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dc.contributor.authorGupta, Neil
dc.contributor.authorMocumbi, Ana
dc.contributor.authorArwal, Said H.
dc.contributor.authorJain, Yogesh
dc.contributor.authorHaileamlak, Abraham M.
dc.contributor.authorMemirie, Solomon T.
dc.contributor.authorLarco, Nancy C.
dc.contributor.authorKwan, Gene F.
dc.contributor.authorAmuyunzu-Nyamongo, Mary
dc.contributor.authorGathecha, Gladwell
dc.contributor.authorAmegashie, Fred
dc.contributor.authorRakotoarison, Vincent
dc.contributor.authorMasiye, Jones
dc.contributor.authorWroe, Emily
dc.contributor.authorKoirala, Bhagawan
dc.contributor.authorKarmacharya, Biraj
dc.contributor.authorCondo, Jeanine
dc.contributor.authorPierre Nyemazi, Jean
dc.contributor.authorSesay, Santigie
dc.contributor.authorMaogenzi, Sarah
dc.contributor.authorMayige, Mary
dc.contributor.authorMutungi, Gerald
dc.contributor.authorSsinabulya, Isaac
dc.contributor.authorAkiteng, Ann R.
dc.contributor.authorMudavanhu, Justice
dc.contributor.authorKapambwe, Sharon
dc.contributor.authorWatkins, David
dc.contributor.authorNorheim, Ole
dc.contributor.authorMakani, Julie
dc.contributor.authorBukhman, Gene
dc.description.abstractHealth sector priorities and interventions to prevent and manage noncommunicable diseases and injuries (NCDIs) in low- and lower-middle-income countries (LLMICs) have primarily adopted elements of the World Health Organization Global Action Plan for NCDs 2013–2020. However, there have been limited efforts in LLMICs to prioritize among conditions and health-sector interventions for NCDIs based on local epidemiology and contextually relevant risk factors or that incorporate the equitable distribution of health outcomes. The Lancet Commission on Reframing Noncommunicable Diseases and Injuries for the Poorest Billion supported national NCDI Poverty Commissions to define local NCDI epidemiology, determine an expanded set of priority NCDI conditions, and recommend cost-effective, equitable health-sector interventions. Fifteen national commissions and 1 state-level commission were established from 2016–2019. Six commissions completed the prioritization exercise and selected an average of 25 NCDI conditions; 15 conditions were selected by all commissions, including asthma, breast cancer, cervical cancer, diabetes mellitus type 1 and 2, epilepsy, hypertensive heart disease, intracerebral hemorrhage, ischemic heart disease, ischemic stroke, major depressive disorder, motor vehicle road injuries, rheumatic heart disease, sickle cell disorders, and subarachnoid hemorrhage. The commissions prioritized an average of 35 health-sector interventions based on cost-effectiveness, financial risk protection, and equity-enhancing rankings. The prioritized interventions were estimated to cost an additional US$4.70–US$13.70 per capita or approximately 9.7%–35.6% of current total health expenditure (0.6%–4.0% of current gross domestic product). Semistructured surveys and qualitative interviews of commission representatives demonstrated positive outcomes in several thematic areas, including understanding NCDIs of poverty, informing national planning and implementation of NCDI health-sector interventions, and improving governance and coordination for NCDIs. Overall, national NCDI Poverty Commissions provided a platform for evidence-based, locally driven determination of priorities within NCDIs.en_US
dc.publisherU. S. Agency for International Development (USAID)en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titlePrioritizing Health-Sector Interventions for Noncommunicable Diseases and Injuries in Low- and Lower-Middle Income Countries: National NCDI Poverty Commissionsen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holderCopyright Gupta et al.en_US
dc.source.journalGlobal Health: Science and Practice (GHSP)en_US
dc.identifier.citationGlobal Health: Science and Practice. 2021, 9 (3), 626-639.en_US

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