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dc.contributor.author
Njuguna, Benson
dc.contributor.author
Fletcher, Sara L.
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Akwanalo, Constantine
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Asante, Kwaku Poku
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Baumann, Ana
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Brown, Angela
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Davila Roman, Victor G.
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Dickhaus, Julia
dc.contributor.author
Fort, Meredith
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Iwelunmor, Juliet
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Irazola, Vilma
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Mohan, Sailesh
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Mutabazi, Vincent
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Newsome, Brad
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Ogedegbe, Olugbenga
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Pastakia, Sonak D.
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Peprah, Emmanuel K.
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Plange Rhule, Jacob
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Roth, Gregory
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Shrestha, Archana
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Watkins, David A.
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Vedanthan, Rajesh
dc.date.available
2021-10-04T17:47:24Z
dc.date.issued
2020-12
dc.identifier.citation
Njuguna, Benson; Fletcher, Sara L.; Akwanalo, Constantine; Asante, Kwaku Poku; Baumann, Ana; et al.; Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations; Public Library of Science; Plos One; 15; 12 December; 12-2020; 1-12
dc.identifier.issn
1932-6203
dc.identifier.uri
http://hdl.handle.net/11336/142504
dc.description.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 low-prevalence 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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Public Library of Science
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Non-communicable disease
dc.subject
Prevention
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Low-burden populations
dc.subject.classification
Otras Ciencias de la Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2021-09-07T14:55:28Z
dc.journal.volume
15
dc.journal.number
12 December
dc.journal.pagination
1-12
dc.journal.pais
Estados Unidos
dc.journal.ciudad
San Francisco
dc.description.fil
Fil: Njuguna, Benson. Moi Teaching & Referral Hospital; Kenia
dc.description.fil
Fil: Fletcher, Sara L.. State University of Oregon; Estados Unidos
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Fil: Akwanalo, Constantine. Moi Teaching & Referral Hospital; Kenia
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Fil: Asante, Kwaku Poku. Kintampo Health Research Centre; Ghana
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Fil: Baumann, Ana. Washington University in St. Louis; Estados Unidos
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Fil: Brown, Angela. Washington University in St. Louis; Estados Unidos
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Fil: Davila Roman, Victor G.. Washington University in St. Louis; Estados Unidos
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Fil: Dickhaus, Julia. New York University Grossman School of Medicine; Estados Unidos
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Fil: Fort, Meredith. Colorado School Of Public Health; Estados Unidos
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Fil: Iwelunmor, Juliet. Saint Louis University; Estados Unidos
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Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
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Fil: Mohan, Sailesh. Centre For Chronic Disease Control; India. Public Health Foundation Of India; India
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Fil: Mutabazi, Vincent. Regional Alliance For Sustainable Development; Ruanda
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Fil: Newsome, Brad. Center for Translation Research and Implementation Science; Estados Unidos
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Fil: Ogedegbe, Olugbenga. New York University Grossman School of Medicine; Estados Unidos
dc.description.fil
Fil: Pastakia, Sonak D.. Purdue University College Of Pharmacy; Estados Unidos
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Fil: Peprah, Emmanuel K.. University of New York; Estados Unidos
dc.description.fil
Fil: Plange Rhule, Jacob. Ghana College Of Physicians And Surgeons; Ghana
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Fil: Roth, Gregory. University of Washington; Estados Unidos
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Fil: Shrestha, Archana. Kathmandu University School Of Medical Sciences; Nepal
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Fil: Watkins, David A.. University of Washington; Estados Unidos
dc.description.fil
Fil: Vedanthan, Rajesh. New York University Grossman School of Medicine; Estados Unidos
dc.journal.title
Plos One
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1371/journal.pone.0243004
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