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Public Policy and the Challenge of Chronic Noncommunicable Diseases

Noncommunicable diseases (NCDs) are by far the major cause of death in lower-middle, upper-middle, and high-income countries; by 2015, they will also be the leading cause of death in low-income countries. In addition to mortality, NCDs account for nearly half of the disease burden measured in disability-adjusted life years (DALYs) in low- and middle-income countries, and large increases in NCD-related DALYs are projected.

Addressing this challenge will require policy makers to design and implement economic, health, and social policies to address the links between NCDs and poverty and to minimize the health and economic losses among the population. Public Policy and the Challenge of Chronic Noncommunicable Diseases provides a framework that policy makers can use to formulate their strategies. 

Read the Foreword (pdf 47kb) and the Executive Summary (pdf 55kb)

Download the full report (pdf 2.25MB)

Public Policy Cover

Contents

Chapter 1

Introduction (pdf 173kb)
Objective
Scope and Audience
Trends in NCD Outcomes and Possibilities for Improvement
Key Messages
Notes

Chapter 2Improving NCD Outcomes: A Public Policy Perspective (pdf 211kb)
Economic Burden of NCDs
Economic Rationale:  Efficiency, Equity, and Budget Implications
Value for Money
Implementation of NCD Services
Summary:  A Matrix of the Economic Rationale for NCD Interventions
Key Messages
Notes
Chapter 3The Agenda for the World Bank (pdf 127kb)
NCDs in the World Bank's Portfolio
Agenda for Action
Key Messages
Notes
Appendix 1The Basis for Public Intervention in the Control of Noncommunicable Diseases (pdf 246kb)
Accelerated Mortality Reductioin Scenario for Noncommunicable Diseases
Evidence on the Economic Burden of NCDs
Extent to Which NCDs Matter to the Poor
NCDs and Health Financing
Notes
Appendix 2The Evidence Base for the Prevention and Control of Noncommunicable Diseases (pdf 363kb)
Premature Mortality
Public Policy
Incorporating Prevention into Primary Care
Conclusion
Notes
Appendix 3Challenges of Design and Implementation: Three Country Cases (pdf 236kb)
Indonesia:  Forecasting and Financing Health Care Demand in a Middle-Income Country - Disease Transitions in East and Central Java
Georgia:  Diabetes and Systemic Contraints
India:  The Value of Information about NCD Status
Notes
Appendix 4Selected Noncommunicable Disease Indicators (pdf 47kb)
Glossary/References/Index (pdf 188kb)

 




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