LEADER 06104oam 22006975 450 001 9910960597403321 005 20240401210322.0 010 $a9780821399217 010 $a0821399217 024 7 $a10.1596/978-0-8213-9920-0 035 $a(CKB)2670000000419244 035 $a(SSID)ssj0001000685 035 $a(PQKBManifestationID)11609171 035 $a(PQKBTitleCode)TC0001000685 035 $a(PQKBWorkID)10960861 035 $a(PQKB)11400808 035 $a(MiAaPQ)EBC1463589 035 $a(Au-PeEL)EBL1463589 035 $a(CaPaEBR)ebr10756927 035 $a(CaONFJC)MIL546830 035 $a(OCoLC)841199235 035 $a(DNLM)101606446 035 $a(US-djbf)17707523 035 $a(Perlego)1484138 035 $a(EXLCZ)992670000000419244 100 $a20130418d2013 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aTackling noncommunicable diseases in Bangladesh : $enow is the time /$fSameh El-Saharty ... [and others] 205 $a1st ed. 210 1$aWashington, DC :$cThe World Bank,$d[2013] 210 4$dcopyright 2013. 215 $apages ;$dcm 225 1 $aDirections in development 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a9780821399200 311 08$a0821399209 320 $aIncludes bibliographical references. 327 $aFront 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 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. 327 $aAppendix 3 Assessment and the Program Management Cycle -- Boxes -- Figures -- Tables -- Back Cover. 330 $aBangladesh is undergoing a double transition—demographic 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 system’s capacity to manage the disease transition.In a country where total health spending is low—23 a head per year, two-thirds of it private—the 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 makers—inside and outside the Ministry of Health and Family Welfare, and its program managers—to 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 categories—population-based 330 8 $aand individual-based policy interventions, which in turn support four pillars: multisectoral and health sector interventions (population-based), and clinical preventive and treatment services (individual-based). 410 0$aDirections in development (Washington, D.C.) 410 0$aWorld Bank e-Library. 606 $aChronic diseases$zBangladesh 606 $aHealth transition$zBangladesh 615 0$aChronic diseases 615 0$aHealth transition 676 $a362.1095492 700 $aEl-Saharty$b Sameh$01805021 701 $aEl-Saharty$b Sameh$01805021 712 02$aWorld Bank. 801 0$bDNLM/DLC 801 1$bDLC 906 $aBOOK 912 $a9910960597403321 996 $aTackling noncommunicable diseases in Bangladesh$94353362 997 $aUNINA