Addressing the escalating burden of chronic diseases in India: Need for strengthening primary care

The growing epidemic of noncommunicable diseases (NCDs) has impacted the national health systems, policies, and socioeconomic developments, thereby leading to increasing country level disparities. Despite substantial improvements in health indicators made in the past decade, the Indian health-care s...

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Main Authors: Rajeshwari Sinha, Sanghamitra Pati
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=4;spage=701;epage=708;aulast=Sinha
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author Rajeshwari Sinha
Sanghamitra Pati
author_facet Rajeshwari Sinha
Sanghamitra Pati
author_sort Rajeshwari Sinha
collection DOAJ
description The growing epidemic of noncommunicable diseases (NCDs) has impacted the national health systems, policies, and socioeconomic developments, thereby leading to increasing country level disparities. Despite substantial improvements in health indicators made in the past decade, the Indian health-care system continues to contribute disproportionately to the global disease burden, wherein NCDs holds significant prominence. Against this background, the present review analyzes the current NCD landscape from the perspective of India's health system preparedness toward meeting this growing challenge. Implementation and delivery of strategies and interventions are often impeded by existing grass root level challenges. Recognizing the importance of effective primary care, the review highlights the importance of implementing affordable, accessible, and comprehensive interventions, and delivering them at societal, a community and individual level. This simultaneously calls for strengthening of the primary care system through appropriate strategy and policy frameworks. Toward addressing India-specific needs in NCD prevention and management, concerted efforts on development of robust surveillance mechanisms, intersectoral and interdepartmental collaborations, integration of national programs, enhanced role of education and awareness should be made, to ensure effectivity, scale-up, and outreach of services in primary care.
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spelling doaj.art-a2b6edcae7ab4c298ca3e879e3817df92022-12-22T01:31:23ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632017-01-016470170810.4103/jfmpc.jfmpc_1_17Addressing the escalating burden of chronic diseases in India: Need for strengthening primary careRajeshwari SinhaSanghamitra PatiThe growing epidemic of noncommunicable diseases (NCDs) has impacted the national health systems, policies, and socioeconomic developments, thereby leading to increasing country level disparities. Despite substantial improvements in health indicators made in the past decade, the Indian health-care system continues to contribute disproportionately to the global disease burden, wherein NCDs holds significant prominence. Against this background, the present review analyzes the current NCD landscape from the perspective of India's health system preparedness toward meeting this growing challenge. Implementation and delivery of strategies and interventions are often impeded by existing grass root level challenges. Recognizing the importance of effective primary care, the review highlights the importance of implementing affordable, accessible, and comprehensive interventions, and delivering them at societal, a community and individual level. This simultaneously calls for strengthening of the primary care system through appropriate strategy and policy frameworks. Toward addressing India-specific needs in NCD prevention and management, concerted efforts on development of robust surveillance mechanisms, intersectoral and interdepartmental collaborations, integration of national programs, enhanced role of education and awareness should be made, to ensure effectivity, scale-up, and outreach of services in primary care.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=4;spage=701;epage=708;aulast=SinhaNoncommunicable diseaseprimary carepublic health
spellingShingle Rajeshwari Sinha
Sanghamitra Pati
Addressing the escalating burden of chronic diseases in India: Need for strengthening primary care
Journal of Family Medicine and Primary Care
Noncommunicable disease
primary care
public health
title Addressing the escalating burden of chronic diseases in India: Need for strengthening primary care
title_full Addressing the escalating burden of chronic diseases in India: Need for strengthening primary care
title_fullStr Addressing the escalating burden of chronic diseases in India: Need for strengthening primary care
title_full_unstemmed Addressing the escalating burden of chronic diseases in India: Need for strengthening primary care
title_short Addressing the escalating burden of chronic diseases in India: Need for strengthening primary care
title_sort addressing the escalating burden of chronic diseases in india need for strengthening primary care
topic Noncommunicable disease
primary care
public health
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=4;spage=701;epage=708;aulast=Sinha
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