Implementation of Policies and Strategies for Control of Noncommunicable Diseases in Malawi: Challenges and Opportunities

Autor/inn/en	Lupafya, Phindile Chitsulo; Mwagomba, Beatrice L. Matanje; Hosig, Kathy; Maseko, Lucy M.; Chimbali, Henry
Titel	Implementation of Policies and Strategies for Control of Noncommunicable Diseases in Malawi: Challenges and Opportunities
Quelle	In: Health Education & Behavior, 43 (2016) 1, S.64 (6 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198115614313
Schlagwörter	Diseases; Disease Control; Qualitative Research; Statistical Analysis; Foreign Countries; Incidence; Life Style; Obesity; Hypertension; Diabetes; Strategic Planning; Prevention; Public Policy; Public Health; Questionnaires; Screening Tests; Outreach Programs; Human Resources; Equipment; Health Services; Health Personnel; Hospitals; Capacity Building; Malawi + Suchen Sie Ihr Suchwort? Disease; Krankheit; Qualitative Forschung; Statistische Analyse; Ausland; Vorkommen; Lebensstil; Adipositas; Bluthochdruck; Hypertonie; Strategy; Planning; Strategie; Planung; Prävention; Vorbeugung; Öffentliche Ordnung; Gesundheitswesen; Fragebogen; Screening-Verfahren; Jobcoaching; Humankapital; Health service; Gesundheitsdienst; Medizinisches Personal; Krankengymnast; Krankenhaus
Abstract	Malawi is a Sub-Saharan African country experiencing the epidemiological transition from predominantly infectious to noncommunicable diseases (NCDs) with dramatically increasing prevalence of lifestyle-related diseases such as obesity, hypertension, and diabetes. Malawi's 2011-2016 Health Sector Strategic Plan included NCDs, and an NCD Control Program was established with subsequent development of a National Action Plan for prevention and management of NCDs launched in 2013. The current study was designed to identify gaps in implementation of NCD control program policies and action plan strategies by describing current efforts toward prevention and management of NCDs in Malawi with emphasis on challenges and opportunities. Semistructured questionnaires were used to collect quantitative and qualitative data from Malawi Ministry of Health personnel (senior officers, service providers, health education officers, and nutritionists) in 10 health districts and 3 central hospitals. Frequencies were generated for quantitative data. Qualitative data were used to generate themes and most common responses. Results showed that current services focus on facility-based NCD screening and clinical services rather than active screening, prevention, and community awareness and outreach, although respondents emphasized the importance of prevention, lifestyle education, and community outreach. Respondents indicated inadequate resources for NCD services including financial capital, human resources, equipment and supplies, and transportation. While Malawi has begun to address NCDs, policy and practice implications include (a) better integration of services within the existing infrastructure with emphasis on capacity building; (b) greater implementation of planned NCD activities; (c) a stronger, more comprehensive data management system; and (d) innovative funding solutions. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01