Upadhyay R Prakash
Center for Community Medicine, Old OT Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Iran J Public Health. 2012;41(3):1-8. Epub 2012 Mar 31.
Non-communicable disease continues to be an important public health problem in India, being responsible for a major proportion of mortality and morbidity. Demographic changes, changes in the lifestyle along with increased rates of urbanization are the major reasons responsible for the tilt towards the non-communicable diseases. In India, there is no regular system for collecting data on non-communicable diseases (NCDs) which can be said to be of adequate coverage or quality. Lack of trained health care workers, primary care providers armed with inadequate knowledge and skills along with ill-defined roles of various health sectors i.e. public, private, and voluntary sectors in providing care have played key hurdles in combating the growing burden of non-communicable diseases. Empowerment of the community through effective health education, use of trained public health personnel along with provision of free health care and social insurance would prove beneficial in effectively controlling the growing prevalence of NCDs.
非传染性疾病仍是印度一个重要的公共卫生问题,在死亡率和发病率中占很大比例。人口结构变化、生活方式改变以及城市化率上升是导致向非传染性疾病倾斜的主要原因。在印度,没有一个常规系统来收集非传染性疾病的数据,其覆盖范围或质量都难以说是足够的。缺乏训练有素的医护人员、知识和技能不足的初级保健提供者,以及公共、私营和志愿部门等各卫生部门在提供护理方面角色不明确,这些都成为应对日益加重的非传染性疾病负担的主要障碍。通过有效的健康教育增强社区权能、利用训练有素的公共卫生人员以及提供免费医疗保健和社会保险,将有利于有效控制非传染性疾病日益增长的患病率。