Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations
- Autores
- Njuguna, Benson; Fletcher, Sara L.; Akwanalo, Constantine; Asante, Kwaku Poku; Baumann, Ana; Brown, Angela; Davila Roman, Victor G.; Dickhaus, Julia; Fort, Meredith; Iwelunmor, Juliet; Irazola, Vilma; Mohan, Sailesh; Mutabazi, Vincent; Newsome, Brad; Ogedegbe, Olugbenga; Pastakia, Sonak D.; Peprah, Emmanuel K.; Plange Rhule, Jacob; Roth, Gregory; Shrestha, Archana; Watkins, David A.; Vedanthan, Rajesh
- Año de publicación
- 2020
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Non-communicable disease (NCD) prevention efforts have traditionally targeted high-risk and high-burden populations. We propose an alteration in prevention efforts to also include emphasis and focus on low-risk populations, predominantly younger individuals and low-prevalence populations. We refer to this approach as “proactive prevention.” This emphasis is based on the priority to put in place policies, programs, and infrastructure that can disrupt the epidemiological transition to develop NCDs among these groups, thereby averting future NCD crises. Proactive prevention strategies can be classified, and their implementation prioritized, based on a 2-dimensional assessment: impact and feasibility. Thus, potential interventions can be categorized into a 2-by-2 matrix: high impact/high feasibility, high impact/ low feasibility, low impact/high feasibility, and low impact/low feasibility. We propose that high impact/high feasibility interventions are ready to be implemented (act), while high impact/low feasibility interventions require efforts to foster buy-in first. Low impact/high feasibility interventions need to be changed to improve their impact while low impact/low feasibility might be best re-designed in the context of limited resources. Using this framework, policy makers, public health experts, and other stakeholders can more effectively prioritize and leverage limited resources in an effort to slow or prevent the evolving global NCD crisis.
Fil: Njuguna, Benson. Moi Teaching & Referral Hospital; Kenia
Fil: Fletcher, Sara L.. State University of Oregon; Estados Unidos
Fil: Akwanalo, Constantine. Moi Teaching & Referral Hospital; Kenia
Fil: Asante, Kwaku Poku. Kintampo Health Research Centre; Ghana
Fil: Baumann, Ana. Washington University in St. Louis; Estados Unidos
Fil: Brown, Angela. Washington University in St. Louis; Estados Unidos
Fil: Davila Roman, Victor G.. Washington University in St. Louis; Estados Unidos
Fil: Dickhaus, Julia. New York University Grossman School of Medicine; Estados Unidos
Fil: Fort, Meredith. Colorado School Of Public Health; Estados Unidos
Fil: Iwelunmor, Juliet. Saint Louis University; Estados Unidos
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Mohan, Sailesh. Centre For Chronic Disease Control; India. Public Health Foundation Of India; India
Fil: Mutabazi, Vincent. Regional Alliance For Sustainable Development; Ruanda
Fil: Newsome, Brad. Center for Translation Research and Implementation Science; Estados Unidos
Fil: Ogedegbe, Olugbenga. New York University Grossman School of Medicine; Estados Unidos
Fil: Pastakia, Sonak D.. Purdue University College Of Pharmacy; Estados Unidos
Fil: Peprah, Emmanuel K.. University of New York; Estados Unidos
Fil: Plange Rhule, Jacob. Ghana College Of Physicians And Surgeons; Ghana
Fil: Roth, Gregory. University of Washington; Estados Unidos
Fil: Shrestha, Archana. Kathmandu University School Of Medical Sciences; Nepal
Fil: Watkins, David A.. University of Washington; Estados Unidos
Fil: Vedanthan, Rajesh. New York University Grossman School of Medicine; Estados Unidos - Materia
-
Non-communicable disease
Prevention
Low-burden populations - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
.jpg)
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/142504
Ver los metadatos del registro completo
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Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populationsNjuguna, BensonFletcher, Sara L.Akwanalo, ConstantineAsante, Kwaku PokuBaumann, AnaBrown, AngelaDavila Roman, Victor G.Dickhaus, JuliaFort, MeredithIwelunmor, JulietIrazola, VilmaMohan, SaileshMutabazi, VincentNewsome, BradOgedegbe, OlugbengaPastakia, Sonak D.Peprah, Emmanuel K.Plange Rhule, JacobRoth, GregoryShrestha, ArchanaWatkins, David A.Vedanthan, RajeshNon-communicable diseasePreventionLow-burden populationshttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Non-communicable disease (NCD) prevention efforts have traditionally targeted high-risk and high-burden populations. We propose an alteration in prevention efforts to also include emphasis and focus on low-risk populations, predominantly younger individuals and low-prevalence populations. We refer to this approach as “proactive prevention.” This emphasis is based on the priority to put in place policies, programs, and infrastructure that can disrupt the epidemiological transition to develop NCDs among these groups, thereby averting future NCD crises. Proactive prevention strategies can be classified, and their implementation prioritized, based on a 2-dimensional assessment: impact and feasibility. Thus, potential interventions can be categorized into a 2-by-2 matrix: high impact/high feasibility, high impact/ low feasibility, low impact/high