Country actions to meet UN commitments on non-communicable diseases: a stepwise approach

被引：159

作者：

Bonita, Ruth ^{[1
]}

Magnusson, Roger ^{[2
]}

Bovet, Pascal ^{[3
]}

Zhao, Dong ^{[4
]}

Malta, Deborah C. ^{[5
]}

Geneau, Robert ^{[6
]}

Suh, Il ^{[7
]}

Thankappan, Kavumpurathu Raman ^{[8
]}

McKee, Martin ^{[9
]}

Hospedales, James ^{[10
]}

de Courten, Maximilian ^{[11
]}

Capewell, Simon ^{[12
]}

Beaglehole, Robert ^{[1
]}

机构：

[1] Univ Auckland, Auckland 0624, New Zealand

[2] Univ Sydney, Sydney Law Sch, Sydney, NSW 2006, Australia

[3] Inst Univ Med Sociale & Prevent, CH-1005 Lausanne, Switzerland

[4] Capital Med Univ, Anzhen Hosp, Beijing Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China

[5] Minist Hlth, Brasilia, DF, Brazil

[6] Int Dev Res Ctr, Ottawa, ON, Canada

[7] Yonsei Univ, Coll Med, Dept Prevent Med, Seoul, South Korea

[8] Sree Chitra Tirunal Inst Med Sci & Technol, Trivandrum, Kerala, India

[9] London Sch Hyg & Trop Med, London WC1, England

[10] WHO, Reg Off Amer, Washington, DC USA

[11] Univ Copenhagen, Copenhagen, Denmark

[12] Univ Liverpool, Liverpool L69 3BX, Merseyside, England

来源：

LANCET | 2013年 / 381卷 / 9866期

基金：

澳大利亚研究理事会;

关键词：

CARDIOVASCULAR-DISEASE; MIDDLE-INCOME; RISK-FACTORS; PREVENTION; STROKE; MORTALITY; COMMUNITY; DRUGS; HEART; LAW;

D O I：

10.1016/S0140-6736(12)61993-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Strong leadership from heads of state is needed to meet national commitments to the UN political declaration on non-communicable diseases (NCDs) and to achieve the goal of a 25% reduction in premature NCD mortality by 2025 (the 25 by 25 goal). A simple, phased, national response to the political declaration is suggested, with three key steps: planning, implementation, and accountability. Planning entails mobilisation of a multisectoral response to develop and support the national action plan, and to build human, financial, and regulatory capacity for change. Implementation of a few priority and feasible cost-effective interventions for the prevention and treatment of NCDs will achieve the 25 by 25 goal and will need only few additional financial resources. Accountability incorporates three dimensions: monitoring of progress, reviewing of progress, and appropriate responses to accelerate progress. A national NCD commission or equivalent, which is independent of government, is needed to ensure that all relevant stakeholders are held accountable for the UN commitments to NCDs.

引用

页码：575 / 584

页数：10

共 73 条

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