China's biggest, most neglected health challenge: non-communicable diseases

Persistent Link:
http://hdl.handle.net/10150/610162
Title:
China's biggest, most neglected health challenge: non-communicable diseases
Author:
Tang, Shenglan; Ehiri, John; Long, Qian
Affiliation:
Duke Global Health Institute, Duke University, Durham, NC, USA; Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA; School of Public Health and Management, Chongqing Medical University, Chongqing, PR China
Issue Date:
2013
Publisher:
BioMed Central
Citation:
Tang et al. Infectious Diseases of poverty 2013, 2:7 http://www.idpjournal.com/content/2/1/7
Journal:
Infectious Diseases of Poverty
Rights:
© 2013 Tang et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
Abstract:
BACKGROUND:Over the past two decades, international health policies focusing on the fight against the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), tuberculosis (TB), malaria, and those diseases that address maternal and child health problems, among others, have skewed disease control priorities in China and other Asian countries. Although these are important health problems, an epidemic of chronic, non-communicable diseases (NCDs) in China has accounted for a much greater burden of disease due to the ongoing rapid socioeconomic and demographic transition.DISCUSSION:Although NCDs currently account for more than 80% of the overall disease burden in China, they remain very low on the nation's disease control priorities, attracting marginal investment from central and local governments. This leaves the majority of patients with chronic conditions without effective treatment. International organizations and national governments have recognized the devastating social and economic consequences caused by NCDs in low- and middle-income countries, including China. Yet, few donor-funded projects that address NCDs have been implemented in these countries over the past decade. Due to a lack of strong support from international organizations and national governments for fighting against NCDs, affected persons in China, especially the poor and those who live in rural and less developed regions, continue to have limited access to the needed care. Costs associated with frequent health facility visits and regular treatment have become a major factor in medical impoverishment in China. This article argues that although China's ongoing health system reform would provide a unique opportunity to tackle current public health problems, it may not be sufficient to address the emerging threat of NCDs unless targeted steps are taken to assure that adequate financial and human resources are mapped for effective control and management of NCDs in the country.SUMMARY:The Chinese government needs to develop a domestically-driven and evidence-based disease control policy and funding priorities that respond appropriately to the country's current epidemiological transition, and rapid sociodemographic and lifestyle changes.
EISSN:
2049-9957
DOI:
10.1186/2049-9957-2-7
Keywords:
Non-communicable diseases; Infectious diseases; Evidence-based public health interventions; Health system reform; China
Version:
Final published version
Additional Links:
http://www.idpjournal.com/content/2/1/7

Full metadata record

DC FieldValue Language
dc.contributor.authorTang, Shenglanen
dc.contributor.authorEhiri, Johnen
dc.contributor.authorLong, Qianen
dc.date.accessioned2016-05-20T09:00:02Z-
dc.date.available2016-05-20T09:00:02Z-
dc.date.issued2013en
dc.identifier.citationTang et al. Infectious Diseases of poverty 2013, 2:7 http://www.idpjournal.com/content/2/1/7en
dc.identifier.doi10.1186/2049-9957-2-7en
dc.identifier.urihttp://hdl.handle.net/10150/610162-
dc.description.abstractBACKGROUND:Over the past two decades, international health policies focusing on the fight against the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), tuberculosis (TB), malaria, and those diseases that address maternal and child health problems, among others, have skewed disease control priorities in China and other Asian countries. Although these are important health problems, an epidemic of chronic, non-communicable diseases (NCDs) in China has accounted for a much greater burden of disease due to the ongoing rapid socioeconomic and demographic transition.DISCUSSION:Although NCDs currently account for more than 80% of the overall disease burden in China, they remain very low on the nation's disease control priorities, attracting marginal investment from central and local governments. This leaves the majority of patients with chronic conditions without effective treatment. International organizations and national governments have recognized the devastating social and economic consequences caused by NCDs in low- and middle-income countries, including China. Yet, few donor-funded projects that address NCDs have been implemented in these countries over the past decade. Due to a lack of strong support from international organizations and national governments for fighting against NCDs, affected persons in China, especially the poor and those who live in rural and less developed regions, continue to have limited access to the needed care. Costs associated with frequent health facility visits and regular treatment have become a major factor in medical impoverishment in China. This article argues that although China's ongoing health system reform would provide a unique opportunity to tackle current public health problems, it may not be sufficient to address the emerging threat of NCDs unless targeted steps are taken to assure that adequate financial and human resources are mapped for effective control and management of NCDs in the country.SUMMARY:The Chinese government needs to develop a domestically-driven and evidence-based disease control policy and funding priorities that respond appropriately to the country's current epidemiological transition, and rapid sociodemographic and lifestyle changes.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.idpjournal.com/content/2/1/7en
dc.rights© 2013 Tang et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)en
dc.subjectNon-communicable diseasesen
dc.subjectInfectious diseasesen
dc.subjectEvidence-based public health interventionsen
dc.subjectHealth system reformen
dc.subjectChinaen
dc.titleChina's biggest, most neglected health challenge: non-communicable diseasesen
dc.typeArticleen
dc.identifier.eissn2049-9957en
dc.contributor.departmentDuke Global Health Institute, Duke University, Durham, NC, USAen
dc.contributor.departmentMel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USAen
dc.contributor.departmentSchool of Public Health and Management, Chongqing Medical University, Chongqing, PR Chinaen
dc.identifier.journalInfectious Diseases of Povertyen
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen
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