Innovations in non-communicable diseases management in Asean

A case series

Bibliographic Data

ID19530410
AuthorsJeremy Fung Yen Lim (corresponding author), Jeremy Lim (0000-0002-6424-2696, Health and Life Sciences PracticeAsia Pacific Region, Oliver Wyman, Singapore), Melissa M H Chan (Health and Life Sciences PracticeAsia Pacific Region, Oliver Wyman, Singapore), Fatimah Z Alsagoff (Vriens and Partners, Singapore), Duc Ha (Secretarial and Coordination DivisionCabinet Office, Ministry of Health, Hanoi, Vietnam), Duc Anh Ha (0000-0002-3354-0957, Ministry of Health)
Year2014
Volume7
Issue1
Pages25110-25110
Publication date2014-12-01
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.3402/gha.v7.25110
PMID25249061
OpenAlexW2032815899
LanguageEN
Citations received5
References cited6

BACKGROUND: Non-communicable diseases (NCDs) are reaching epidemic proportions worldwide and present an unprecedented challenge to economic and social development globally. In Southeast Asia, the challenges are exacerbated by vastly differing levels of health systems development and funding availability. In addressing the burden of NCDs, ASEAN nations need to fundamentally re-examine how health care services are structured and delivered and discover new models as undiscerning application of models from other geographies with different cultures and resources will be problematic. OBJECTIVE: We sought to examine cases of innovation and identify critical success factors in NCD management in ASEAN. DESIGN: A qualitative design, focusing on in-depth interviews and site visits to explore the meanings and perceptions of participants regarding innovations in NCD against the backdrop of the overall context of delivering health care within the country's context was adopted. RESULTS: In total 12 case studies in six ASEAN countries were analysed. Primary interventions accounted for five of the total cases, whereas secondary interventions comprised four, and tertiary interventions three. Five core themes contributing to successful innovation for NCD management were identified. They include: 1) encourage better outcomes through leadership and support, 2) strengthen inter-disciplinary partnership, 3) community ownership is key, 4) recognise the needs of the people and what appeals to them, and 5) raise awareness through capacity building and increasing health literacy. CONCLUSIONS: Innovation is vital in enabling ASEAN nations to successfully address the growing crisis of NCDs. More of the same or wholesale transfers of developed world models will be ineffective and lead to financially unsustainable programmes or programmes lacking appropriate human capital. The case studies have demonstrated the transformative impact of innovation and identified key factors in successful implementation. Beyond pilot success, the bigger challenge is scaling up. Medical technologies are crucial but insufficient; passionate and engaged leaders and communities enabled by enlightened policy makers and funding agencies matter more

Biology · Business · Global Health and Epidemiology · Global Maternal and Child Health · Global Public Health Policies and Epidemiology

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