Abstract:
:Stroke is a major global health problem. It is a major cause of mortality, morbidity and disability in developed and increasingly in less developed countries. Worldwide, it is the leading cause of healthy years lost in late adulthood, and evidence indicates that the burden of stroke, particularly in terms of morbidity and disability, will almost certainly increase in the foreseeable future. This review aims to generate a better understanding of the present and projected future global burden of stroke, with particular emphasis on the non-established market economy countries (NEMEC). The first part summarizes and interprets the currently available evidence on stroke mortality, incidence, case-fatality and related disability rates from both established and non-established market economy countries. The second part reviews the main risk factors for stroke. For the modifiable factors, it examines current prevalence rates in NEMEC with a view towards identifying patterns that are relevant for predicting future rates of the disease. Reversing the consequences of stroke is difficult, thus primary prevention is of utmost importance. The potential for prevention is illustrated by the experience of Japan, which in the last two decades has seen substantial declines in stroke mortality--mostly due to reductions in dietary salt intake. The last section discusses potential strategies and approaches to effective stroke prevention and highlights other areas that need to be addressed if stroke management in the coming decades is to be effective.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Kalache A,Aboderin Idoi
10.1093/heapol/10.1.1subject
Has Abstractpub_date
1995-03-01 00:00:00pages
1-21issue
1eissn
0268-1080issn
1460-2237journal_volume
10pub_type
杂志文章,评审abstract::Integration of health services has been pursued worldwide. Diversity in integration approaches and in the contexts in which integrated programmes operate, however, hinders comparative analysis of care integration in both high-income countries (HICs) and low- and middle-income countries (LMICs). This study evaluates an...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czz111
更新日期:2019-11-01 00:00:00
abstract::'One World, One Health' has become a key rallying theme for the integration of public health and animal health priorities, particularly in the governance of pandemic-scale zoonotic infectious disease threats. However, the policy challenges of integrating public health and animal health priorities in the context of tra...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu001
更新日期:2015-03-01 00:00:00
abstract::A decade after the first International Conference on Safe Motherhood, maternal mortality remains very high in most West African countries, even in capital cities. The detection of high risk pregnancies, known as the risk approach, during antenatal consultations has been the basis of most maternal and child health prog...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.1.11
更新日期:2000-03-01 00:00:00
abstract::Advocacy, policy, research and intervention efforts against childhood pneumonia have lagged behind other health issues, including malaria, measles and tuberculosis. Accelerating progress on the issue began in 2008, following decades of efforts by individuals and organizations to address the leading cause of childhood ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv070
更新日期:2016-04-01 00:00:00
abstract::The collection of accurate maternal outcome data enables causes of morbidity and mortality to be identified, which in turn permits interventions to be targeted appropriately. It also allows estimates to be made about the importance of various indicators in predicting birth outcome. These indicators can then be compare...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.2.170
更新日期:2000-06-01 00:00:00
abstract::In the period since the Alma-Ata Declaration, there has been much activity in many countries in drawing up strategies for primary health care (PHC). This paper argues that the UK, though a signatory to the Declaration, has failed to provide an adequate framework for such a strategy, and that, in spite of the strong re...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/2.2.129
更新日期:1987-06-01 00:00:00
abstract::Community-based health insurance (CBHI) has gained popularity in many low- and middle-income countries, partly as a policy response to calls for low-cost, pro-poor health financing solutions. In Africa, Rwanda has successfully implemented two types of CBHI systems since 2005, one of which with a flat rate premium (200...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa135
更新日期:2020-12-02 00:00:00
abstract::In recent years there has been a growth in the number of independent health policy analysis institutes in low- and middle-income countries which has occurred in response to the limitation of government analytical capacity and pressures associated with democratization. This study aimed to: (i) investigate the contribut...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr035
更新日期:2012-05-01 00:00:00
abstract::Recent efforts to prevent post-partum haemorrhage (PPH) in low-income countries have focused on providing women with access to oral misoprostol during home birth. The WHO recommends using lay health workers (LHWs) to administer misoprostol in settings where skilled birth attendants are not available. This review synth...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czv012
更新日期:2016-02-01 00:00:00
abstract::Informal payments for health care are a well-known phenomenon in many health care systems around the world. While informal payments could be an important source of health care financing, they have an adverse impact on efficiency and access to care, and are a major impediment to ongoing health care reforms. This paper ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw147
更新日期:2017-05-01 00:00:00
abstract::It is well known that cardiovascular diseases (CVD) are a growing cause of mortality and morbidity in low-and middle-income countries (LMIC). While hypertension (HTN), a leading risk factor for CVD, can be easily managed with widely available medicines, there is a huge gap in treatment for HTN in many LMIC. One such c...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw080
更新日期:2016-12-01 00:00:00
abstract::Although logic models are now touted as an important component of health promotion planning, implementation and evaluation, there are few published manuscripts that describe the process of logic model development, and fewer which do so with community involvement, despite the increasing emphasis on participatory resear...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr001
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:We examine socio-economic status (SES) and geographic differences in willingness of respondents to pay for community-based health insurance (CBHI). METHODS:The study took place in Anambra and Enugu states, south-east Nigeria. It involved a rural, an urban and a semi-urban community in each of the two states....
