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Diagnostics and monitoring tools for noncommunicable diseases

A missing component in the global response

Bibliographic Data

ID19535005
AuthorsAntonio Bernabe-Ortiz (0000-0002-6834-1376, Universidad Peruana Cayetano Heredia), Jessica Hanae Zafra-Tanaka (0000-0001-6386-6643, Universidad Peruana Cayetano Heredia), Miguel Moscoso‐porra (0000-0001-9518-4241, Universidad Peruana Cayetano Heredia), Miguel Moscoso-Porras, Rangarajan Sampath (0000-0002-2951-6372, FIND), Beatrice Vetter (0000-0002-7898-472X, FIND), J Jaime Miranda (0000-0002-4738-5468, Universidad Peruana Cayetano Heredia), David Beran (0000-0001-7229-3920, University of Geneva, corresponding author)
Year2021
Volume17
Issue1
Pages26-26
Publication date2021-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobalization and Health (JOURNAL)
Journal identifiersISSN: 1744-8603 • E-ISSN: 1744-8603
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s12992-021-00676-6
PMID33750391
OpenAlexW3138130195
LanguageEN
Citations received2
References cited12

A key component of any health system is the capacity to accurately diagnose individuals. One of the six building blocks of a health system as defined by the World Health Organization (WHO) includes diagnostic tools. The WHO’s Noncommunicable Disease Global Action Plan includes addressing the lack of diagnostics for noncommunicable diseases, through multi-stakeholder collaborations to develop new technologies that are affordable, safe, effective and quality controlled, and improving laboratory and diagnostic capacity and human resources. Many challenges exist beyond price and availability for the current tools included in the Package of Essential Noncommunicable Disease Interventions (PEN) for cardiovascular disease, diabetes and chronic respiratory diseases. These include temperature stability, adaptability to various settings (e.g. at high altitude), need for training in order to perform and interpret the test, the need for maintenance and calibration, and for Blood Glucose Meters non-compatible meters and test strips. To date the issues surrounding access to diagnostic and monitoring tools for noncommunicable diseases have not been addressed in much detail. The aim of this Commentary is to present the current landscape and challenges with regards to guidance from the WHO on diagnostic tools using the WHO REASSURED criteria, which define a set of key characteristics for diagnostic tests and tools. These criteria have been used for communicable diseases, but so far have not been used for noncommunicable diseases. Diagnostic tools have played an important role in addressing many communicable diseases, such as HIV, TB and neglected tropical diseases. Clearly more attention with regards to diagnostics for noncommunicable diseases as a key component of the health system is needed

Action plan · Business · Disease · Global health · Intensive care medicine · Non-communicable disease · Pathology · Process management · Psychological intervention · Public health · Blood Pressure and Hypertension Studies · Diabetes, Cardiovascular Risks, and Lipoproteins · Global Public Health Policies and Epidemiology · Medicine

  • Reassured diagnostics at point-of-care in sub-Saharan Africa

    Open Access•Boitumelo Moetlhoa, Kuhlula Maluleke et al.•PLOS Global Public Health•2023

  • Bringing the lab bench to the field

    Open Access•Felicia C Madimenos, Theresa E Gildner et al.•American Journal of Human Biology•2022

  • Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

    Aram V Chobanian, George L Bakris et al.•Hypertension•2003

Unique citing works2
Citations per year0,5
Citation span2022 - 2023 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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