feasibility, and low impact/low feasibility. We propose that high impact/high feasibility interventions are ready to be implemented (act), while high impact/low feasibility interventions require efforts to foster buy-in first. Low impact/high feasibility interventions need to be changed to improve their impact while low impact/low feasibility might be best re-designed in the context of limited resources. Using this framework, policy makers, public health experts, and other stakeholders can more effectively prioritize and leverage limited resources in an effort to slow or prevent the evolving global NCD crisis.Fil: Njuguna, Benson. Moi Teaching & Referral Hospital; KeniaFil: Fletcher, Sara L.. State University of Oregon; Estados UnidosFil: Akwanalo, Constantine. Moi Teaching & Referral Hospital; KeniaFil: Asante, Kwaku Poku. Kintampo Health Research Centre; GhanaFil: Baumann, Ana. Washington University in St. Louis; Estados UnidosFil: Brown, Angela. Washington University in St. Louis; Estados UnidosFil: Davila Roman, Victor G.. Washington University in St. Louis; Estados UnidosFil: Dickhaus, Julia. New York University Grossman School of Medicine; Estados UnidosFil: Fort, Meredith. Colorado School Of Public Health; Estados UnidosFil: Iwelunmor, Juliet. Saint Louis University; Estados UnidosFil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Mohan, Sailesh. Centre For Chronic Disease Control; India. Public Health Foundation Of India; IndiaFil: Mutabazi, Vincent. Regional Alliance For Sustainable Development; RuandaFil: Newsome, Brad. Center for Translation Research and Implementation Science; Estados UnidosFil: Ogedegbe, Olugbenga. New York University Grossman School of Medicine; Estados UnidosFil: Pastakia, Sonak D.. Purdue University College Of Pharmacy; Estados UnidosFil: Peprah, Emmanuel K.. University of New York; Estados UnidosFil: Plange Rhule, Jacob. Ghana College Of Physicians And Surgeons; GhanaFil: Roth, Gregory. University of Washington; Estados UnidosFil: Shrestha, Archana. Kathmandu University School Of Medical Sciences; NepalFil: Watkins, David A.. University of Washington; Estados UnidosFil: Vedanthan, Rajesh. New York University Grossman School of Medicine; Estados UnidosPublic Library of Science2020-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/142504Njuguna, Benson; Fletcher, Sara L.; Akwanalo, Constantine; Asante, Kwaku Poku; Baumann, Ana; et al.; Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations; Public Library of Science; Plos One; 15; 12 December; 12-2020; 1-121932-6203CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pone.0243004info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T14:43:21Zoai:ri.conicet.gov.ar:11336/142504instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 14:43:21.811CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
| dc.title.none.fl_str_mv |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations |
| title |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations |
| spellingShingle |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations Njuguna, Benson Non-communicable disease Prevention Low-burden populations |
| title_short |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations |
| title_full |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations |
| title_fullStr |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations |
| title_full_unstemmed |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations |
| title_sort |
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations |
| dc.creator.none.fl_str_mv |
Njuguna, Benson Fletcher, Sara L. Akwanalo, Constantine Asante, Kwaku Poku Baumann, Ana Brown, Angela Davila Roman, Victor G. Dickhaus, Julia Fort, Meredith Iwelunmor, Juliet Irazola, Vilma Mohan, Sailesh Mutabazi, Vincent Newsome, Brad Ogedegbe, Olugbenga Pastakia, Sonak D. Peprah, Emmanuel K. Plange Rhule, Jacob Roth, Gregory Shrestha, Archana Watkins, David A. Vedanthan, Rajesh |
| author |
Njuguna, Benson |
| author_facet |
Njuguna, Benson Fletcher, Sara L. Akwanalo, Constantine Asante, Kwaku Poku Baumann, Ana Brown, Angela Davila Roman, Victor G. Dickhaus, Julia Fort, Meredith Iwelunmor, Juliet Irazola, Vilma Mohan, Sailesh Mutabazi, Vincent Newsome, Brad Ogedegbe, Olugbenga Pastakia, Sonak D. Peprah, Emmanuel K. Plange Rhule, Jacob Roth, Gregory Shrestha, Archana Watkins, David A. Vedanthan, Rajesh |
| author_role |
author |
| author2 |
Fletcher, Sara L. Akwanalo, Constantine Asante, Kwaku Poku Baumann, Ana Brown, Angela Davila Roman, Victor G. Dickhaus, Julia Fort, Meredith Iwelunmor, Juliet Irazola, Vilma Mohan, Sailesh Mutabazi, Vincent Newsome, Brad Ogedegbe, Olugbenga Pastakia, Sonak D. Peprah, Emmanuel K. Plange Rhule, Jacob Roth, Gregory Shrestha, Archana Watkins, David A. Vedanthan, Rajesh |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Non-communicable disease Prevention Low-burden populations |
| topic |
Non-communicable disease Prevention Low-burden populations |
| purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
| dc.description.none.fl_txt_mv |
