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International Journal of Integrated Care (IJIC)
Article . 2015 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Noncommunicable Disease Prevention and Control in Mongolia: A Policy Analysis / Prevención y Control de Enfermedades no Transmisibles en Mongolia: Un Análisis de las Políticas

Authors: Chimeddamba, Oyun; Peeters, Anna; Walls, Helen; Joyce, Catherine;

Noncommunicable Disease Prevention and Control in Mongolia: A Policy Analysis / Prevención y Control de Enfermedades no Transmisibles en Mongolia: Un Análisis de las Políticas

Abstract

Introduction: Noncommunicable diseases (NCDs) are the major global cause of morbidity and mortality. In Mongolia, a number of health policies have been developed targeting the prevention and control of noncommunicable diseases. This paper aimed to evaluate the extent to which NCDrelated policies introduced in Mongolia align with the World Health Organisation (WHO) 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of NCDs. Description: We conducted a review of policy documents introduced by the Government of Mongolia from 2000 to 2013. A literature review, internet-based search, and expert consultation identified the policy documents. Information was extracted from the documents using a matrix, mapping each document against the six objectives of the WHO 2008–2013 Action Plan for the Global Strategy for the Prevention and Control of NCDs and five dimensions: data source, aim and objectives of document, coverage of conditions, coverage of risk factors and implementation plan. 45 NCD-related policies were identified. Key findings: Prevention and control of the common NCDs and their major risk factors as described by WHO were widely addressed, and policies aligned well with the objectives of the WHO 2008–2013 Action Plan for the Global Strategy for the Prevention and Control of NCDs. Many documents included explicit implementation or monitoring frameworks. It appears that each objective of the WHO 2008-2013 NCD Action Plan was well addressed. Specific areas less well and/or not addressed were chronic respiratory disease, physical activity guidelines and dietary standards. Conclusions: The Mongolian Government response to the emerging burden of NCDs is a population-based public health approach that includes a national multisectoral framework and 3 World Congress on Integrated Care, Mexico City, Mexico, 19-21 November, 2015 International Journal of Integrated Care – Volume 15, 17 Nov – URN:NBN:NL:UI:10-1-117325 – http://www.ijic.org integration of NCD prevention and control policies into national health policies. Our findings suggest gaps in addressing chronic respiratory disease, physical activity guidelines, specific food policy actions restricting sales advertising of food products, and a lack of funding specifically supporting NCD research. The neglect of these areas may hamper addressing the NCD burden, and needs immediate action. Future research should explore the effectiveness of national NCD policies and the extent to which the policies are implemented in practice. Conference abstract Spanish Introduccion: Las Enfermedades no transmisibles(ENT) son la principal causa mundial de morbilidad y mortalidad. En Mongolia, una serie de politicas de salud se han desarrollado dirigidas a la prevencion y control de enfermedades no transmisibles. Este trabajo tuvo como objetivo evaluar el grado en que las politicas relacionadas con las ENT introducidas en Mongolia se alinean con el Plan de Accion de la Organizacion Mundial de la Salud (OMS) 2008-2013 para la Estrategia Mundial para la Prevencion y el Control de las ENT. Descripcion: Se realizo una revision de los documentos de politicas introducidas por el Gobierno de Mongolia desde 2000 hasta 2013. Una revision de la literatura, la busqueda basada en Internet, y la consulta de expertos identifico los documentos de politica. La informacion se extrae de los documentos utilizando una matriz, la cartografia de cada documento en contra de los seis objetivos del Plan de Accion de la OMS 2008 a 2013 para la Estrategia Mundial para la Prevencion y Control de ENT en cinco dimensiones: la fuente de datos, la finalidad y los objetivos del documento, la cobertura de las condiciones, la cobertura de los factores de riesgo y plan de implementacion. Se identificaron 45 politicas relacionadas con las ENT. Principales conclusiones: La prevencion y control de las enfermedades no transmisibles comunes y sus principales factores de riesgo descritos por la OMS fueron ampliamente abordados y politicas alineadas bien con los objetivos del Plan de Accion de la OMS desde 2008 hasta 2013 para la Estrategia Mundial para la Prevencion y el Control de las ENT. Muchos documentos incluyen marcos de aplicacion o de supervision explicitos. Parece que cada objetivo del Plan de accion de ENT de la OMS 2008-2013 fue bien dirigida. Las areas especificas menos bien y/o no abordados fueron las enfermedades cronicas respiratorias, pautas de actividad fisica y las normas dieteticas. Conclusiones: La respuesta del Gobierno de Mongolia a la carga emergente de las enfermedades no transmisibles es un enfoque de salud publica basado en la poblacion, que incluye un marco multisectorial nacional y la integracion de las politicas de prevencion y control de las ENT en las politicas nacionales de salud. Nuestros hallazgos sugieren vacios en abordar la enfermedad cronica respiratoria, pautas de actividad fisica, las acciones de politica alimentaria especificas que restringen la publicidad de venta de productos alimenticios, y la falta de financiacion especifica apoyo a la investigacion de las ENT. El abandono de estas zonas puede dificultar hacer frente a la carga de las ENT, y necesita una accion inmediata. Las investigaciones futuras deberian explorar la eficacia de las politicas nacionales de ENT y el grado en que las politicas se implementan en la practica.

Keywords

mongolia, planificación de salud, Medicine (General), R5-920, salud pública, health planning, enfermedades no transmisibles, public health, health policy, política de salud, noncommunicable disease

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold