Tracing Africa’s progress towards implementing the Non-Communicable Diseases Global action plan 2013–2020: a synthesis of WHO country profile reports
Identifieur interne : 000095 ( Main/Exploration ); précédent : 000094; suivant : 000096Tracing Africa’s progress towards implementing the Non-Communicable Diseases Global action plan 2013–2020: a synthesis of WHO country profile reports
Auteurs : Gertrude Nsorma Nyaaba [Pays-Bas] ; Karien Stronks [Pays-Bas] ; Ama De-Graft Aikins [Ghana] ; Andre Pascal Kengne [Afrique du Sud] ; Charles Agyemang [Pays-Bas]Source :
- BMC Public Health [ 1471-2458 ] ; 2017.
Abstract
Half of the estimated annual 28 million non-communicable diseases (NCDs) deaths in low- and middle-income countries (LMICs) are attributed to weak health systems. Current health policy responses to NCDs are fragmented and vertical particularly in the African region. The World Health Organization (WHO) led NCDs Global action plan 2013–2020 has been recommended for reducing the NCD burden but it is unclear whether Africa is on track in its implementation. This paper synthesizes Africa’s progress towards WHO policy recommendations for reducing the NCD burden.
Data from the WHO 2011, 2014 and 2015 NCD reports were used for this analysis. We synthesized results by targets descriptions in the three reports and included indicators for which we could trace progress in at least two of the three reports.
More than half of the African countries did not achieve the set targets for 2015 and slow progress had been made towards the 2016 targets as of December 2013. Some gains were made in implementing national public awareness programmes on diet and/or physical activity, however limited progress was made on guidelines for management of NCD and drug therapy and counselling. While all regions in Africa show waning trends in fully achieving the NCD indicators in general, the Southern African region appears to have made the least progress while the Northern African region appears to be the most progressive.
Our findings suggest that Africa is off track in achieving the NCDs indicators by the set deadlines. To make sustained public health gains, more effort and commitment is urgently needed from governments, partners and societies to implement these recommendations in a broader strategy. While donors need to suit NCD advocacy with funding, African institutions such as The African Union (AU) and other sub-regional bodies such as West African Health Organization (WAHO) and various country offices could potentially play stronger roles in advocating for more NCD policy efforts in Africa.
The online version of this article (doi:10.1186/s12889-017-4199-6) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12889-017-4199-6
PubMed: 28381252
PubMed Central: 5382491
Affiliations:
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O. Box LG 96, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>P. O. Box LG 96, Legon</wicri:regionArea><wicri:noRegion>Legon</wicri:noRegion></affiliation></author><author><name sortKey="Kengne, Andre Pascal" sort="Kengne, Andre Pascal" uniqKey="Kengne A" first="Andre Pascal" last="Kengne">Andre Pascal Kengne</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.415021.3</institution-id><institution>Non-Communicable Diseases Research Unit,</institution><institution>South African Medical Research Council & University of Cape Town,</institution></institution-wrap>Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Agyemang, Charles" sort="Agyemang, Charles" uniqKey="Agyemang C" first="Charles" last="Agyemang">Charles Agyemang</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="GRID">grid.7177.6</institution-id><institution>Department of Public Health, Academic Medical Centre,</institution><institution>University of Amsterdam,</institution></institution-wrap>Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Meibergdreef 15, 1105 AZ Amsterdam</wicri:regionArea><wicri:noRegion>1105 AZ Amsterdam</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Half of the estimated annual 28 million non-communicable diseases (NCDs) deaths in low- and middle-income countries (LMICs) are attributed to weak health systems. Current health policy responses to NCDs are fragmented and vertical particularly in the African region. The World Health Organization (WHO) led NCDs Global action plan 2013–2020 has been recommended for reducing the NCD burden but it is unclear whether Africa is on track in its implementation. This paper synthesizes Africa’s progress towards WHO policy recommendations for reducing the NCD burden.</p></sec><sec><title>Methods</title><p>Data from the WHO 2011, 2014 and 2015 NCD reports were used for this analysis. We synthesized results by targets descriptions in the three reports and included indicators for which we could trace progress in at least two of the three reports.