Non-alcoholic fatty liver disease (NAFLD) integration into India's NCD program - Obstacles and solutions for the implementation of guidelines at the national level.

IF 1.1 Q4 PRIMARY HEALTH CARE
Kanica Kaushal
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Abstract

Individuals who have non-alcoholic fatty liver disease (NAFLD) are at high risk of metabolic comorbidities and can put a significant strain on healthcare systems. If not managed in a timely manner, NAFLD can lead to sustained healthcare costs, economic losses, and reduced health-related quality of life. In India, the Ministry of Health and Family Welfare recognized the need for a comprehensive approach to prevent NAFLD and integrated public health measures into the existing National Program for Prevention and Control of Non-Communicable Diseases (NP NCD). However, 3 years after the integration, there is no clear measure of the extent of implementation of this program, and the exact facilitators and barriers to implementing the program are yet to be determined. The next step toward providing comprehensive and effective healthcare services to those affected by NAFLD is the implementation of NAFLD guidelines under the NP NCD. The article emphasizes the importance of replacing old reporting formats with updated ones that incorporate NAFLD. It also highlights the need for healthcare personnel and community health workers to receive multiple trainings. While measuring waist circumference (WC) and identifying patients who need referral poses challenges, we can overcome them by updating the Non-Communicable Disease (NCD) application to include NAFLD, recording WC in registers, and using up-to-date reporting formats.

将非酒精性脂肪肝(NAFLD)纳入印度非传染性疾病计划--在国家层面实施指南的障碍和解决方案。
患有非酒精性脂肪肝(NAFLD)的人是代谢合并症的高危人群,会给医疗系统带来巨大压力。如果不及时治疗,非酒精性脂肪肝会导致持续的医疗成本、经济损失以及与健康相关的生活质量下降。在印度,卫生和家庭福利部认识到有必要采取综合方法预防非酒精性脂肪肝,并将公共卫生措施纳入了现有的国家非传染性疾病预防和控制计划(NP NCD)。然而,在整合 3 年后的今天,该计划的实施程度尚无明确的衡量标准,实施该计划的确切促进因素和障碍也有待确定。要为非酒精性脂肪肝患者提供全面有效的医疗保健服务,下一步就是要在国家卫生计生委的《国家非酒精性脂肪肝防治指南》中实施非酒精性脂肪肝指南。文章强调了用包含非酒精性脂肪肝的最新报告格式取代旧报告格式的重要性。文章还强调了医护人员和社区卫生工作者接受多种培训的必要性。虽然测量腰围和识别需要转诊的患者是一项挑战,但我们可以通过更新非传染性疾病 (NCD) 应用程序以纳入非酒精性脂肪肝、在登记簿中记录腰围以及使用最新的报告格式来克服这些挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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7.10%
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884
审稿时长
40 weeks
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