Prevention and Control of Selected Chronic NCDs in Sri Lanka : Policy Options and Action

Strategic decisions to reorient population-based prevention and clinic- and hospital-based care policies toward non-communicable diseases (NCDs) will enable healthier aging and reduce loss of productivity among the working-age population in Sri Lan...

Full description

Bibliographic Details
Main Authors:	Engelgau, Michael, Okamoto, Kyoko, Navaratne, Kumari Vinodhani, Gopalan, Sundararajan
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ACCESS TO HEALTH SERVICES ADOLESCENT GIRLS ADULT MORTALITY ADULT POPULATION AGE GROUPS AGED AGGRESSIVE AGING AIR POLLUTION AMBULATORY CARE ANEMIA ASTHMA BOTH SEXES BRONCHITIS BURNS CANCER CANCERS CARCINOGENS CARDIOVASCULAR DISEASE CHILD HEALTH SERVICES CHOLESTEROL CHRONIC CONDITIONS CHRONIC DISEASE CHRONIC DISEASES CIRCULATORY SYSTEM CITIZENS CLINICAL GUIDELINES CLINICS COMMUNICABLE DISEASES COMPLICATIONS COMPLICATIONS OF PREGNANCY CORONARY HEART DISEASE DEATH RATES DECISION MAKING DECLINES IN FERTILITY DEMOGRAPHIC TRANSITION DEMOGRAPHIC TRENDS DENGUE DEVELOPING COUNTRIES DIABETES DIABETES MELLITUS DIAGNOSIS DIET DISABILITIES DISABILITY DISEASE BURDEN DISEASE PATTERN DISEASE PREVENTION DISSEMINATION DRINKING WATER DROWNING DRUGS DYSENTERY ELDERLY EMERGENCY CARE EMERGENCY TREATMENT ENVIRONMENTAL HEALTH EPIDEMIOLOGY ESSENTIAL DRUGS ESSENTIAL MEDICINES FEMALES FERTILITY DECLINE FERTILITY RATE FINANCIAL RISK FOOD SECURITY GENDER ISSUES GROSS DOMESTIC PRODUCT HEALTH BURDEN HEALTH CARE INSTITUTIONS HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH CONDITIONS HEALTH INDICATORS HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH INFRASTRUCTURE HEALTH POLICIES HEALTH POLICY HEALTH PROBLEMS HEALTH PROMOTION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH TRENDS HEALTHY LIFESTYLES HEART DISEASE HOME AFFAIRS HOSPITAL HOSPITAL ADMISSION HOSPITALIZATION HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES HYPERTENSION ILLNESSES IMMUNIZATION IMMUNIZATIONS IMPORTANT POLICY INCOME INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEMS INJURIES INPATIENT ADMISSIONS INPATIENT CARE INSTITUTIONAL MECHANISMS INTERNATIONAL COMPARISONS INTERVENTION LABORATORY FACILITIES LEPTOSPIROSIS LEVEL OF DEVELOPMENT LIFE EXPECTANCY LITERACY RATES LIVE BIRTHS LOCAL GOVERNMENTS LONG-TERM CARE LOW BIRTH WEIGHT LOW-INCOME COUNTRIES LOW-INCOME COUNTRY MALARIA MALNUTRITION MATERNAL AND CHILD HEALTH MEASLES MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL OFFICER MEDICAL SERVICES MEDICAL STATISTICS MEDICAL TREATMENT MEDICINE MEDICINES MENTAL HEALTH MENTAL ILLNESS MINISTRY OF HEALTH MORBIDITY MORTALITY MORTALITY RATE MORTALITY RATIO MYOCARDIAL INFARCTION NATIONAL EFFORTS NATIONAL HEALTH EXPENDITURES NATIONAL POLICIES NATIONAL POLICY NCD NEEDS ASSESSMENT NONCOMMUNICABLE DISEASES NUMBER OF DEATHS NURSES NURSING NUTRITION OBESITY OLDER AGE GROUPS PANDEMICS PATIENT PATIENTS PHARMACEUTICALS PHYSICAL ACTIVITY PHYSICIAN PHYSICIANS PNEUMONIA POISONING POLICY ANALYSIS POLICY DECISIONS POLICY DEVELOPMENT POLICY DIALOGUE POLICY DISCUSSIONS POLICY GOALS POLICY GUIDANCE POLICY IMPLICATIONS POLICY MAKERS POLLUTION POOR HEALTH POPULATION GROUPS POSTNATAL CARE PRACTITIONERS PREGNANCY PREMATURE DEATH PREVALENCE PREVENTABLE DISEASES PREVENTION ACTIVITIES PREVENTION EFFORTS PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE FACILITIES PROGRESS PUBLIC HEALTH PUBLIC POLICY PUBLIC SERVICES QUALITY CARE QUALITY OF CARE QUALITY OF SERVICES REFERRAL SYSTEM RESOURCE NEEDS RESPECT RESPIRATORY DISEASES RESPIRATORY SYSTEM RISK FACTORS RISK GROUPS SCREENING SECONDARY EDUCATION SERVICE DELIVERY SERVICE PROVISION SERVICE UTILIZATION SEX SHORT SUPPLY SMOKING SOCIAL FACTORS SOCIAL POLICIES SOCIAL SECTOR SOCIAL SERVICES SOCIOECONOMIC STATUS SURGERY SUSTAINABLE ACCESS TERTIARY LEVELS TUBERCULOSIS TYPHOID UNIVERSAL ACCESS UNIVERSAL ACCESS TO EDUCATION URBAN DEVELOPMENT URBANIZATION VACCINE VIOLENCE VITAL STATISTICS WOMAN WORKING-AGE POPULATION WORLD HEALTH ORGANIZATION
Online Access:	http://documents.worldbank.org/curated/en/2010/10/12932732/prevention-control-selected-chronic-ncds-sri-lanka-policy-options-action http://hdl.handle.net/10986/13607

Description
Summary:	Strategic decisions to reorient population-based prevention and clinic- and hospital-based care policies toward non-communicable diseases (NCDs) will enable healthier aging and reduce loss of productivity among the working-age population in Sri Lanka. This report aims to stimulate policy dialogue for NCDs and to provide an evidence base to facilitate decisions. Its focus is mainly on chronic NCDs-that is, cardiovascular disease (CVD), diabetes, and asthma/chronic obstructive pulmonary disease (COPD), and to a lesser extent cancer-and their major modifiable risk factors (tobacco use, unhealthy diet, lack of exercise, and harmful alcohol use). This is not to detract, though, from the importance of injuries and mental health since both are major issues that carry a huge burden, as supported by evidence in this report. Several major areas for policies and actions emerged from the analysis of Sri Lanka's health sector organization and capacity as well as its NCD orientation. Some areas are not specific to NCDs but, rather, will strengthen the health sector generally while leading to better NCD prevention and control. These areas include: (i) increasing financial resources for NCD prevention and control, (ii) increasing access to NCD drugs, especially for the poor, (iii) addressing social determinants, (iv) focusing on specific NCDs, (v) addressing under nutrition and over nutrition, (vi) creating an intensified national NCD program, strengthening and reorganizing NCD prevention and curative care services, (vii) moving services closer to clients and improving efficiency, (viii) further decentralizing and devolving health service delivery, (ix) human resource development for NCD prevention and control, (x) creating a national NCD surveillance system, and (xi) developing public-private partnerships and aligning service delivery.

Prevention and Control of Selected Chronic NCDs in Sri Lanka : Policy Options and Action

Similar Items