Centre for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark
Heidelberg Institute of Global Health (HIGH), University of Heidelberg, Heidelberg, Germany.
BMJ Glob Health. 2020 Nov;5(11). doi: 10.1136/bmjgh-2020-003325.
Sub-Saharan Africa has seen a rapid increase in non-communicable disease (NCD) burden over the last decades. The East African Community (EAC) comprises Burundi, Rwanda, Kenya, Tanzania, South Sudan and Uganda, with a population of 177 million. In those countries, 40% of deaths in 2015 were attributable to NCDs. We review the status of the NCD response in the countries of the EAC based on the available monitoring tools, the WHO NCD progress monitors in 2017 and 2020 and the East African NCD Alliance benchmark survey in 2017. In the EAC, modest progress in governance, prevention of risk factors, monitoring, surveillance and evaluation of health systems can be observed. Many policies exist on paper, implementation and healthcare are weak and there are large regional and subnational differences. Enhanced efforts by regional and national policy-makers, non-governmental organisations and other stakeholders are needed to ensure future NCD policies and implementation improvements.
撒哈拉以南非洲地区在过去几十年中，非传染性疾病（NCD）负担迅速增加。东非共同体（EAC）由布隆迪、卢旺达、肯尼亚、坦桑尼亚、南苏丹和乌干达组成，人口为 1.77 亿。在这些国家，2015 年有 40%的死亡归因于 NCD。我们根据现有的监测工具、世卫组织 2017 年和 2020 年的 NCD 进展监测器以及 2017 年东非 NCD 联盟基准调查，回顾了东非共同体各国的 NCD 应对情况。在东非共同体，在治理、预防风险因素、监测、监测和评估卫生系统方面取得了适度进展。许多政策只是纸上谈兵，执行和医疗保健薄弱，且存在着较大的区域和国家以下差异。需要区域和国家决策者、非政府组织和其他利益攸关方做出更多努力，以确保未来的 NCD 政策和实施得到改善。
