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Record Nr. |
UNINA9910960597403321 |
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Autore |
El-Saharty Sameh |
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Titolo |
Tackling noncommunicable diseases in Bangladesh : : now is the time / / Sameh El-Saharty ... [and others] |
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Pubbl/distr/stampa |
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Washington, DC : , : The World Bank, , [2013] |
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copyright 2013 |
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ISBN |
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Edizione |
[1st ed.] |
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Descrizione fisica |
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Collana |
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Directions in development |
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Altri autori (Persone) |
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Disciplina |
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Soggetti |
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Chronic diseases - Bangladesh |
Health transition - Bangladesh |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Bibliographic Level Mode of Issuance: Monograph |
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Nota di bibliografia |
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Includes bibliographical references. |
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Nota di contenuto |
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Front Cover -- Title Page -- Copyright Page -- Contents -- Preface -- Acknowledgments -- Abbreviations -- Overview -- The Growing Burden of Noncommunicable Diseases in Bangladesh -- Health System and NCD Capacity -- Health Policies, Activities, and Challenges -- Key Policy Options and Strategic Priorities -- Note -- References -- Chapter 1 Contexts and Transitions -- Global, Regional, and Country Contexts -- Demographic and Epidemiological Transitions -- Note -- References -- Chapter 2 Burden of Disease and Risk Factors for NCDs -- Global and Regional Burden of NCDs -- Bangladesh NCD Burden -- NCD Risk Factors -- Economic and Social Impact -- Notes -- References -- Chapter 3 Health System and NCD Capacity Assessment -- Introduction -- Health Service Delivery -- Health Workforce -- Health Information Systems -- Pharmaceuticals and Medical Technology -- Health Financing -- Health Sector Governance -- Note -- References -- Chapter 4 National NCD Activities and Challenges -- Orientation of the Public Sector -- Country Activities -- Challenges -- References -- Chapter 5 Key Policy Options and Strategic Priorities -- Stewardship and Regulatory Policy Options and Strategies -- Population-Based Policy Options and Strategies for the Non-Health Sector -- Population-Based Policy Options and Strategies for the Health Sector -- Policy Options and Strategies for Individual Clinical Interventions for the |
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Prevention of NCDs in the Health Sector -- Policy Options and Strategies for Individual Clinical Interventions for the Treatment of NCDs in the Health Sector -- Lead Role of the Ministry of Health and Family Welfare -- References -- Appendix 1 Leading Causes of Mortality and Disability-Adjusted Life Years and Risk Factors for Bangladesh, 2010 Estimates -- Appendix 2 NCD Treatment, Research, and Training Institutions in Bangladesh. |
Appendix 3 Assessment and the Program Management Cycle -- Boxes -- Figures -- Tables -- Back Cover. |
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Sommario/riassunto |
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Bangladesh is undergoing a double transitiondemographic and epidemiological. Increasing life expectancy and declining fertility entail a demographic transition fueling a shift in the disease burden toward noncommunicable diseases (NCDs). Yet due to absence of a robust routine health information system in the country, it is hard to accurately assess the disease burden and corresponding risk factors. So, using a wide range of sources, this book looks at the status of major NCDs in Bangladesh (and briefly in South Asia), touches on their economic impact, analyzes their common risk factors, and assesses the health systems capacity to manage the disease transition.In a country where total health spending is low23 a head per year, two-thirds of it privatethe main constraints on the health system are a weak regulatory framework; lack of strategic planning and coordination across sectors; lack of alignment between the goals of health strategy documents and the operational plans; a focus by the health system on treatment, not prevention; and a fragmented health service delivery system, leading to a lack of coordinated care critical for effectively managing NCDs. This book aims to help policy makersinside and outside the Ministry of Health and Family Welfare, and its program managersto develop and implement effective and timely responses that reduce both population-level risk factors and the NCD burden in Bangladesh. It also outlines policy options and strategic priorities to help stimulate policy dialogue with stakeholders to tackle the NCD burden through strengthening health service provision, all articulated through a "Policy Options Framework". This framework is founded on the stewardship and regulatory role led by the health sector (represented by the Ministry of Health and Family Welfare), which supports two broad categoriespopulation-based |
and individual-based policy interventions, which in turn support four pillars: multisectoral and health sector interventions (population-based), and clinical preventive and treatment services (individual-based). |
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