Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India
Between 1990 and 2016, India has seen an epidemiological transition in disease burden and deaths, with a steady rise in noncommunicable disease (NCD) burden. This has led to a tussle for policy attention and resources between proponents of communicable diseases such as tuberculosis, and of NCDs, suc...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=2;spage=326;epage=329;aulast=Mohan |
| _version_ | 1828239079343390720 |
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| author | Pavitra Mohan Sanjana Brahmawar Mohan Manisha Dutta |
| author_facet | Pavitra Mohan Sanjana Brahmawar Mohan Manisha Dutta |
| author_sort | Pavitra Mohan |
| collection | DOAJ |
| description | Between 1990 and 2016, India has seen an epidemiological transition in disease burden and deaths, with a steady rise in noncommunicable disease (NCD) burden. This has led to a tussle for policy attention and resources between proponents of communicable diseases such as tuberculosis, and of NCDs, such as cardiovascular diseases and diabetes. Review of evidence from global burden of diseases studies and from our own field data from rural south Rajasthan reveals that communicable-malnutrition- maternal-newborn diseases (CMNND), injuries, and NCDs are major causes of disease burden and deaths in childhood, youth and older age group, respectively. Risk factors related to diet, nutrition, and air pollution contribute significantly to communicable as well as NCDs. Many NCDs in adults have origins in malnutrition during pregnancy and early childhood; similarly, certain NCDs are caused by a communicable disease. We argue that the binary of communicable and NCD is incorrect, and that resources and policy attention be focused on strengthening primary health care systems that address CMMNDs as well as NCDs; and reduce the underlying risk factors. |
| first_indexed | 2024-04-12T21:15:40Z |
| format | Article |
| id | doaj.art-1cc871d3e7bd44669db9264e5fc411f7 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-12T21:15:40Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-1cc871d3e7bd44669db9264e5fc411f72022-12-22T03:16:26ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-018232632910.4103/jfmpc.jfmpc_67_19Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in IndiaPavitra MohanSanjana Brahmawar MohanManisha DuttaBetween 1990 and 2016, India has seen an epidemiological transition in disease burden and deaths, with a steady rise in noncommunicable disease (NCD) burden. This has led to a tussle for policy attention and resources between proponents of communicable diseases such as tuberculosis, and of NCDs, such as cardiovascular diseases and diabetes. Review of evidence from global burden of diseases studies and from our own field data from rural south Rajasthan reveals that communicable-malnutrition- maternal-newborn diseases (CMNND), injuries, and NCDs are major causes of disease burden and deaths in childhood, youth and older age group, respectively. Risk factors related to diet, nutrition, and air pollution contribute significantly to communicable as well as NCDs. Many NCDs in adults have origins in malnutrition during pregnancy and early childhood; similarly, certain NCDs are caused by a communicable disease. We argue that the binary of communicable and NCD is incorrect, and that resources and policy attention be focused on strengthening primary health care systems that address CMMNDs as well as NCDs; and reduce the underlying risk factors.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=2;spage=326;epage=329;aulast=MohanCommunicable diseasesnoncommunicable diseasesprimary health care |
| spellingShingle | Pavitra Mohan Sanjana Brahmawar Mohan Manisha Dutta Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India Journal of Family Medicine and Primary Care Communicable diseases noncommunicable diseases primary health care |
| title | Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India |
| title_full | Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India |
| title_fullStr | Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India |
| title_full_unstemmed | Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India |
| title_short | Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India |
| title_sort | communicable or noncommunicable diseases building strong primary health care systems to address double burden of disease in india |
| topic | Communicable diseases noncommunicable diseases primary health care |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=2;spage=326;epage=329;aulast=Mohan |
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