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czp046
更新日期:2010-03-01 00:00:00
abstract::Public sector price analyses of antiretroviral (ARV) medicines can provide relevant information to detect ARV procurement procedures that do not obtain competitive market prices. Price benchmarks provide a useful tool for programme managers and policy makers to support such planning and policy measures. The aim of the...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs011
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Integrating mental health with general medical care can increase access to mental health services, but requires helping generalists acquire a range of unfamiliar knowledge and master potentially complex diagnostic and treatment processes. METHOD:We describe a model for integrating complex specialty care wit...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu058
更新日期:2015-07-01 00:00:00
abstract::The individual impacts of several components of family planning service quality on contraceptive use have been studied, but the influence of a composite measure synthesizing these components has not been often investigated. We (1) develop a composite score for family planning service quality based on health facility d...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czy058
更新日期:2018-09-01 00:00:00
abstract::The Syrian conflict has caused enormous displacement of a population with a high non-communicable disease (NCD) burden into surrounding countries, overwhelming health systems' NCD care capacity. Médecins sans Frontières (MSF) developed a primary-level NCD programme, serving Syrian refugees and the host population in I...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa050
更新日期:2020-10-01 00:00:00
abstract::Cambodia's healthcare system has seen significant improvements in the last two decades. Despite this, access to quality care remains problematic, particularly for poor rural Cambodians. The government has committed to universal health coverage (UHC) and is reforming the health financing system to align with this goal....
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czz011
更新日期:2019-10-01 00:00:00
abstract::Poor mental health is a pressing global health problem, with high prevalence among poor populations from low-income countries. Existing studies of conditional cash transfer (CCT) effects on mental health have found positive effects. However, there is a gap in the literature on population-wide effects of cash transfers...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa079
更新日期:2020-11-20 00:00:00
abstract::In 1991, Zimbabwe introduced cost recovery measures as part of its programme of economic reforms, following a course taken by many developing countries. The system of user fees in public health care, aimed to 'protect and support the vulnerable groups' by exemption or incremental fees based on 4 income brackets. Drugs...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/10.3.319
更新日期:1995-09-01 00:00:00
abstract::In many developing countries people are expected to contribute to the cost of health care from their own pockets. As a result, people's ability to pay (ATP) for health care, or the affordability of health care, has become a critical policy issue in developing countries, and a particularly urgent issue where households...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/11.3.219
更新日期:1996-09-01 00:00:00
abstract::The burden of disease due to injuries has elicited virtually no public health response in the countries of central and eastern Europe, even though injuries have long been a much greater problem in the east of Europe than in the west, with children especially affected. This paper seeks to identify factors that have inh...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.3.263
更新日期:2000-09-01 00:00:00
abstract:INTRODUCTION:There is an immense need for scaling-up neuropsychiatric care in low-income countries. Contextualized cost-effectiveness analyses (CEAs) provide relevant information for local policies. The aim of this study is to perform a contextualized CEA of neuropsychiatric interventions in Ethiopia and to illustrate ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv093
更新日期:2016-05-01 00:00:00
abstract::Ensuring financial access to health services is a critical challenge for poor countries if they are to reach the health Millennium Development Goals (MDGs). This article examines the case of Rwanda, a country which has championed innovative health care financing policies. Between 2000 and 2007, Rwanda has improved fin...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr070
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Concerns about appropriate pricing strategies and the high market share of subsidized condoms prompted Population Services International (PSI)/Myanmar to adopt a total market approach (TMA). This article presents data on the size and composition of the Myanmar condom market, identifies inefficiencies and rec...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu056
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Lebanon, characterized by a free-market health care system, has one of the highest reported per capita rates of cardiac catheterization facilities and coronary angiographies in the world. The aim of this study is to evaluate the appropriateness of performance of coronary angiography procedures in Lebanon. M...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn005
更新日期:2008-05-01 00:00:00
abstract::This article presents research findings into the effectiveness of an innovative equity fund approach to improving access to public sector health services for the poor in Kirivong Operational Health District in Cambodia. The operational health district is the lowest organizational level in the Cambodian health system, ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czj001
更新日期:2006-01-01 00:00:00
abstract::There is increasing interest among health policymakers, planners and donors in how corruption affects health care access and outcomes, and what can be done to combat corruption in the health sector. Efforts to explain the risk of abuse of entrusted power for private gain have examined the links between corruption and ...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czm048
更新日期:2008-03-01 00:00:00
abstract::During the past 10 years, donors have recognized the need for major reforms to achieve sustainable development. Using non-project assistance they have attempted to leverage reforms by offering financing conditioned on the enactment of reform. The experience of USAID's health reform programmes in Niger and Nigeria sugg...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/9.4.371
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND:Attention to global health security governance is more important now than ever before. Scientists predict that a possible influenza pandemic could affect 1.5 billion people, cause up to 150 million deaths and leave US$3 trillion in economic damages. A public health emergency in one country is now only hours ...
journal_title:Health policy and planning
pub_type: 历史文章,杂志文章
doi:10.1093/heapol/czq037
更新日期:2010-11-01 00:00:00