Prevention of Health Risk Factors in Latin America and the Caribbean : Governance of Five Multisectoral Efforts
Non-communicable diseases (NCDs) represent an important and growing burden to the health and economies of the Latin America and the Caribbean (LAC) region. However, some of this burden can be prevented or controlled through targeted clinical servic...
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2014/01/19457081/prevention-health-risk-factors-latin-america-caribbean-governance-five-multi-sectoral-efforts http://hdl.handle.net/10986/18644 |
| Summary: | Non-communicable diseases (NCDs)
represent an important and growing burden to the health and
economies of the Latin America and the Caribbean (LAC)
region. However, some of this burden can be prevented or
controlled through targeted clinical services and
multi-sectoral activities aimed at improving diet, promoting
physical activity, and reducing tobacco use and alcohol
abuse. This study focuses on population-wide, multi-sectoral
interventions to prevent risk factors for NCDs. This study
seeks to answer the following questions: what is the health
and economic burden of NCDs in the region?; what are
countries doing to promote healthy living and prevent risk
factors for NCDs?; what are the main governance challenges
countries face in developing and implementing
population-wide NCD prevention interventions and which are
the success stories?; and what else can the region do to
reduce health risk factors and prevent the onset of NCDs?
This study documents governance challenges in the design and
implementation of promising or successful population-wide
interventions intended to prevent health risk factors in
LAC. It focuses on the process whereby public officials
develop and implement primary-prevention policies and
programs. It is composed of five commissioned case studies
on multi-sectoral interventions to promote healthy living in
the region. These case studies examine which stakeholders
participated directly or indirectly in the decision-making
process; what positions they held; which incentives they
faced; which strategies they pursued; how did existing
institutional arrangements affect the decision-making
process; what lessons can be drawn from these processes; and
what were the successes and setbacks? This report provides a
glimpse into the types of opposing interests and power games
involved in proposing, passing, and implementing successful
or promising population-based health interventions in LAC.
The aim is to provide information on the struggles and
challenges involved in the design and implementation of
policies, presenting an array of possible instruments and
models that can be useful and adaptable to specific scenarios. |
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