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Gaps and challenges to integrating diabetes care in Myanmar / Tint Swe Latt;Than Than Aye;Ko Ko;Ko Ko Zaw

Tác giả : Tint Swe Latt;Than Than Aye;Ko Ko;Ko Ko Zaw

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2016

Chủ đề : 1. capacity-building. 2. diabetes. 3. management. 4. Myanmar. 5. policy. 6. prevention. 7. Journal / periodical articles.

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In common with other low-income countries, diabetes is a growing challenge forMyanmar. Gaps and challenges exist in political commitment, policy development,the health system, treatment-seeking behaviour and the role of traditional medicine.National policies aimed at prevention – such as to promote healthy food, createa healthy environment conducive to increased physical activity, restrict marketingof unhealthy food, and initiate mass awareness-raising programmes – need to bestrengthened. Moreover, existing initiatives for prevention of noncommunicabledisease (NCD) are channelled vertically rather than being horizontally integrated.Primary health care is traditionally orientated more towards prevention of infectiousdiseases and staff often lack training in prevention and control of NCDs. Capacitybuilding activities have been modest to date, and retaining trained health workers indiabetes-oriented activities is a challenge. The World Health Organization Packageof Essential Noncommunicable (PEN) disease interventions for primary healthcare in low-resource settings has been piloted in Yangon Region and countrywide expansion awaits ministerial approval. Recently, the Myanmar Diabetes CareModel was proposed by the Myanmar Diabetes Association, with the aims of bothbridging the gap in diabetes care between rural and urban areas and strengtheningcare at the secondary and tertiary levels. However, implementation will requirepolicy development for essential drugs and equipment, capacity-strengthening ofhealth-care workers, and an appropriate referral and health-information system.
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https://iris.who.int/handle/10665/329634