全国多部门委员会：人口健康发展的轮廓和贡献

IF 2.3 Q3 HEALTH CARE SCIENCES & SERVICES

Health Policy Open Pub Date : 2025-07-03 DOI:10.1016/j.hpopen.2025.100144

Pavitra Paul

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引用次数: 0

摘要

背景世界卫生组织（世卫组织）《2013-2030年预防和控制非传染性疾病全球行动计划》强调，有效预防和控制非传染性疾病需要领导、广泛部门的多部门和多利益攸关方的协调参与，以及与相关民间社会组织和私营部门实体建立伙伴关系。本研究确定了各国具体的政策工具和杠杆，从而揭示了国家多部门委员会在解决非传染性疾病问题方面的具体贡献。方法对来自世卫组织所有六个区域的26个国家（低收入国家：2个，中低收入国家：9个，中高收入国家：11个，高收入国家：4个）的数据进行了两个层面的分析——第一个层面的分析审查设立国家多部门委员会与选定的非传染性疾病风险因素之间的相关性。在第二级分析中，应用了一系列基于回归的模型，以了解设立一个国家多部门委员会对四种非传染性疾病（心血管疾病、癌症、糖尿病或慢性呼吸道疾病）中的任何一种死亡概率的影响，以及对出生时和60岁时健康调整预期寿命（HALE）的影响。结果：我们的研究结果表明：(a)国家多部门委员会通过不同工具和杠杆的不同组合来采取行动，而这种组合并不遵循任何明确的模式；(b)国家多部门非传染性疾病委员会可以更好地持续改善HALE。总而言之，本研究确定了进一步研究国家多部门非传染性疾病委员会、机构或机制绩效的必要性，该方法采用三维方法，包括(1)国家多部门非传染性疾病委员会、机构或机制及其属性，(2)不同人群中风险因素的分布，以及(3)人口统计学及其人口健康决定因素。

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A national multisectoral commission: Contours and Contributions to the Population Health Development

Background

The World Health Organization (WHO) Global Action Plan for the Prevention and Control of Non-communicable diseases (NCDs) 2013–2030 emphasises that effective NCD prevention and control requires leadership, coordinated multisectoral and multistakeholder engagement across a broad range of sectors, and partnerships with relevant civil-society organisations and private-sector entities. This study identifies country specific policy instruments and levers, and thus, unfolds the context specific contributions of a national multisectoral commission to tackle the problems of NCDs.

Methods

The data from twenty-six countries (low-income countries: 2, lower-middle-income countries: 9, upper-middle-income countries: 11 and high-income countries: 4) spread over all six WHO regions are analysed at two levels – the first level of analysis examines the correlation between having a national multisectoral commission and the select risk factors for NCDs. In the second level of analysis, a series of regression-based models is applied for understanding the effect of having a national multisectoral commission on the probability of dying from any of four NCDs (cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases), and also on the health adjusted life expectancy (HALE) at birth and at age 60 years.

Results

Our results comprehend that (a) a national multisectoral commission is acting through a varied combinations of different instruments and levers, and such combinations do not follow any definite pattern, and (b) a consistent improvement of HALE is better sustained with having a national multisectoral commission for NCDs.

Conclusion

To conclude, this study establishes the need for further research on the performance of a national multisectoral commission, agency or mechanism for NCDs with a three-dimensional approach that is with an approach that includes (1) the national multisectoral commission, agency or mechanism for NCDs with its attributes, (2) the distribution of risk factors across different population groups, and (3) the demography and its determinants of health for the population.

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来源期刊

Health Policy Open Medicine-Health Policy

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

40 weeks