China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project

Background: The incidence of noncommunicable diseases (NCDs) is rising dramatically throughout the world. Aspects of researches concerned with the improvement and development of prevention and control of NCDs have been conducted. Furthermore, the influence of most determinants of the major NCDs has...

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Autores principales:	Xiao-Lei Zhu, Jie-Si Luo, Xiao-Chang Zhang, Yi Zhai, Jing Wu
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	China noncommunicable diseases policy scorecard stakeholder Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e174727e53b04dab80249dbd61a84c02
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spelling	oai:doaj.org-article:e174727e53b04dab80249dbd61a84c022021-12-02T02:40:54ZChina's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project2214-999610.1016/j.aogh.2017.10.025https://doaj.org/article/e174727e53b04dab80249dbd61a84c022017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/161https://doaj.org/toc/2214-9996Background: The incidence of noncommunicable diseases (NCDs) is rising dramatically throughout the world. Aspects of researches concerned with the improvement and development of prevention and control of NCDs have been conducted. Furthermore, the influence of most determinants of the major NCDs has showed that a broad and deep response involving stakeholders in different sectors is required in the prevention and control of NCDs. Objective: China has experienced an increase in NCDs in a short period compared with many countries. To address the burden of NCDs in China, it is important to learn about the progress that has been made in prevention and control of NCDs in China and worldwide, informed by opinions of stakeholders in different areas. Methods: In 2014, GRAND South developed the NCD Scorecard instrument to evaluate progress of NCD prevention and control in 23 countries through a 2-round Delphi process. The scorecard included 51 indicators in 4 domains: governance, surveillance and research, prevention and risk factors, and health system response. Stakeholders were then selected in the areas of government, nongovernmental organizations, private sectors, and academia to join the NCD Scorecard survey. Indicators of progress were scored by stakeholders from 0 (no activity), 1 (present but not adequate), and 2 (adequate) to 3 (highly adequate) and then the percentage of progress in each domain was calculated, representing the current situation in each country. Findings: There were 14 indicators in the domains of governance and surveillance and research. Of 429 stakeholders worldwide, 41 in China participated in the survey. China scored in the top 5 out of all participating countries in those 2 domains, scoring 67% in governance and 64% in surveillance and research. Indicators on which China scored particularly well included having a well-resourced unit or department responsible for NCDs, having a strong national system for recording the cause of all deaths, and having a system of NCD surveillance. Areas where China had the greatest need for improvement included increasing taxes on tobacco and addressing the needs of the population older than age 70 dying from major NCDs. Conclusion</h3>In China the burden of disease of NCDs and disabilities remains serious, although China has put significant efforts into its governance and surveillance and research. To improve, further action is needed on reducing tobacco consumption, increasing investment in the national health budget, and increasing the focus on system construction.Xiao-Lei ZhuJie-Si LuoXiao-Chang ZhangYi ZhaiJing WuUbiquity PressarticleChinanoncommunicable diseasespolicyscorecardstakeholderInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 489-500 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	China noncommunicable diseases policy scorecard stakeholder Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	China noncommunicable diseases policy scorecard stakeholder Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Xiao-Lei Zhu Jie-Si Luo Xiao-Chang Zhang Yi Zhai Jing Wu China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project
description	Background: The incidence of noncommunicable diseases (NCDs) is rising dramatically throughout the world. Aspects of researches concerned with the improvement and development of prevention and control of NCDs have been conducted. Furthermore, the influence of most determinants of the major NCDs has showed that a broad and deep response involving stakeholders in different sectors is required in the prevention and control of NCDs. Objective: China has experienced an increase in NCDs in a short period compared with many countries. To address the burden of NCDs in China, it is important to learn about the progress that has been made in prevention and control of NCDs in China and worldwide, informed by opinions of stakeholders in different areas. Methods: In 2014, GRAND South developed the NCD Scorecard instrument to evaluate progress of NCD prevention and control in 23 countries through a 2-round Delphi process. The scorecard included 51 indicators in 4 domains: governance, surveillance and research, prevention and risk factors, and health system response. Stakeholders were then selected in the areas of government, nongovernmental organizations, private sectors, and academia to join the NCD Scorecard survey. Indicators of progress were scored by stakeholders from 0 (no activity), 1 (present but not adequate), and 2 (adequate) to 3 (highly adequate) and then the percentage of progress in each domain was calculated, representing the current situation in each country. Findings: There were 14 indicators in the domains of governance and surveillance and research. Of 429 stakeholders worldwide, 41 in China participated in the survey. China scored in the top 5 out of all participating countries in those 2 domains, scoring 67% in governance and 64% in surveillance and research. Indicators on which China scored particularly well included having a well-resourced unit or department responsible for NCDs, having a strong national system for recording the cause of all deaths, and having a system of NCD surveillance. Areas where China had the greatest need for improvement included increasing taxes on tobacco and addressing the needs of the population older than age 70 dying from major NCDs. Conclusion</h3>In China the burden of disease of NCDs and disabilities remains serious, although China has put significant efforts into its governance and surveillance and research. To improve, further action is needed on reducing tobacco consumption, increasing investment in the national health budget, and increasing the focus on system construction.
format	article
author	Xiao-Lei Zhu Jie-Si Luo Xiao-Chang Zhang Yi Zhai Jing Wu
author_facet	Xiao-Lei Zhu Jie-Si Luo Xiao-Chang Zhang Yi Zhai Jing Wu
author_sort	Xiao-Lei Zhu
title	China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project
title_short	China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project
title_full	China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project
title_fullStr	China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project
title_full_unstemmed	China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project
title_sort	china's efforts on management, surveillance, and research of noncommunicable diseases: ncd scorecard project
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/e174727e53b04dab80249dbd61a84c02
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_version_	1718402320643915776

China's Efforts on Management, Surveillance, and Research of Noncommunicable Diseases: NCD Scorecard Project

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