Non-communicable disease (NCD) prevention efforts have traditionally targeted high-risk and high-burden populations. We propose an alteration in prevention efforts to also include emphasis and focus on low-risk populations, predominantly younger individuals and low-prevalence populations. We refer to this approach as “proactive prevention.” This emphasis is based on the priority to put in place policies, programs, and infrastructure that can disrupt the epidemiological transition to develop NCDs among these groups, thereby averting future NCD crises. Proactive prevention strategies can be classified, and their implementation prioritized, based on a 2-dimensional assessment: impact and feasibility. Thus, potential interventions can be categorized into a 2-by-2 matrix: high impact/high feasibility, high impact/ low feasibility, low impact/high feasibility, and low impact/low feasibility. We propose that high impact/high feasibility interventions are ready to be implemented (act), while high impact/low feasibility interventions require efforts to foster buy-in first. Low impact/high feasibility interventions need to be changed to improve their impact while low impact/low feasibility might be best re-designed in the context of limited resources. Using this framework, policy makers, public health experts, and other stakeholders can more effectively prioritize and leverage limited resources in an effort to slow or prevent the evolving global NCD crisis. Fil: Njuguna, Benson. Moi Teaching & Referral Hospital; Kenia Fil: Fletcher, Sara L.. State University of Oregon; Estados Unidos Fil: Akwanalo, Constantine. Moi Teaching & Referral Hospital; Kenia Fil: Asante, Kwaku Poku. Kintampo Health Research Centre; Ghana Fil: Baumann, Ana. Washington University in St. Louis; Estados Unidos Fil: Brown, Angela. Washington University in St. Louis; Estados Unidos Fil: Davila Roman, Victor G.. Washington University in St. Louis; Estados Unidos Fil: Dickhaus, Julia. New York University Grossman School of Medicine; Estados Unidos Fil: Fort, Meredith. Colorado School Of Public Health; Estados Unidos Fil: Iwelunmor, Juliet. Saint Louis University; Estados Unidos Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina Fil: Mohan, Sailesh. Centre For Chronic Disease Control; India. Public Health Foundation Of India; India Fil: Mutabazi, Vincent. Regional Alliance For Sustainable Development; Ruanda Fil: Newsome, Brad. Center for Translation Research and Implementation Science; Estados Unidos Fil: Ogedegbe, Olugbenga. New York University Grossman School of Medicine; Estados Unidos Fil: Pastakia, Sonak D.. Purdue University College Of Pharmacy; Estados Unidos Fil: Peprah, Emmanuel K.. University of New York; Estados Unidos Fil: Plange Rhule, Jacob. Ghana College Of Physicians And Surgeons; Ghana Fil: Roth, Gregory. University of Washington; Estados Unidos Fil: Shrestha, Archana. Kathmandu University School Of Medical Sciences; Nepal Fil: Watkins, David A.. University of Washington; Estados Unidos Fil: Vedanthan, Rajesh. New York University Grossman School of Medicine; Estados Unidos |
| description |
Non-communicable disease (NCD) prevention efforts have traditionally targeted high-risk and high-burden populations. We propose an alteration in prevention efforts to also include emphasis and focus on low-risk populations, predominantly younger individuals and low-prevalence populations. We refer to this approach as “proactive prevention.” This emphasis is based on the priority to put in place policies, programs, and infrastructure that can disrupt the epidemiological transition to develop NCDs among these groups, thereby averting future NCD crises. Proactive prevention strategies can be classified, and their implementation prioritized, based on a 2-dimensional assessment: impact and feasibility. Thus, potential interventions can be categorized into a 2-by-2 matrix: high impact/high feasibility, high impact/ low feasibility, low impact/high feasibility, and low impact/low feasibility. We propose that high impact/high feasibility interventions are ready to be implemented (act), while high impact/low feasibility interventions require efforts to foster buy-in first. Low impact/high feasibility interventions need to be changed to improve their impact while low impact/low feasibility might be best re-designed in the context of limited resources. Using this framework, policy makers, public health experts, and other stakeholders can more effectively prioritize and leverage limited resources in an effort to slow or prevent the evolving global NCD crisis. |
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2020 |
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2020-12 |
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http://hdl.handle.net/11336/142504 Njuguna, Benson; Fletcher, Sara L.; Akwanalo, Constantine; Asante, Kwaku Poku; Baumann, Ana; et al.; Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations; Public Library of Science; Plos One; 15; 12 December; 12-2020; 1-12 1932-6203 CONICET Digital CONICET |
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http://hdl.handle.net/11336/142504 |
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Njuguna, Benson; Fletcher, Sara L.; Akwanalo, Constantine; Asante, Kwaku Poku; Baumann, Ana; et al.; Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations; Public Library of Science; Plos One; 15; 12 December; 12-2020; 1-12 1932-6203 CONICET Digital CONICET |
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eng |
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