Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic Diseases
Most developing countries do not comprehensively address chronic diseases as part of their health agendas because of lack of resources, limited capacity within the health system, and the threat that the institution of national-level programs will weaken local health systems and compete with other he...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Centers for Disease Control and Prevention
2005-12-01
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| Series: | Preventing Chronic Disease |
| Subjects: | |
| Online Access: | http://www.cdc.gov/pcd/issues/2006/jan/05_0066.htm |
| _version_ | 1797668967226015744 |
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| author | Sania Nishtar, PhD, FRCP Khalif Mohamud Bile, PhD Ashfaq Ahmed, MBBS Azhar M.A. Faruqui, FRCP Zafar Mirza, MPH Samad Shera, FRCP Abdul Ghaffar, PhD Fareed A. Minhas, FRCP Aslam Khan, FRCP, MRCP Naeem A. Jaffery, FRCP Majid Rajput, MPH, FCPS Yasir A. Mirza, MSc Mohammad Aslam, MSc, FCPS, Ejaz Rahim, MA |
| author_facet | Sania Nishtar, PhD, FRCP Khalif Mohamud Bile, PhD Ashfaq Ahmed, MBBS Azhar M.A. Faruqui, FRCP Zafar Mirza, MPH Samad Shera, FRCP Abdul Ghaffar, PhD Fareed A. Minhas, FRCP Aslam Khan, FRCP, MRCP Naeem A. Jaffery, FRCP Majid Rajput, MPH, FCPS Yasir A. Mirza, MSc Mohammad Aslam, MSc, FCPS, Ejaz Rahim, MA |
| author_sort | Sania Nishtar, PhD, FRCP |
| collection | DOAJ |
| description | Most developing countries do not comprehensively address chronic diseases as part of their health agendas because of lack of resources, limited capacity within the health system, and the threat that the institution of national-level programs will weaken local health systems and compete with other health issues. An integrated partnership-based approach, however, could obviate some of these obstacles.In Pakistan, a tripartite public–private partnership was developed among the Ministry of Health, the nongovernmental organization (NGO) Heartfile, and World Health Organization. This was the first time an NGO participated in a national health program; NGOs typically assume a contractual role. The partnership developed a national integrated plan for health promotion and the prevention and control of noncommunicable diseases (NCDs), which as of January 2006 is in the first stage of implementation. This plan, called the National Action Plan on NCD Prevention, Control, and Health Promotion (NAP-NCD), was released on May 12, 2004, and attempts to obviate the challenges associated with addressing chronic diseases in countries with limited resources. By developing an integrated approach to chronic diseases at several levels, capitalizing on the strengths of partnerships, building on existing efforts, and focusing primary health care on chronic disease prevention, the NAP-NCD aims to mitigate the effects of national-level programs on local resources.The impact of the NAP-NCD on population outcomes can only be assessed over time. However, this article details the plan’s process, its perceived merits, and its limitations in addition to discussing challenges with its implementation, highlighting the value of such partnerships in facilitating the missions and mandates of participating agencies, and suggesting options for generalizability. |
| first_indexed | 2024-03-11T20:37:17Z |
| format | Article |
| id | doaj.art-62cdb783e3a2470180b0479eaa93d35b |
| institution | Directory Open Access Journal |
| issn | 1545-1151 |
| language | English |
| last_indexed | 2024-03-11T20:37:17Z |
| publishDate | 2005-12-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Preventing Chronic Disease |
| spelling | doaj.art-62cdb783e3a2470180b0479eaa93d35b2023-10-02T05:51:22ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512005-12-0131Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic DiseasesSania Nishtar, PhD, FRCPKhalif Mohamud Bile, PhDAshfaq Ahmed, MBBSAzhar M.A. Faruqui, FRCPZafar Mirza, MPHSamad Shera, FRCPAbdul Ghaffar, PhDFareed A. Minhas, FRCPAslam Khan, FRCP, MRCPNaeem A. Jaffery, FRCPMajid Rajput, MPH, FCPSYasir A. Mirza, MScMohammad Aslam, MSc, FCPS,Ejaz Rahim, MAMost developing countries do not comprehensively address chronic diseases as part of their health agendas because of lack of resources, limited capacity within the health system, and the threat that the institution of national-level programs will weaken local health systems and compete with other health issues. An integrated partnership-based approach, however, could obviate some of these obstacles.In Pakistan, a tripartite public–private partnership was developed among the Ministry of Health, the nongovernmental organization (NGO) Heartfile, and World Health Organization. This was the first time an NGO participated in a national health program; NGOs typically assume a contractual role. The partnership developed a national integrated plan for health promotion and the prevention and control of noncommunicable diseases (NCDs), which as of January 2006 is in the first stage of implementation. This plan, called the National Action Plan on NCD Prevention, Control, and Health Promotion (NAP-NCD), was released on May 12, 2004, and attempts to obviate the challenges associated with addressing chronic diseases in countries with limited resources. By developing an integrated approach to chronic diseases at several levels, capitalizing on the strengths of partnerships, building on existing efforts, and focusing primary health care on chronic disease prevention, the NAP-NCD aims to mitigate the effects of national-level programs on local resources.The impact of the NAP-NCD on population outcomes can only be assessed over time. However, this article details the plan’s process, its perceived merits, and its limitations in addition to discussing challenges with its implementation, highlighting the value of such partnerships in facilitating the missions and mandates of participating agencies, and suggesting options for generalizability.http://www.cdc.gov/pcd/issues/2006/jan/05_0066.htmchronic diseasepreventionpublic healthPakistan |
| spellingShingle | Sania Nishtar, PhD, FRCP Khalif Mohamud Bile, PhD Ashfaq Ahmed, MBBS Azhar M.A. Faruqui, FRCP Zafar Mirza, MPH Samad Shera, FRCP Abdul Ghaffar, PhD Fareed A. Minhas, FRCP Aslam Khan, FRCP, MRCP Naeem A. Jaffery, FRCP Majid Rajput, MPH, FCPS Yasir A. Mirza, MSc Mohammad Aslam, MSc, FCPS, Ejaz Rahim, MA Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic Diseases Preventing Chronic Disease chronic disease prevention public health Pakistan |
| title | Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic Diseases |
| title_full | Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic Diseases |
| title_fullStr | Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic Diseases |
| title_full_unstemmed | Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic Diseases |
| title_short | Process, Rationale, and Interventions of Pakistan’s National Action Plan on Chronic Diseases |
| title_sort | process rationale and interventions of pakistan s national action plan on chronic diseases |
| topic | chronic disease prevention public health Pakistan |
| url | http://www.cdc.gov/pcd/issues/2006/jan/05_0066.htm |
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