The Economic Costs of Noncommunicable Diseases in the Pacific Islands : A Rapid Stocktake of the Situation in Samoa, Tonga, and Vanuatu

There is increasing recognition that non-communicable diseases (NCDs) are an important international and development issue globally, undermining health gains and imposing financial and economic costs on governments and households. NCDs are an impor...

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Bibliographic Details
Main Author:	Anderson, Ian
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2014
Subjects:	ACCESS TO EDUCATION ADDICTION ADULT MORTALITY ADULT POPULATION AGED AGING AGING POPULATIONS AID ALLOCATIVE EFFICIENCY ANTENATAL CARE ASTHMA BOTH SEXES BREAST CANCER BRONCHITIS BURDEN OF DISEASE CANCERS CARDIOVASCULAR DISEASE CAUSES OF DEATH CHILD HEALTH CHILDREN PER WOMAN CHOLESTEROL CHRONIC DISEASE CHRONIC DISEASES CIRCULATORY SYSTEM CITIZENS COLON CANCER COMMUNICABLE DISEASES COMMUNITY ACTION COMPLICATIONS CORONARY HEART DISEASE CURRENT POPULATION DANGERS DEATH RATE DEATH RATES DEATHS DEMENTIA DEMOGRAPHIC TRANSITION DENTAL HEALTH DEPENDENCY RATIO DEVELOPING COUNTRIES DIABETES DIABETES MELLITUS DIAGNOSIS DIARRHEA DIET DIETS DISABILITIES DISABILITY DISEASE BURDEN DISEASE CONTROL DOMESTIC VIOLENCE DOUBLE BURDEN DRUGS EARLY DETECTION ECONOMIC GROWTH ECONOMIC IMPLICATIONS ECONOMIC RESOURCES ELDERLY EMPHYSEMA EPIDEMIC EPIDEMICS ESSENTIAL HEALTH SERVICES EXCESSIVE CONSUMPTION EXPENDITURES EYE DISEASES FEMALE FEMALES FERTILITY RATE FERTILITY RATES FEWER PEOPLE FINANCIAL MANAGEMENT FOOD INSECURITY GLOBAL HEALTH GLUCOSE GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME GROWTH IN POPULATION HARM REDUCTION HEALTH CARE COSTS HEALTH CARE SPENDING HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH INFORMATION SYSTEMS HEALTH INFRASTRUCTURE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PROMOTION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEM FINANCING HEART ATTACKS HEART DISEASE HIGH BLOOD PRESSURE HIGH FERTILITY HIV HOSPITAL HOSPITAL COSTS HOSPITALS HUMAN DEVELOPMENT HYPERTENSION ILL HEALTH ILLNESSES INCOME INFANT INFANT MORTALITY INFANT MORTALITY RATE INFECTIOUS DISEASES INFLUENZA INJURIES INPATIENT CARE INTERVENTION KIDNEY DIALYSIS KIDNEY FAILURE LABOR SUPPLY LACK OF DEVELOPMENT LEADING CAUSE OF DEATH LEADING CAUSES LEADING CAUSES OF DEATH LIFE EXPECTANCY LIFESTYLES LIMITED PROSPECTS LIVE BIRTHS LIVER LONG-TERM CARE LUNG CANCER LUNG DISEASE MALARIA MATERNAL MORTALITY MATERNAL MORTALITY RATE MEASLES MEDICAL CARE MEDICAL TREATMENT MEDICINE MEDICINES MENTAL HEALTH MENTAL ILLNESS METABOLIC DISORDERS MIDWIVES MILLENNIUM DEVELOPMENT GOALS MINISTERS OF HEALTH MINISTRIES OF HEALTH MINISTRY OF HEALTH MORBIDITY MORTALITY MOTHER NATIONAL EFFORTS NATIONAL POLICY NATIONAL POPULATION NATIONAL PRIORITIES NATIONAL PRIORITY NATIONAL STRATEGY NCD NEONATAL MORTALITY NEOPLASMS NEWBORN NONCOMMUNICABLE DISEASES NURSES NUTRITION OBESITY OFFICIAL DEVELOPMENT ASSISTANCE OLD AGE OUTPATIENT CARE PATIENT PATIENTS PHYSICAL ACTIVITY PHYSICAL ENVIRONMENT PHYSICIANS PNEUMONIA POLICY IMPLICATIONS POPULATION FACTORS POPULATION GROWTH POPULATION GROWTH RATE POPULATION GROWTH RATES POPULATION SIZE POSTERS PREGNANT WOMEN PREMATURE DEATH PREVALENCE PREVENTION STRATEGIES PRIMARY HEALTH CARE PROBABILITY PROGRESS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH OFFICIALS PUBLIC POLICY PURCHASING POWER PURCHASING POWER PARITY REPRODUCTIVE NEEDS RESPECT RESPIRATORY DISEASES RHEUMATIC FEVER RISK FACTORS RURAL AREAS SCREENING SEPTICAEMIA SEX SEXUAL CONTACT SIZE OF POPULATIONS SMOKERS SMOKING SOCIOECONOMIC DEVELOPMENT SOCIOECONOMIC STATUS SUBSTANCE ABUSE SURGERY SYMPTOMS SYNDROME TOBACCO PRODUCTS TOLERANCE TRANSPORTATION TUBERCULOSIS UNDER FIVE MORTALITY UNDER-FIVE MORTALITY UNEMPLOYMENT URBAN AREAS URBAN POPULATION URBANIZATION VICIOUS CYCLE VIOLENCE VISION VITAL STATISTICS VULNERABILITY WOMAN WORKFORCE WORKING-AGE POPULATION WORLD HEALTH ORGANIZATION YOUNG ADULTS YOUNG AGES YOUNG POPULATIONS
Online Access:	http://documents.worldbank.org/curated/en/2013/09/19352113/economic-costs-non-communicable-diseases-pacific-islands-rapid-stock-take-situation-samoa-tonga-vanuatu http://hdl.handle.net/10986/17851

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Summary:	There is increasing recognition that non-communicable diseases (NCDs) are an important international and development issue globally, undermining health gains and imposing financial and economic costs on governments and households. NCDs are an important health challenge in the Pacific. First, (NCDs) can impose large but often preventable health, financial, and economic costs on countries. This is particularly important in the Pacific, where government already finances and provides the bulk of health services. Second, risk factors in the Pacific are feeding a pipeline of potentially expensive-to-treat NCDs, including diabetes and heart disease, but governments are already fiscally constrained in how much more they can provide to the health system. Third, from a public health and public finance perspective, many of the NCDs are avoidable or their health and financial costs can at least be postponed through good primary and secondary prevention. This will require a more coherent approach to health system financing and to health system operations, more generally. Improving both allocative efficiency ("doing the right things") and technical efficiency ("doing things right") are critical strategies to improve health outcomes in a financially sustainable way in the resource-constrained Pacific.

The Economic Costs of Noncommunicable Diseases in the Pacific Islands : A Rapid Stocktake of the Situation in Samoa, Tonga, and Vanuatu

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