Open AccessScaling Up Chronic Disease Prevention Interventions in Lower- and Middle-Income Countries
Author(s) -
Thomas A. Gaziano,
Neha J. Pagidipati
Publication year - 2013
Publication title -
annual review of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.239
H-Index - 144
eISSN - 1545-2093
pISSN - 0163-7525
DOI - 10.1146/annurev-publhealth-031912-114402
Subject(s) - psychological intervention , environmental health , public health , medicine , population , low and middle income countries , non communicable disease , disease burden , health promotion , gerontology , developing country , economic growth , nursing , economics
Chronic diseases are increasingly becoming a health burden in lower- and middle-income countries, putting pressure on public health efforts to scale up interventions. This article reviews current efforts in interventions on a population and individual level. Population-level interventions include ongoing efforts to reduce smoking rates, reduce intake of salt and trans–fatty acids, and increase physical activity in increasingly sedentary populations. Individual-level interventions include control and treatment of risk factors for chronic diseases and secondary prevention. This review also discusses the barriers in interventions, particularly those specific to low- and middle-income countries. Continued discussion of proven cost-effective interventions for chronic diseases in the developing world will be useful for improving public health policy.