Management of NCD in low- and middle-income countries.

Published

Journal Article (Review)

Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified "best buys" it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.

Full Text

Duke Authors

Cited Authors

  • Checkley, W; Ghannem, H; Irazola, V; Kimaiyo, S; Levitt, NS; Miranda, JJ; Niessen, L; Prabhakaran, D; Rabadán-Diehl, C; Ramirez-Zea, M; Rubinstein, A; Sigamani, A; Smith, R; Tandon, N; Wu, Y; Xavier, D; Yan, LL; GRAND South Network, UnitedHealth Group/National Heart, Lung, and Blood Institute Centers of Excellence,

Published Date

  • December 2014

Published In

Volume / Issue

  • 9 / 4

Start / End Page

  • 431 - 443

PubMed ID

  • 25592798

Pubmed Central ID

  • 25592798

Electronic International Standard Serial Number (EISSN)

  • 2211-8179

International Standard Serial Number (ISSN)

  • 2211-8160

Digital Object Identifier (DOI)

  • 10.1016/j.gheart.2014.11.003

Language

  • eng