ACADSTAFF UGM

CREATION
Title : How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis.
Author :

Julia Schröders (1) Stig Wall (2) Prof. dr. Mohammad Hakimi, Sp.OG, Ph.D. (3) dr. Fatwa Sari Tetra Dewi, MPH., Ph.D (4) Lars Weinehall (5) Mark Nichter (6) Maria Nilsson (7) Prof. dr. Hari Kusnanto Josef, S.U., Dr.PH. (8) Ekowati Rahajeng (9) Nawi Ng (10)
Date : 20 2017
Keyword : NON-communicable diseases NON-communicable diseases
Abstract : Background: Chronic noncommunicable diseases (NCDs) have emerged as a huge global health problem in low- and middle-income countries. The magnitude of the rise of NCDs is particularly visible in Southeast Asia where limited resources have been used to address this rising epidemic, as in the case of Indonesia. Robust evidence to measure growing NCD-related burdens at national and local levels and to aid national discussion on social determinants of health and intra-country inequalities is needed. The aim of this review is (i) to illustrate the burden of risk factors, morbidity, disability, and mortality related to NCDs; (ii) to identify existing policy and community interventions, including disease prevention and management strategies; and (iii) to investigate how and why an inequitable distribution of this burden can be explained in terms of the social determinants of health. Methods: Our review followed the PRISMA guidelines for identifying, screening, and checking the eligibility and quality of relevant literature. We systematically searched electronic databases and gray literature for English- and Indonesian-language studies published between Jan 1, 2000 and October 1, 2015. We synthesized included studies in the form of a narrative synthesis and where possible meta-analyzed their data. Results: On the basis of deductive qualitative content analysis, 130 included citations were grouped into seven topic areas: risk factors; morbidity; disability; mortality; disease management; interventions and prevention; and social determinants of health. A quantitative synthesis meta-analyzed a subset of studies related to the risk factors smoking, obesity, and hypertension. Conclusions: Our findings echo the urgent need to expand routine risk factor surveillance and outcome monitoring and to integrate these into one national health information system. There is a stringent necessity to reorient and enhance health system responses to offer effective, realistic, and affordable ways to prevent and control NCDs through cost-effective interventions and a more structured approach to the delivery of high-quality primary care and equitable prevention and treatment strategies. Research on social determinants of health and policy-relevant research need to be expanded and strengthened to the extent that a reduction of the total NCD burden and inequalities therein should be treated as related and mutually reinforcing priorities
Group of Knowledge : Epidemiologi
Original Language : English
Level : Internasional
Status :
Published
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1 How is Indonesia coping with its epidemic of chronic noncommunicable diseases_ A systematic review with meta-analysis-dikompresi.pdf
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2 How is Indonesia coping with its epidemic of chronic noncommunicable diseases-dikompresi.pdf
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3 jurnal_2023117_b9cc17c0c08ee5a74566065fac79906a.pdf
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4 surat pernyataan tanpa EC How is Indonesia coping with its epidemic of chronic noncommunicable diseases A systematic review with meta-analysis.pdf
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5 artikel + surat pernyataan how is Indonesia coping.pdf
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