The potential impact of public health interventions in preventing kidney disease
The years of life lost and years lived with disability due to chronic kidney disease (CKD) increased globally by 90% and 49.5% respectively between 1990 and 2013. In additional to the traditional factors, infections, low birthweight, environmental factors and low socio-economic status contribute to...
| Main Authors: | , , |
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| Format: | Journal article |
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Elsevier
2017
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| _version_ | 1797085247378030592 |
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| author | Joshi, R Oommen, J Jha, V |
| author_facet | Joshi, R Oommen, J Jha, V |
| author_sort | Joshi, R |
| collection | OXFORD |
| description | The years of life lost and years lived with disability due to chronic kidney disease (CKD) increased globally by 90% and 49.5% respectively between 1990 and 2013. In additional to the traditional factors, infections, low birthweight, environmental factors and low socio-economic status contribute to CKD burden in low and middle income countries (LMIC). System level challenges such as poor appreciation of the burden, insufficient human resources, high healthcare cost, poor referral pathways, inaccurate health information systems and inadequate medicine supply pose barriers to CKD control. In this paper, we present evidence that CKD burden in LMIC are related to system-wide issues, which can be effectively reduced using innovative, affordable and scalable interventions. A multipronged approach, such as improving socio-economic determinants of health, enabling environment for healthy decision-making, and sustainable interventions. Innovative approaches at primary level include promoting healthy behaviours, counselling and education in primary care, task-sharing between physicians and non-physician health providers, using technology to train non-physicians to screen, diagnose, refer, follow-up and educate patients and ensuring quality. Stronger political will and system level change are needed to prevent and manage CKD if the sustainable development goals of reducing pre-mature mortality from NCDs by 2030 are to be attained. |
| first_indexed | 2024-03-07T02:06:15Z |
| format | Journal article |
| id | oxford-uuid:9f17bf7d-7cab-4e41-922f-d11740239484 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T02:06:15Z |
| publishDate | 2017 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:9f17bf7d-7cab-4e41-922f-d117402394842022-03-27T00:54:55ZThe potential impact of public health interventions in preventing kidney diseaseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9f17bf7d-7cab-4e41-922f-d11740239484Symplectic Elements at OxfordElsevier2017Joshi, ROommen, JJha, VThe years of life lost and years lived with disability due to chronic kidney disease (CKD) increased globally by 90% and 49.5% respectively between 1990 and 2013. In additional to the traditional factors, infections, low birthweight, environmental factors and low socio-economic status contribute to CKD burden in low and middle income countries (LMIC). System level challenges such as poor appreciation of the burden, insufficient human resources, high healthcare cost, poor referral pathways, inaccurate health information systems and inadequate medicine supply pose barriers to CKD control. In this paper, we present evidence that CKD burden in LMIC are related to system-wide issues, which can be effectively reduced using innovative, affordable and scalable interventions. A multipronged approach, such as improving socio-economic determinants of health, enabling environment for healthy decision-making, and sustainable interventions. Innovative approaches at primary level include promoting healthy behaviours, counselling and education in primary care, task-sharing between physicians and non-physician health providers, using technology to train non-physicians to screen, diagnose, refer, follow-up and educate patients and ensuring quality. Stronger political will and system level change are needed to prevent and manage CKD if the sustainable development goals of reducing pre-mature mortality from NCDs by 2030 are to be attained. |
| spellingShingle | Joshi, R Oommen, J Jha, V The potential impact of public health interventions in preventing kidney disease |
| title | The potential impact of public health interventions in preventing kidney disease |
| title_full | The potential impact of public health interventions in preventing kidney disease |
| title_fullStr | The potential impact of public health interventions in preventing kidney disease |
| title_full_unstemmed | The potential impact of public health interventions in preventing kidney disease |
| title_short | The potential impact of public health interventions in preventing kidney disease |
| title_sort | potential impact of public health interventions in preventing kidney disease |
| work_keys_str_mv | AT joshir thepotentialimpactofpublichealthinterventionsinpreventingkidneydisease AT oommenj thepotentialimpactofpublichealthinterventionsinpreventingkidneydisease AT jhav thepotentialimpactofpublichealthinterventionsinpreventingkidneydisease AT joshir potentialimpactofpublichealthinterventionsinpreventingkidneydisease AT oommenj potentialimpactofpublichealthinterventionsinpreventingkidneydisease AT jhav potentialimpactofpublichealthinterventionsinpreventingkidneydisease |