29]Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T et al.. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013; 381:670-9.
• [30]Thow AM, Jan S, Leeder S, Swinburn B. The effect of fiscal policy on diet, obesity and chronic disease: a systematic review. Bull World Health Organ. 2010; 88:609-14.
• [31]WHO report on the global tobacco epidemic, 2015: Raising taxes on tobacco. WHO, Geneva; 2015.
• [32]McDonald A. Sugar-sweetened beverage tax in Pacific Island countries and territories: A discussion paper. Public Health Division, Secretariat of the Pacific Community, Noumea, New Caledonia; 2015.
• [33]World Health Organization. India: first to adapt the Global Monitoring Framework on noncommunicable diseases (NCDs). http://www.who.int/features/2015/ncd-india/en/. Accessed 18 August 2015.
• [34]Pan American Health Organization. https://www.google.com.au/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&sqi=2&ved=0CBwQFjAAahUKEwjWpJPdoPrHAhVC26YKHf8HCWw&url=http%3A%2F%2Fwww.paho.org%2Fhq%2Findex.php%3Foption%3Dcom_docman%26task%3Ddoc_download%26gid%3D30529%26Itemid%3D270%26lang%3Den&usg=AFQjCNEF7ScjzO6NBQWm21Qr8vi9wcb0DQ&sig2=Qv81ew6WneX2Sk7vy6KL_g&bvm=bv.102829193,d.dGY&cad=rja. Accessed 18 August 2015.
• [35]USAPI Consensus NCD Surveillance Framework. http://www.pihoa.org/fullsite/newsroom/wp-content/uploads/downloads/2014/06/USAPI_NCD_Surveillance_Framework___Data_Dictionary__11-12_.pdf. Accessed 18 August 2015.
• [36]Lopez AD. Can epidemiology inform global health and development targets? Int J Epidemiol. 2015; 44:9-11.
• [37]Global Status Report on Noncommunicable Diseases. WHO, Geneva; 2014.