The Challenge of Non-Communicable Diseases and Road Traffic Injuries in Sub-Saharan Africa : An Overview

Marquez, Patricio V.; Farrington, Jill L.

The Challenge of Non-Communicable Diseases and Road Traffic Injuries in Sub-Saharan Africa : An Overview

2013

Marquez, Patricio V. | Farrington, Jill L.

This report draws on a comprehensive review of the literature and on input from policy makers, researchers, and practitioners to address four questions: (1) how is the growing burden of non-communicable diseases (NCDs) and road traffic injuries (RTIs) changing the epidemiology of Sub-Saharan Africa? (2) What determines and drives this burden, and what are the commonalities with communicable diseases? (3) What is the rationale for public intervention? (4) How could resource-constrained governments approach NCD prevention and treatment and road safety in a comprehensive, effective and efficient way? The data show that action against NCDs and RTIs in Sub-Saharan Africa is needed, together with continued efforts to address communicable diseases and maternal and child health as well as to reach the Millennium Development Goals (MDGs). The report suggests that NCDs and RTIs should not be tackled separately as a vertical program, nor should they displace communicable diseases as priorities. Instead, given resource constraints, and some shared determinants, characteristics, and interventions, there is scope for an integrated approach focusing on functions (prevention, treatment, and care) rather than on disease categories. Examples are cited of potential opportunities to integrate and add NCD prevention and treatment into existing services and programs. Proven, cost-effective, prevention interventions are clearly needed, many of which (such as tobacco and alcohol taxes, road safety measures, and fuel-efficient ventilated cook-stoves) require action beyond the health sector. These can deliver broader development benefits in addition to their benefits for health. Selective, evidence-based actions to reduce NCDs and RTIs will address the changing disease burden in Africa and achieve a more sustainable improvement in health outcomes, more efficient use of resources, and better equity across patients and populations.

Show more [+]

AGROVOC Keywords

abortion accidents adolescents age groups aged aids air air pollution asthma bicycles blood sugar breastfeeding cardiovascular diseases cholesterol chronic diseases climate change communicable diseases crime death rate developing countries diabetes diabetes mellitus diagnosis diet disease control disease management drinking water epidemiology eye diseases families females fuels greenhouse gas emissions gross domestic product hazards health care health services health surveys hemorrhage hepatitis high blood pressure hiv human capital human immunodeficiency virus hygiene hypertension immune deficiency immunodeficiency infection information systems inspection iron laws liver lung diseases malaria malnutrition marketing maternal and child health medicine medicines meningitis mental health metabolism millennium development goals morbidity mortality noncommunicable diseases nutrition obesity pandemics parasitic diseases patient patients physical activity pollution population growth prostate public health quality of life recreation rehabilitation respiratory diseases risk factors roads sanitation sarcoma schistosoma screening sex smoking social change social development social services sodium starvation stomach symptoms therapy trucks tuberculosis unemployment vaccination vaccines vehicles violence virus walking workers working conditions

Bibliographic information

Publisher

World Bank, Washington, DC

Other Subjects

Low birth weight; Diets; Causes of death; Hepatitis b; Childhood diseases; Mortality rate; Hepatitis b virus; Acquired immune deficiency syndrome; Fatality rates; Communicable disease; Effective use; Premature death; Ministry of health; Disability; Telemedicine; Practitioners; Railway; Fatalities; Long-distance; Social impact; Health policy; Medical school; Driving; Syphilis; Diarrhoeal diseases; Cervical cancer; Coronary heart disease; Nutritional deficiency; Cervical cancer screening; Road injuries; Particular challenges; Vulnerable road users; Respiratory infections; Road deaths; Heavy reliance; Health promotion; Police; Alcohol consumption; Wealth; Heart failure; Emergency care; Pedestrians; Transport sector; Policy makers; Public transport; Health systems; Life expectancy; Primary health care; Motor vehicles; Disposable income; Waste; Maternal deaths; Traffic death; Maternal mortality; Greenhouse emissions; Hiv transmission; Degenerative diseases; Tobacco products; Health system; Passengers; Herpes; Sickle cell disease; Traffic deaths; Buses; Externalities; Lymphomas; Epidemic; Millennium development goal; Crashes; Syringes; Road user; Greenhouse gas; Drivers; Seat belts; Resource constraints; Therapies; Health inequities; Hepatitis c; Intervention; Heart attacks; Ncd; Risk groups; Circumcision; Public transportation; Unsafe abortion; Road infrastructure; Traffic injuries; Endemic countries; Disabilities; Cancer of the cervix; Smokers; Road traffic; Traffic death rate; Injury; Human development; Hiv positive; Young adults; Malaria deaths; Infections; Heart disease; Injuries; Pedestrian deaths; Disadvantaged populations; Prevalence; Health sector; Malaria control; Use of resources; Chronic conditions; Health indicators; Mental illness; Stis; Myocardial infarction; Pedestrian; Disease burden; Mode of transport; Safety measures; Cardiovascular disease; Car use; Prevention interventions; Chronic disease; Health outcomes; Leading causes; Quality improvement; Maternal health; Transport systems; Disease; Tropical diseases; Polio; Fuel; Tb control; Cyclists; Cars; Treatment; Respiratory disease; Car; Transport strategy; Global health; Cerebrovascular diseases; Liver cancer; Disease pattern; Cancers; Road; Journeys; Medical center; Burden of disease; Health workers; Road safety; Fatality

License

http://hdl.handle.net/10986/16451http://creativecommons.org/licenses/by-nc-nd/3.0/igoWorld BankCC BY-NC-ND 3.0 IGO

In AGRIS since: 2014-09-15

Format: AGRIS AP

Data Provider

This bibliographic record has been provided by World Bank

Discover this data provider's collection in AGRIS

Links

http://hdl.handle.net/10986/16451

Lookup at Google Scholar

If you notice any incorrect information relating to this record, please contact us at agris@fao.org