Global Health in Transition: A Synthesis Perspectives from International Organizations (1996) / Chapter Skim
Currently Skimming:
The Health of Adults in Developing Countries
The Health of Adults in Developing Countries
Pages 20-24
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 20... ...
OBJECTIVES • To document the nature, determinants, extent, and patterns of adult mortality and morbidity in developing countries and their social and economic consequences. • To suggest priority research areas and potential avenues for analysis, policy development, and action for consideration by national and international researchers and health policy makers.
|
From page 21... ...
Yet, because adult ill health involves more noncommunicable disease, more longterm morbidity and disability, and more lifestyle risk factors, policy makers cannot reduce the numbers of adults with ill health simply by expanding policies that have been successful in improving child health. • There are large gaps in knowledge about the levels, causes, distribution, and determinants of sickness and death among adults -- cancer, cardiovascular disease, chronic obstructive lung disease, diabetes, injuries, sexually transmitted diseases (including human immunodeficiency virus infection and AIDS)
|
From page 22... ...
Thus, these aspects need to be studied in developing country contexts only when there is some significant difference or objective, for example, distinctive environmental or genetic factors or special advocacy needs, and they subsequently need to be adapted to those needs. • Priority research areas are -- the levels, causes, and determinants of adult ill health; -- inexpensive, innovative, easy-to-use methods of collecting and analyzing data on adult mortality; -- methods for clarifying the kinds of morbidity data that are useful and how to interpret them; -- collection and use of good data on health services utilization, the kinds of morbidity that prompt people to seek care, and the demands placed on private and public health care systems; -- consequences of different kinds of adult ill health and of ill
|
From page 23... ...
In the short and medium terms, resources that are known to be inefficient may be withdrawn from government health services for adults to free resources for interventions known to be cost-effective, many of which are neglected interventions, such as -- stopping smoking, -- making road travel safer, -- vaccinating against hepatitis B virus, -- making motherhood safe, -- promoting safe sex and treating sexually transmitted diseases, -- improving case management of tuberculosis, -- screening for cervical cancer and relieving cancer pain, and -- treating diabetes. • Other interventions for policy consideration for the longer terms would include -- dietary interventions, -- pollution control, and -- control and management of occupational illness and injury.
|
From page 24... ...
Clearly, existing knowledge about diseases of adults in developed countries must be interpreted, applied, and extended carefully in developing country settings, an obvious area for close collaboration between the research and health system development communities of all countries. The directions of action that are called for are similar to those noted in connection with Disease Control Priorities in Developing Countries: assisting those countries in building their capacities in research, policy making, health system development, and development of human resources for all levels of the health care system.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.