</p></sec><sec><title>Results</title><p>More than half of the African countries did not achieve the set targets for 2015 and slow progress had been made towards the 2016 targets as of December 2013. Some gains were made in implementing national public awareness programmes on diet and/or physical activity, however limited progress was made on guidelines for management of NCD and drug therapy and counselling. While all regions in Africa show waning trends in fully achieving the NCD indicators in general, the Southern African region appears to have made the least progress while the Northern African region appears to be the most progressive.</p></sec><sec><title>Conclusion</title><p>Our findings suggest that Africa is off track in achieving the NCDs indicators by the set deadlines. To make sustained public health gains, more effort and commitment is urgently needed from governments, partners and societies to implement these recommendations in a broader strategy. While donors need to suit NCD advocacy with funding, African institutions such as The African Union (AU) and other sub-regional bodies such as West African Health Organization (WAHO) and various country offices could potentially play stronger roles in advocating for more NCD policy efforts in Africa.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12889-017-4199-6) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Yeates, K" uniqKey="Yeates K">K Yeates</name></author><author><name sortKey="Lohfeld, L" uniqKey="Lohfeld L">L Lohfeld</name></author><author><name sortKey="Sleeth, J" uniqKey="Sleeth J">J Sleeth</name></author><author><name sortKey="Morales, F" uniqKey="Morales F">F 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Goudge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beaglehole, R" uniqKey="Beaglehole R">R Beaglehole</name></author><author><name sortKey="Epping Jordan, J" uniqKey="Epping Jordan J">J Epping-Jordan</name></author><author><name sortKey="Patel, V" uniqKey="Patel V">V Patel</name></author><author><name sortKey="Chopra, M" uniqKey="Chopra M">M Chopra</name></author><author><name sortKey="Ebrahim, S" uniqKey="Ebrahim S">S Ebrahim</name></author><author><name sortKey="Kidd, M" uniqKey="Kidd M">M Kidd</name></author><author><name sortKey="Haines, A" uniqKey="Haines A">A Haines</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hospedales, Cj" uniqKey="Hospedales C">CJ Hospedales</name></author><author><name sortKey="Barcelo, A" uniqKey="Barcelo A">A Barcelo</name></author><author><name sortKey="Luciani, S" uniqKey="Luciani S">S Luciani</name></author><author><name sortKey="Legetic, B" uniqKey="Legetic B">B Legetic</name></author><author><name sortKey="Ordunez, P" uniqKey="Ordunez P">P Ordunez</name></author><author><name sortKey="Blanco, A" uniqKey="Blanco A">A Blanco</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ravishankar, N" uniqKey="Ravishankar N">N Ravishankar</name></author><author><name sortKey="Gubbins, P" uniqKey="Gubbins P">P Gubbins</name></author><author><name sortKey="Cooley, Rj" uniqKey="Cooley R">RJ Cooley</name></author><author><name sortKey="Leach Kemon, K" uniqKey="Leach Kemon K">K Leach-Kemon</name></author><author><name sortKey="Michaud, Cm" uniqKey="Michaud C">CM Michaud</name></author><author><name sortKey="Jamison, Dt" uniqKey="Jamison D">DT Jamison</name></author><author><name sortKey="Murray, Cjl" uniqKey="Murray C">CJL Murray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lemoine, M" uniqKey="Lemoine M">M Lemoine</name></author><author><name sortKey="Girard, P M" uniqKey="Girard P">P-M Girard</name></author><author><name sortKey="Thursz, M" uniqKey="Thursz M">M Thursz</name></author><author><name sortKey="Raguin, G" uniqKey="Raguin G">G Raguin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kieny, M P" uniqKey="Kieny M">M-P Kieny</name></author><author><name sortKey="Evans, Db" uniqKey="Evans D">DB Evans</name></author><author><name sortKey="Schmets, G" uniqKey="Schmets G">G Schmets</name></author><author><name sortKey="Kadandale, S" uniqKey="Kadandale S">S Kadandale</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kengne, Ap" uniqKey="Kengne A">AP Kengne</name></author><author><name sortKey="Mchiza, Zj R" uniqKey="Mchiza Z">ZJ-R Mchiza</name></author><author><name sortKey="Amoah, Agb" uniqKey="Amoah A">AGB Amoah</name></author><author><name sortKey="Mbanya, J C" uniqKey="Mbanya J">J-C Mbanya</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Ghana</li><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Nyaaba, Gertrude Nsorma" sort="Nyaaba, Gertrude Nsorma" uniqKey="Nyaaba G" first="Gertrude Nsorma" last="Nyaaba">Gertrude Nsorma Nyaaba</name></noRegion><name sortKey="Agyemang, Charles" sort="Agyemang, Charles" uniqKey="Agyemang C" first="Charles" last="Agyemang">Charles Agyemang</name><name sortKey="Stronks, Karien" sort="Stronks, Karien" uniqKey="Stronks K" first="Karien" last="Stronks">Karien Stronks</name></country><country name="Ghana"><noRegion><name sortKey="De Graft Aikins, Ama" sort="De Graft Aikins, Ama" uniqKey="De Graft Aikins A" first="Ama" last="De-Graft Aikins">Ama De-Graft Aikins</name></noRegion></country><country name="Afrique du Sud"><noRegion><name sortKey="Kengne, Andre Pascal" sort="Kengne, Andre Pascal" uniqKey="Kengne A" first="Andre Pascal" last="Kengne">Andre Pascal Kengne</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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