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Tackling Africa's chronic disease burden: from the local to the global

By Ama De-Graft Aikins, Nigel Unwin, Charles Agyemang, Pascale Allotey, Catherine Campbell and Daniel Arhinful


Africa faces a double burden of infectious and chronic diseases. While infectious diseases still account for at least 69% of deaths on the continent, age specific mortality rates from chronic diseases as a whole are actually higher in sub Saharan Africa than in virtually all other regions of the world, in both men and women. Over the next ten years the continent is projected to experience the largest increase in death rates from cardiovascular disease, cancer, respiratory disease and diabetes. African health systems are weak and national investments in healthcare training and service delivery continue to prioritise infectious and parasitic diseases. There is a strong consensus that Africa faces significant challenges in chronic disease research, practice and policy. This editorial reviews eight original papers submitted to a Globalization and Health special issue themed: "Africa's chronic disease burden: local and global perspectives". The papers offer new empirical evidence and comprehensive reviews on diabetes in Tanzania, sickle cell disease in Nigeria, chronic mental illness in rural Ghana, HIV/AIDS care-giving among children in Kenya and chronic disease interventions in Ghana and Cameroon. Regional and international reviews are offered on cardiovascular risk in Africa, comorbidity between infectious and chronic diseases and cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe. We discuss insights from these papers within the contexts of medical, psychological, community and policy dimensions of chronic disease. There is an urgent need for primary and secondary interventions and for African health policymakers and governments to prioritise the development and implementation of chronic disease policies. Two gaps need critical attention. The first gap concerns the need for multidisciplinary models of research to properly inform the design of interventions. The second gap concerns understanding the processes and political economies of policy making in sub Saharan Africa. The economic impact of chronic diseases for families, health systems and governments and the relationships between national policy making and international economic and political pressures have a huge impact on the risk of chronic diseases and the ability of countries to respond to them

Topics: RA0421 Public health. Hygiene. Preventive Medicine
Publisher: BioMed Central Ltd.
Year: 2010
DOI identifier: 10.1186/1744-8603-6-5
OAI identifier: oai:eprints.lse.ac.uk:32207
Provided by: LSE Research Online

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  1. (2005). A: Healer-shopping in Africa: new evidence from a ruralurban qualitative study of Ghanaian diabetes experiences. doi
  2. (2006). A: Reframing applied disease stigma research: a multilevel analysis of diabetes stigma in Ghana. doi
  3. (2001). Alberti KGMM: Noncommunicable diseases in subSaharan Africa: where do they feature in the health research agenda? Bulletin of the World Health Organisation
  4. (2001). Asthma management and perceptions in rural South Africa. Ann Allergy Asthma Immunol doi
  5. (2010). Atanga LL: Developing Effective Chronic Disease Prevention in Africa: insights from Ghana and Cameroon. Globalization and Health doi
  6. (2008). Building partnerships to support community-led HIV/AIDS management: a case study from rural South Africa. doi
  7. (2007). Chronic disease prevention: health effects and financial costs of strategies to reduce salt intake and control tobacco use. Lancet doi
  8. (2006). Chronic Disease: An Economic Perspective London: Oxford Health Alliance;
  9. (2008). Chronic diseases and calls to action. doi
  10. (2007). Chronic diseases: the case for urgent global action. Lancet doi
  11. (1982). Chronic illness as biographical disruption. Sociology of Health and Illness doi
  12. (1996). Chronic unhappiness. Investigating the phenomenon in family practice. Canadian Family Physician
  13. (2009). Combating chronic disease in developing countries. Lancet doi
  14. (1993). Community Based high blood pressure programs in SubSaharan Africa. Ethnicity and Disease
  15. (2007). Culture, Identity and Wellbeing. A Study of the Social, Cultural and Environmental Context of Epilepsy in Cameroon. doi
  16. (2008). Cure or control: complying with biomedical regime of diabetes in Cameroon. doi
  17. (1991). Curing Their Ills: Colonial Power and African Illness Polity Press and Stanford doi
  18. (2009). de-Graft Aikins A, Stronks K: Cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe: a literature review. Globalization and Health doi
  19. Diabetes Mellitus. In Disease and Mortality in SubSaharan Africa 2nd edition. Edited by:
  20. (2005). Eds: Health in Africa (Special Issue). BMJ
  21. (2010). Egunjobi FE, Akinyanju OO: Psychosocial impact of sickle cell disorder: perspectives from a Nigerian setting. Globalization and Health doi
  22. (2008). Epidemiology of stroke and high blood pressure in Africa. Heart doi
  23. (2010). For someone who's rich, it's not a problem". Insights from Tanzania on diabetes health-seeking and medical pluralism among Dar es Salaam's urban poor. Globalization and Health doi
  24. (2007). Grand challenges in chronic noncommunicable diseases: the top 20 policy and research priorities for conditions such as diabetes, stroke and heart disease. Nature
  25. (1995). Health and Culture: Beyond the Western paradigm. Thousand Oaks, doi
  26. (2008). Health promotion: a psycho-social approach.
  27. (2009). I washed and fed my mother before going to school": Understanding the psychosocial well-being of children providing chronic care for adults affected by HIV/AIDS in Western Kenya. Globalization and Health doi
  28. (2009). Local suffering and the global discourse of mental health and human rights: An ethnographic study of responses to mental illness in rural Ghana. Globalization and Health doi
  29. (2001). Mandil A: Assessment of National Capacity for Noncommunicable Disease Prevention and Control Geneva: WHO;
  30. (2007). Non-communicable diseases and global health governance: enhancing global processes to improve health development. Globalization and Health doi
  31. (2006). Office for Africa (WHO-Afro): The work of the WHO in the African Region: 2004-2005. Biennial Report of the Regional Director Brazzaville: WHO-Afro;
  32. (2009). Ogedegbe O: An overview of cardiovascular risk factor burden in subSaharan African countries: a socio-cultural perspective. Globalization and Health doi
  33. (1998). Ohaeri BM: Psychosocial concerns of Nigerian women with breast and cervical cancer. Psychooncology doi
  34. (1985). Oli JM: Stress in the life of Nigerian diabetics. Z Psychosom Med Psychoanal
  35. (2007). On behalf of the Chronic Disease Action Group. Prevention of chronic disease: a call to action. Lancet doi
  36. (2005). Preventing chronic diseases: taking stepwise action. Lancet doi
  37. (2007). Public policy and the challenge of chronic noncommunicable diseases Washington, DC: World Bank; doi
  38. (2007). Public Policy and the Challenge of Non Communicable Diseases.
  39. Social capital and health: Contextualising health promotion within local community networks.
  40. (1963). Stigma: Notes on the management of spoiled identity doi
  41. (2007). The and costs of diseases in low and middle income countries. Lancet doi
  42. (2005). The Lancet's Chronic Disease Series. Lancet doi
  43. (1995). The psychosocial problems of sickle cell disease sufferers and their methods of coping. Social Science and Medicine doi
  44. (2006). Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity and diet-related chronic diseases. Globalization and Health
  45. (2009). Unwin NC: A review of co-morbidity between infectious and chronic disease in Sub Saharan Africa: TB and Diabetes Mellitus, HIV and Metabolic Syndrome, and the impact of globalization. Globalization and Health doi
  46. (2005). WHO: Preventing Chronic Disease. A vital investment Geneva: WHO; doi

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