Discipline of Nutrition and Dietetics, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia.
Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia.
Nutrients. 2024 Jun 24;16(13):1999. doi: 10.3390/nu16131999.
There is a rising prevalence of non-communicable diseases (NCDs) in Papua New Guinea (PNG), adding to the disease burden from communicable infectious diseases and thus increasing the burden on the healthcare system in a low-resource setting. The aim of this review was to identify health and nutrition promotion programs conducted in PNG and the enablers and barriers to these programs. Four electronic databases and grey literature were searched. Two reviewers completed screening and data extraction. This review included 23 papers evaluating 22 health and nutrition promotion programs, which focused on the Ottawa Charter action areas of developing personal skills (12 programs), reorienting health services (12 programs) and strengthening community action (6 programs). Nineteen programs targeted communicable diseases; two addressed NCDs, and one addressed health services. Enablers of health promotion programs in PNG included community involvement, cultural appropriateness, strong leadership, and the use of mobile health technologies for the decentralisation of health services. Barriers included limited resources and funding and a lack of central leadership to drive ongoing implementation. There is an urgent need for health and nutrition promotion programs targeting NCDs and their modifiable risk factors, as well as longitudinal study designs for the evaluation of long-term impact and program sustainability.
在巴布亚新几内亚（PNG），非传染性疾病（NCDs）的患病率不断上升，这增加了传染性疾病带来的疾病负担，从而增加了资源匮乏环境下医疗系统的负担。本综述的目的是确定在 PNG 开展的卫生和营养促进项目，以及这些项目的推动因素和障碍。我们检索了四个电子数据库和灰色文献。两名评审员完成了筛选和数据提取。本综述共纳入了 23 篇评估 22 项卫生和营养促进项目的论文，这些项目主要集中在《渥太华宪章》的个人技能发展（12 个项目）、重新定位卫生服务（12 个项目）和加强社区行动（6 个项目）这三个行动领域。19 个项目针对传染病；2 个项目针对非传染性疾病，1 个项目针对卫生服务。PNG 卫生促进项目的推动因素包括社区参与、文化适宜性、强有力的领导以及利用移动医疗技术为卫生服务去中心化。障碍包括资源和资金有限，以及缺乏中央领导层来推动持续实施。迫切需要针对非传染性疾病及其可改变的风险因素开展卫生和营养促进项目，并对长期影响和项目可持续性进行纵向研究设计。
