Addressing the Challenges of Non-communicable Diseases: Health Systems
"Non-communicable diseases have emerged as growing health problems for countries in every corner of the globe." -U.S. Secretary of Health and Human Services Kathleen Sebelius
The Rise of NCDs
Noncommunicable diseases (NCDs) such as cancer and diabetes represent an urgent and growing global public health emergency, resulting in over 9 million deaths before the age of 60 per year. 80% of the annual 35 million NCD deaths occur in low-and middle-income countries. The chronic care associated with NCDs requires long-term routine clinic visits, testing, and medications.
U.S. Helps Strengthen Country Health Systems
Through the U.S. Global Health Initiative (GHI), the U.S. government supports countries as they work to improve the health of their own people. It builds health systems - training health workers, establishing disease monitoring and laboratory systems, and repairing health clinics - so cost-effective improvements in health can continue for generations. Among priorities related to health system strengthening, it is important to incorporate disease management into existing systems, rather than create parallel systems; strengthen preventive care to pre-empt the development of disease where possible; and ensure treatment of disease when it causes little or no morbidity to prevent development of disability.
US Global Health Investments:
Given the long-term care that people living with HIV require, programs supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) have helped to develop systems for chronic disease management in many partner countries. As part of GHI, PEPFAR is working toUstrengthen health systems by training physicians, building medical infrastructure, and purchasing medical equipment.
PEPFAR investments also improve systems for delivering medications and other health commodities. Through stronger supply systems, countries can access preferential pricing through bulk purchases, build relationships with pharmaceutical providers, and ensure consistent delivery of health products.
Benefits for the NCD Response
NCDs and their risk factors are best addressed throughout the course of people’s lives through healthy behaviors, prevention, early diagnosis, and treatment that begins before pregnancy and continue through childhood and adult life. Fostering meaningful community participation and engagement along with active partnerships among multiple stakeholders is imperative.
With stronger health systems, countries are better positioned to respond to the health needs of their people. GHI’s efforts to strengthen health systems in developing countries will help countries to effectively address an increasing burden of NCDs for present and future generations.
U.S. Department of State • Bureau of International Organization Affairs www.state.gov
U.S. Department of Health and Human Services www.dhhs.gov