The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence

In developing countries, the noncommunicable disease (NCD) and risk factor burdens are shifting toward the poor. Treating chronic diseases can be expensive. In developing countries where generally much health care costs are borne by patients themselves, for those who live in poverty or recently esca...

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Main Authors: Engelgau, M., Rosenhouse, S., El-Saharty, S., Mahal, A.
Format: Journal Article
Language:EN
Published: 2012
Online Access:http://hdl.handle.net/10986/5077
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spelling okr-10986-50772021-04-23T14:02:20Z The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence Engelgau, M. Rosenhouse, S. El-Saharty, S. Mahal, A. In developing countries, the noncommunicable disease (NCD) and risk factor burdens are shifting toward the poor. Treating chronic diseases can be expensive. In developing countries where generally much health care costs are borne by patients themselves, for those who live in poverty or recently escaped severe poverty, when faced with large, lifelong out-of-pocket expenses, impoverishment persists or can reoccur. These patterns have implications for national economic growth and poverty-reduction efforts. NCDs can change spending patterns dramatically and result in significantly reducing non?medical-related spending on food and education. In India, about 40% of household expenditures for treating NCDs are financed by households with distress patterns (borrowing and sales of assets). NCD short- and long-term disability can lead to a decrease in working-age population participation in the labor force and reduce productivity and, in turn, reduce per capita gross domestic product growth. To fully capitalize on the demographic dividend (i.e., aging of the population resulting in less dependent children, not yet more dependent elderly, and greater national productivity), healthy aging is necessary, which, in turn, requires effectively tackling NCDs. Last, from an equity standpoint, the economic effect of NCDs, evident at the household level and at the country level, will disproportionately affect the poor and vulnerable populations in the developing world. 2012-03-30T07:31:10Z 2012-03-30T07:31:10Z 2011 Journal Article J Health Commun 1087-0415 (Electronic) 1081-0730 (Linking) http://hdl.handle.net/10986/5077 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language EN
relation http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description In developing countries, the noncommunicable disease (NCD) and risk factor burdens are shifting toward the poor. Treating chronic diseases can be expensive. In developing countries where generally much health care costs are borne by patients themselves, for those who live in poverty or recently escaped severe poverty, when faced with large, lifelong out-of-pocket expenses, impoverishment persists or can reoccur. These patterns have implications for national economic growth and poverty-reduction efforts. NCDs can change spending patterns dramatically and result in significantly reducing non?medical-related spending on food and education. In India, about 40% of household expenditures for treating NCDs are financed by households with distress patterns (borrowing and sales of assets). NCD short- and long-term disability can lead to a decrease in working-age population participation in the labor force and reduce productivity and, in turn, reduce per capita gross domestic product growth. To fully capitalize on the demographic dividend (i.e., aging of the population resulting in less dependent children, not yet more dependent elderly, and greater national productivity), healthy aging is necessary, which, in turn, requires effectively tackling NCDs. Last, from an equity standpoint, the economic effect of NCDs, evident at the household level and at the country level, will disproportionately affect the poor and vulnerable populations in the developing world.
format Journal Article
author Engelgau, M.
Rosenhouse, S.
El-Saharty, S.
Mahal, A.
spellingShingle Engelgau, M.
Rosenhouse, S.
El-Saharty, S.
Mahal, A.
The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence
author_facet Engelgau, M.
Rosenhouse, S.
El-Saharty, S.
Mahal, A.
author_sort Engelgau, M.
title The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence
title_short The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence
title_full The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence
title_fullStr The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence
title_full_unstemmed The Economic Effect of Noncommunicable Diseases on Households and Nations : A Review of Existing Evidence
title_sort economic effect of noncommunicable diseases on households and nations : a review of existing evidence
publishDate 2012
url http://hdl.handle.net/10986/5077
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