Scaling up chronic disease prevention interventions in lower- and middle-income countries.


Chronic diseases are increasingly becoming a health burden in lower- and middle-income countries, putting pressure on public health efforts to scale up interventions. This article reviews current efforts in interventions on a population and individual level. Population-level interventions include ongoing efforts to reduce smoking rates, reduce intake of salt and trans-fatty acids, and increase physical activity in increasingly sedentary populations. Individual-level interventions include control and treatment of risk factors for chronic diseases and secondary prevention. This review also discusses the barriers in interventions, particularly those specific to low- and middle-income countries. Continued discussion of proven cost-effective interventions for chronic diseases in the developing world will be useful for improving public health policy.

Full Text

Duke Authors

Cited Authors

  • Gaziano, TA; Pagidipati, N

Published Date

  • 2013

Volume / Issue

  • 34 /

Start / End Page

  • 317 - 335

PubMed ID

  • 23297660

Digital Object Identifier (DOI)

  • 10.1146/annurev-publhealth-031912-114402