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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/14816

Title: Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations
Authors: 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
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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