Is health promotion the starting point of primary cardiovascular care in low- and middle-income countries like Nepal?
2012 (English)In: Health Promotion Practice, ISSN 1524-8399, E-ISSN 1552-6372, Vol. 13, no 3, 412-415 p.Article in journal, Letter (Refereed) Published
BACKGROUND: Cardiovascular diseases (CVDs) are on the rise in low- and middle-income countries (LMICs) but have not received adequate priority. With a lack of concrete policy and programs, the present emphasis of CVD management in most LMICs is on curative aspects. Nepal is a prototype in this trend as it is treatment centric, particularly in urban areas. A major drawback of cure-centrism is that it requires both larger funds and more skilled manpower--both of which are limited in Nepal and other LMICs.
AIMS: In this article, the authors suggest a possible role of health promotion as starting point for tackling the rising burden of CVDs in LMICs with Nepal as example.
CONCLUSIONS: Health promotion is practiced in Nepal in connection with many health care programs and could be used to include CVD preventive strategies. The authors believe this to be a first step to increase health literacy toward CVD in the general population which may help bridge limited funds and manpower that the current curative-centric CVD strategy requires. Thus, health promotion strategies should be a tempting option for many LMICs and deserve further explorative attention.
Place, publisher, year, edition, pages
Society for Public Health Education , 2012. Vol. 13, no 3, 412-415 p.
cardiovascular disease, chronic disease, health literacy, health promotion
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:his:diva-11356DOI: 10.1177/1524839911423273PubMedID: 22447668ScopusID: 2-s2.0-84864752968OAI: oai:DiVA.org:his-11356DiVA: diva2:846457