Journal
HEALTH AFFAIRS
Volume 34, Issue 9, Pages 1506-1513Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.2015.0382
Keywords
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Funding
- Fulbright Scholar Award
- Fogarty International Center of the National Institutes of Health [5R25TW009340]
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The prevalence of noncommunicable diseases in East Africa is rising rapidly. Although the epidemiologic, demographic, and nutritional transitions are well under way in low-income countries, investment and attention in these countries remain focused largely on communicable diseases. We discuss existing infrastructure in communicable disease management as well as linkages between noncommunicable and communicable diseases in East Africa. We describe gaps in noncommunicable disease management within the health systems in this region. We also discuss deficiencies in addressing noncommunicable diseases from basic science research and medical training to health services delivery, public health initiatives, and access to essential medications in East Africa. Finally, we highlight the role of collaboration among East African governments and civil society in addressing noncommunicable diseases, and we advocate for a robust primary health care system that focuses on the social determinants of health.
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