Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Sci Transl Med. 2013 Apr 17;5(181):181cm4. doi: 10.1126/scitranslmed.3005121.
Noncommunicable diseases (NCDs) are increasingly getting attention from different forums, including media outlets, health agencies, and the public and private sectors. Progress is being made in addressing NCDs, though more slowly in low- and middle-income countries (LMICs) as compared with high-income settings. Here, we offer an analysis of the challenges faced in LMICs. We discuss realistic strategies to understand and develop capacity needs (workforce, finances, and infrastructure) and systems (institutions and processes) to sustainably optimize NCD prevention and care in LMICs.
非传染性疾病(NCDs)日益受到不同论坛的关注,包括媒体、卫生机构以及公共和私营部门。在解决 NCD 方面正在取得进展,尽管与高收入国家相比,中低收入国家(LMICs)的进展较为缓慢。在这里,我们对 LMICs 面临的挑战进行了分析。我们讨论了切实可行的战略,以了解和发展能力需求(劳动力、资金和基础设施)和系统(机构和流程),以在 LMICs 中可持续地优化 NCD 的预防和护理。