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

ABORTION ACCIDENTS ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENTS AGE GROUPS AGED AIR AIR POLLUTION ALCOHOL CONSUMPTION ASTHMA BICYCLES BLOOD SUGAR BREASTFEEDING BURDEN OF DISEASE BUSES CANCER OF THE CERVIX CANCERS CAR CAR USE CARDIOVASCULAR DISEASE CARDIOVASCULAR DISEASES CARS CAUSES OF DEATH CEREBROVASCULAR DISEASES CERVICAL CANCER CERVICAL CANCER SCREENING CHILDHOOD DISEASES CHOLESTEROL CHRONIC CONDITIONS CHRONIC DISEASE CHRONIC DISEASES CIRCUMCISION CLIMATE CHANGE COMMUNICABLE DISEASE COMMUNICABLE DISEASES CORONARY HEART DISEASE CRASHES CRIME CYCLISTS DEATH RATE DEGENERATIVE DISEASES DEVELOPING COUNTRIES DIABETES DIABETES MELLITUS DIAGNOSIS DIARRHOEAL DISEASES DIET DIETS DISABILITIES DISABILITY DISADVANTAGED POPULATIONS DISEASE DISEASE BURDEN DISEASE CONTROL DISEASE MANAGEMENT DISEASE PATTERN DISPOSABLE INCOME DRINKING WATER DRIVERS DRIVING EFFECTIVE USE EMERGENCY CARE ENDEMIC COUNTRIES EPIDEMIC EPIDEMIOLOGY EXTERNALITIES EYE DISEASES FAMILIES FATALITIES FATALITY FATALITY RATES FEMALES FUEL FUELS GLOBAL HEALTH GREENHOUSE EMISSIONS GREENHOUSE GAS GREENHOUSE GAS EMISSIONS GROSS DOMESTIC PRODUCT HAZARDS HEALTH CARE HEALTH INDICATORS HEALTH INEQUITIES HEALTH OUTCOMES HEALTH POLICY HEALTH PROMOTION HEALTH SECTOR HEALTH SERVICES HEALTH SURVEYS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEART ATTACKS HEART DISEASE HEART FAILURE HEAVY RELIANCE HEMORRHAGE HEPATITIS HEPATITIS B HEPATITIS B VIRUS HEPATITIS C HERPES HIGH BLOOD PRESSURE HIV HIV POSITIVE HIV TRANSMISSION HIV/AIDS HUMAN CAPITAL HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE HYPERTENSION IMMUNE DEFICIENCY IMMUNODEFICIENCY INFECTION INFECTIONS INFORMATION SYSTEMS INJURIES INJURY INSPECTION INTERVENTION IRON JOURNEYS LAWS LEADING CAUSES LIFE EXPECTANCY LIVER LIVER CANCER LONG-DISTANCE LOW BIRTH WEIGHT LUNG DISEASES LYMPHOMAS MALARIA MALARIA CONTROL MALARIA DEATHS MALNUTRITION MARKETING MATERNAL AND CHILD HEALTH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MEDICAL CENTER MEDICAL SCHOOL MEDICINE MEDICINES MENINGITIS MENTAL HEALTH MENTAL ILLNESS METABOLISM MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MODE OF TRANSPORT MORBIDITY MORTALITY MORTALITY RATE MOTOR VEHICLES MYOCARDIAL INFARCTION NCD NONCOMMUNICABLE DISEASES NUTRITION NUTRITIONAL DEFICIENCY OBESITY PANDEMICS PARASITIC DISEASES PARTICULAR CHALLENGES PASSENGERS PATIENT PATIENTS PEDESTRIAN PEDESTRIAN DEATHS PEDESTRIANS PHYSICAL ACTIVITY POLICE POLICY MAKERS POLIO POLLUTION POPULATION GROWTH PRACTITIONERS PREMATURE DEATH PREVALENCE PREVENTION INTERVENTIONS PRIMARY HEALTH CARE PROSTATE PUBLIC HEALTH PUBLIC TRANSPORT PUBLIC TRANSPORTATION QUALITY IMPROVEMENT QUALITY OF LIFE RAILWAY RECREATION REHABILITATION RESOURCE CONSTRAINTS RESPIRATORY DISEASE RESPIRATORY DISEASES RESPIRATORY INFECTIONS RISK FACTORS RISK GROUPS ROAD ROAD DEATHS ROAD INFRASTRUCTURE ROAD INJURIES ROAD SAFETY ROAD TRAFFIC ROAD USER ROADS SAFETY MEASURES SANITATION SARCOMA SCHISTOSOMA SCREENING SEAT BELTS SEX SICKLE CELL DISEASE SMOKERS SMOKING SOCIAL CHANGE SOCIAL DEVELOPMENT SOCIAL IMPACT SOCIAL SERVICES SODIUM STARVATION STIS STOMACH SYMPTOMS SYPHILIS SYRINGES TB TB CONTROL TELEMEDICINE THERAPIES THERAPY TOBACCO PRODUCTS TRAFFIC DEATH TRAFFIC DEATH RATE TRAFFIC DEATHS TRAFFIC INJURIES TRANSPORT SECTOR TRANSPORT STRATEGY TRANSPORT SYSTEMS TREATMENT TROPICAL DISEASES TRUCKS TUBERCULOSIS UNEMPLOYMENT UNSAFE ABORTION USE OF RESOURCES VACCINATION VACCINES VEHICLES VIOLENCE VIRUS VULNERABLE ROAD USERS WALKING WASTE WEALTH WORKERS WORKING CONDITIONS YOUNG ADULTS
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World Bank, Washington, DC
Africa | Sub-Saharan Africa
2013-12-27T22:41:06Z | 2013-12-27T22:41:06Z | 2013-06

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.

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