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Screening for cardiovascular disease risk and subsequent management in low and middle income countries: challenges and opportunities

Bovet, P.; Chiolero, A.; Paccaud, F. et al. Public Health Reviews (2015) CC

Background: Cardiovascular disease (CVD), mainly heart attack and stroke, is the leading cause of premature mortality in low and middle income countries (LMICs). Identifying and managing individuals at high risk of CVD is an important strategy to prevent and control CVD, in addition to multisector ... al population-based interventions to reduce CVD risk factors in the entire population. Methods: We describe key public health considerations in identifying and managing individuals at high risk of CVD in LMICs. Results: A main objective of any strategy to identify individuals at high CVD risk is to maximize the number of CVD events averted while minimizing the numbers of individuals needing treatment. Scores estimating the total risk of CVD (e.g. ten-year risk of fatal and non-fatal CVD) are available for LMICs, and are based on the main CVD risk factors (history of CVD, age, sex, tobacco use, blood pressure, blood cholesterol and diabetes status). Opportunistic screening of CVD risk factors enables identification of persons with high CVD risk, but this strategy can be widely applied in low resource settings only if cost effective interventions are used (e.g. the WHO Package of Essential NCD interventions for primary health care in low resource settings package) and if treatment (generally for years) can be sustained, including continued availability ofaffordable medications and funding mechanisms that allow people to purchase medications without impoverishing them (e.g. universal access to health care). Thisalso emphasises the need to re-orient health systems in LMICs towards chronic diseases management. Conclusion: The large burden of CVD in LMICs and the fact that persons with high CVD can be identified and managed along cost-effective interventions mean that health systems need to be structured in a way that encourages patient registration, opportunistic screening of CVD risk factors, efficient procedures for the management of chronic conditions (e.g. task sharing) and provision of affordable treatment for those with high CVD risk. The focus needs to be in primary care because that is where most of the population can access health care and because CVD programmes can be run effectively at this level. more

Guideline: infant feeding in areas of Zika virus transmission

World Health Organization WHO (2021) CC

2nd edition, June 2021

iSupport
recommended

World Health Organization WHO (2022) C_WHO

iSupport is a self-help skills and training programme for carers of people with dementia. Worldwide, around 55 million people have dementia. Dementia causes significant psychological and emotional impact on families and carers. iSupport aims to prevent and/or decrease mental and physical health prob ... more

WHO presence in countries, territories and areas: 2023 report

World Health Organisation (WHO) (2023) C_WHO

The 2023 Country Presence Report provides an overview of what WHO does in countries to advance towards the SDGs and implement GPW13, how we do it, with whom we work, and what is needed to overcome challenges for achieving results and impact in countries.

Zambia Steps for Non Communicable Risk Factors

Ministry of Health, Zambia Bloomberg Philanthropic; WHO, Path, et al. (2017) CC

Zambia Report for 2017

STEPS: prevalence of noncommunicable disease risk factors in the Republic of Azerbaijan 2017

World Health Organization WHO, Regional Office of Europe (2021) CC

Noncommunicable diseases (‎NCDs)‎ are the principal cause of morbidity, disability and premature mortality in Azerbaijan. The most effective way to reduce the NCD burden is to prevent NCD development, by addressing thebehavioural risk factors underlying NCDs at the population and individual leve ... more

Prevalence and factors associated with prediabetes and diabetes mellitus in Kenya: results from a national survey

Mohamed, S.F.; Mwangi M., Mutua1 M.K., et al. BMC Public Health (2018) C1

Mohamed et al. BMC Public Health 2018, 18(Suppl 3):1215 https://doi.org/10.1186/s12889-018-6053-xpre-

Prevention and control of noncommunicable diseases in Kazakhstan. The case for investment

World Health Organization WHO (2019) C_WHO

Noncommunicable diseases (NCDs) such as cancer, cardiovascular disease, diabetes and chronic respiratory diseases and their risk factors are an increasing public health and development challenge in Kazakhstan. This report provides evidence through three analyses that NCDs reduce economic output and ... more

The Burden of Orphans and Vulnerable Children Due to HIV/AIDS in Cameroon

D. S. Nsagha; A.-C. ZK Bissek; S. M. Nsagha; et al. The Open AIDS Journal; PubMed (2012) CC

The Open AIDS Journal, 2012, 6, 245-258

Prevention and control of noncommunicable diseases in Ethiopia: The case for investment, including considerations on the impact of khat

World Health Organization WHO (2020) C_WHO

In 2016, the risk of premature mortality1 from noncommunicable diseases (NCDs) in Ethiopia was 18.3%. The economic costs of NCDs are significant and are due principally to their impact on the non-health sector (reduced workforce and productivity). In this study, it is estimated that NCDs cost Ethiop ... more

Mapping Antimicrobial Resistance and Antimicrobial Use Partnership (MAAP) Country Report Nigeria

Africa Center for Disease Control and Prevention (2023) CC

The Mapping Antimicrobial Resistance and Antimicrobial Use Partnership (MAAP) project has conducted a multi-year, multi-country study that provides stark insights on the under-reported depth of the antimicrobial resistance (AMR) crisis across Africa and lays out urgent policy recommendations to addr ... more

Politique de Santé Mentale Communautaire

Christoffel-Blindenmission (CBM) (2008)

56e conseil directeur - 70e session du comité régional de l'OMS pour les Amériques

Organisation panaméricaine de la Santé; Organisation mondiale de la Santé (Amériques ) (2018) C_WHO

Washington, D.C., ÉUA, du 23 au 27 septembre 2018 Point 8.3 de l'ordre du jour provisoire CD56/INF/3 14 juillet 2018 Original: anglais

Key considerations for the use of law to prevent noncommunicable diseases in the WHO European Region

World Health OrganizationEurope World Health OrganizationEurope (2017) C_WHO

Report of an intensive legal training and capacity-building workshop on law and noncommunicable diseases (Moscow, 30 May–3 June 2016) The report summarizes important issues, themes and topics discussed during the meeting in Moscow, ranging from the design and implementation of legislation, reconc ... more

Toolkit for assessing health-system capacity for crisis management. Part 1. User manual

World Health Organization, Regional Office for Europe (2012)

Strengthening health-system emergency preparedness.

Red and processed meat in the context of health and the environment: many shades of red and green: information brief

World Health Organisation (WHO) (2023) C_WHO

There is growing international consensus that food systems transformation is important to address the challenges of malnutrition in all its forms, the burden of noncommunicable diseases (NCDs), environmental sustainability, increasing inequality and ensuring the welfare of workers and animals. In li ... more

Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level.
recommended

World Health Organization WHO (2016) C_WHO

Health care-associated infections (HAI) are one of the most common adverse events in care delivery and a major public health problem with an impact on morbidity, mortality and quality of life. At any one time, up to 7% of patients in developed and 10% in developing countries will acquire at least on ... more

Consolidated Guidelines on HIV prevention, diagnosis, treatment and care for key populations (Updated 2016)

C. Beyrer; A. Kamarulzaman; E. Aaraj; et al. World Health Organization (2016) C_WHO

Guidelines Key Populations

Compendium of data and evidence-related tools for use in TB planning and programming

World Health Organization WHO (2021) C_WHO

The Compendium of data and evidence-related tools for use in TB planning and programming was developed as a companion document to the People-centred framework for tuberculosis programme planning and prioritization – user guide, published by the World Health Organization (WHO) ... more