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|Title: ||Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations|
|Authors: ||Njuguna, Benson|
Fletcher, Sara L.
Asante, Kwaku Poku
Davila-Roman, Victor G.
Pastakia, Sonak D.
Peprah, Emmanuel K.
Watkins, David A.
|Issue Date: ||Dec-2020|
|Publisher: ||Plose One|
|Citation: ||Plose One|
|Abstract: ||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 lowprevalence
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|
|Description: ||This article is published by Plose One and is also available at https://doi.org/10.1371/journal.pone.0243004|
|URI: ||10.1371/journal. pone.0243004|
|Appears in Collections:||College of Health Sciences|
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