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Trend analysis of noncommunicable diseases and their risk factors in Afghanistan

Chronic Diseases and Translational Medicine 2023年第3期9卷 210-221页

作者： Narges Neyazi Ali Mohammad Mosadeghrad Maryam Tajvar najibullah safi International Campus School of Public HealthTehran University of Medical SciencesTehranIran Department of Health System Development World Health OrganizationKabulAfghanistan Department of Health Management Policy and EconomicsSchool of Public HealthTehran University of Medical SciencesTehranIran

Background:Afghanistan is suffering from 40-year chronic conflicts,displacement,and demolition of its *** mortality survey 2010 shows nearly 46%of all deaths in the country were attributed to noncommunicable diseases(NCDs).In this study,we aimed to understand the differences in mortality and premature death due to NCDs by sex and the trend for the next 8 ***:We applied trend analysis using the secondary data from the Institute for Health Metrics and Evaluation,Global Burden of Diseases *** information on NCD mortality,NCD deaths attributed to its risk factors,NCD percent of total years lived with disability(YLDs)attribution to each risk factor extracted from this database from 2008 to *** investigated the trend from 2008 to 2019 for the mentioned factors and then forecast their trends until ***:Our study shows that Afghanistan has had an increasing death number due to NCDs from 2008 to 2019(50%for both sexes)and this will reach nearly 54%by ***,half of NCDs deaths are premature in *** mortality rate and prevalence of risk factors are higher among *** than 70%of YLDs will be due to NCDs in Afghanistan till *** risk factors including high systolic blood pressure(28.3%),high body mass index(23.4%),high blood glucose(20.6%),high low-density lipoprotein cholesterol(16.3%),and smoking(12.3%)will have the highest contribution to NCDs death in 2030,***:In general,our study indicates that without any specific intervention to address NCDs in Afghanistan,not only the Sustainable Development Goal target for NCDs will not be met,but an increase in almost all risk factors prevalence,as well as NCD mortality,will be seen in Afghanistan.

关键词： Afghanistan crises control and prevention noncommunicable diseases risk factors targets trend analysis

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Governance of noncommunicable diseases in Afghanistan

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Chronic Diseases and Translational Medicine 2024年第3期10卷 238-246页

作者： Narges Neyazi Ali M.Mosadeghrad Maryam Tajvar najibullah safi International Campus School of Public HealthTehran University of Medical SciencesTehranIran Department of Health System Development World Health OrganizationAfghanistan Department of Health Management Policy and EconomicsSchool of Public HealthTehran University of Medical SciencesTehranIran

Background Noncommunicable diseases(NCDs)are the main reasons of mortality *** of every two person is dying due to NCDs in *** policy actors,mainly the World Health Organization(WHO),published several reports and declarations on controlling and preventing *** study aimed to provide a situation for governance of NCDs in Afghanistan and proper solutions for identified *** We conducted qualitative research utilizing interpretive phenomenology.A self-developed questionnaire was developed to conduct the semi-structured interviews with 39 experts from *** results were analyzed using a deductive framework *** building block framework of health system developed by the WHO was used as predefined framework for this *** The governance building block of health system consists of five subthemes including policy making,planning,organizing,stewardship,and *** identified main strengths,weaknesses,opportunities,and challenges for these *** experts also provided key recommendations to address the *** Management of NCDs is a neglected part of the health system in *** evidence-based policy making with technical and indigenous planning,establishing responsive units with adequate financial and human resources within different ministries to address“health in all policies”concept,passing and implementing national laws and regulations to support national strategies for prevention and control of NCDs,and establishing decentralized monitoring systems to control the implementation of these strategies are the main recommendations of this *** government and international policy actors should invest and support the development of a multisectoral coordination system at national level for Afghanistan.

关键词： governance health in all policies health system multisectoral coordination noncommunicable diseases

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