scholarly journals National responses to HIV/AIDS and non-communicable diseases in developing countries: analysis of strategic parallels and differences

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Tilahun Nigatu Haregu ◽  
Geoffrey Setswe ◽  
Julian Elliott ◽  
Brian Oldenburg
Keyword(s):  
Developing Countries ◽  
Qualitative Content Analysis ◽  
Communicable Diseases ◽  
Coordination Mechanism ◽  
Comparative Case Study ◽  
Multiple Sources ◽  
Strategic Information ◽  
Non Communicable Diseases ◽  
Study Approach ◽  
Hiv Aids

HIV/AIDS and non-communicable diseases (NCDs) epidemics may have many important similarities in their aetiology, pathogenesis and management. Evidence about the similarities and differences between the national responses HIV/AIDS and NCDs is essential for an integrated response. The objective of this study was to examine the parallels and differences between national responses to HIV/AIDS and NCDs in selected developing countries. This study applied a strategic level comparative case study approach as its study design. The main construct was national response to HIV/AIDS and NCDs. The 4 overarching themes were policy response, institutional mechanism, programmatic response and strategic information. Four countries were purposively selected as cases. Data were collected and triangulated from a multiple sources. The focus of analysis included identifying items for comparison, characteristics to be compared, degrees of similarity, and strategic importance of similarities. Analysis of data was qualitative content analysis with within-case, between-case, and across-case comparisons. While the nature of the disease and the contents of national HIV/AIDS and NCD policies are different, the policy processes involved are largely similar. Functional characteristics of programmatic response to HIV/AIDS and NCDs are similar. But the internal constituents are different. Though both HIV and NCDs require both a multi-sectorial response and a national coordination mechanism, the model and the complexity of the coordination are different. Strategic information frameworks for HIV/AIDS and NCDs use similar models. However, the indicators, targets and priorities are different. In conclusion, the national responses between HIV/AIDS and NCDs are largely similar in approaches and functions but different in content.

Lobbying against sugar taxation in the European Union: Analysing the lobbying arguments and tactics of stakeholders in the food and drink industries

2018 ◽  
Vol 47 (5) ◽  
pp. 565-575 ◽  
Author(s):  
Arsenios Tselengidis ◽  
Per-Olof Östergren
Keyword(s):  
Trade Unions ◽  
Tobacco Industry ◽  
Qualitative Content Analysis ◽  
Stakeholder Analysis ◽  
Communicable Diseases ◽  
Political Activity ◽  
The European Union ◽  
Corporate Political Activity ◽  
Non Communicable Diseases ◽  
Food And Drink

Aims: This study investigates the lobbying actors of the food and drink industry (FDI), their web lobbying arguments used in the sugar taxation debate and the tactics deployed when facing legislative restrictions on their products to curb the burden of non-communicable diseases in Europe. Methods: A stakeholder analysis was performed to identify the FDI’s actors lobbying against sugar taxation within the EU Platform for Action on Diet, Physical Activity and Health during December 2015. Qualitative content analysis was applied to assess the FDI’s web lobbying claims related to three main concepts (sugar as a product, sugar’s association with non-communicable diseases and sugar taxation), guided by a framework for corporate political activity. Results: The web site content of a front organization and six FDI lobbyists was analysed. Some new strategies emerged alongside known corporate strategies (‘questioning the effectiveness of regulation and promoting benefits of a withdrawal’, ‘promoting sugar’s good traits and shift the blame away from it’ and ‘establishing relationships with trade unions’). The lobby tactics were similar to those previously applied by the tobacco industry in Europe, although the argument that sugar is a natural ingredient in many foods was unique to the FDI. Conclusions: The observed tactics and arguments presented by the FDI in opposition to sugar taxation have striking similarities with those previously used by the tobacco industry. An improved understanding of the stakeholders’ mandate and resources and their most important tactics will strengthen the position of public health experts when debating sugar taxation with the FDI, which may contribute to improving population health.

scholarly journals Multimorbidity of chronic non-communicable diseases: burden, care provision and outcomes over time among patients attending chronic outpatient medical care in Bahir Dar, Ethiopia—a mixed methods study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e051107 ◽  
Author(s):  
Fantu Abebe Eyowas ◽  
Marguerite Schneider ◽  
Shitaye Alemu ◽  
Fentie Ambaw Getahun
Keyword(s):  
Quantitative Study ◽  
Qualitative Data ◽  
Premature Mortality ◽  
Evidence Base ◽  
Communicable Diseases ◽  
Bahir Dar ◽  
Multiple Sources ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Over Time

IntroductionMultimorbidity refers to the presence of two or more chronic non-communicable diseases (NCDs) in a given individual. It is associated with premature mortality, lower quality of life (QoL) and greater use of healthcare resources. The burden of multimorbidity could be huge in the low and middle-income countries (LMICs), including Ethiopia. However, there is limited evidence on the magnitude of multimorbidity, associated risk factors and its effect on QoL and functionality. In addition, the evidence base on the way health systems are organised to manage patients with multimorbidity is sparse. The knowledge gleaned from this study could have a timely and significant impact on the prevention, management and survival of patients with NCD multimorbidity in Ethiopia and in LMICs at large.Methods and analysisThis study has three phases: (1) a cross-sectional quantitative study to determine the magnitude of NCD multimorbidity and its effect on QoL and functionality, (2) a qualitative study to explore organisation of care for patients with multimorbidity, and (3) a longitudinal quantitative study to investigate disease progression and patient outcomes over time. A total of 1440 patients (≥40 years) on chronic care follow-up will be enrolled from different facilities for the quantitative studies. The quantitative data will be collected from multiple sources using the KoBo Toolbox software and analysed by STATA V.16. Multiple case study designs will be employed to collect the qualitative data. The qualitative data will be coded and analysed by Open Code software thematically.Ethics and disseminationEthical clearance has been obtained from the College of Medicine and Health Sciences, Bahir Dar University (protocol number 003/2021). Subjects who provide written consent will be recruited in the study. Confidentiality of data will be strictly maintained. Findings will be disseminated through publications in peer-reviewed journals and conference presentations.

scholarly journals Between Tradition and Sustainable Innovation: Empirical Evidence for the Role of Geographical Indications

2020 ◽  
Vol 13 (9) ◽  
pp. 101
Author(s):  
Alessandro Gocci ◽  
Christoph Luetge ◽  
Hristos Vakoufaris
Keyword(s):  
Fruits And Vegetables ◽  
Qualitative Content Analysis ◽  
Comparative Case Study ◽  
Niche Markets ◽  
Bottom Line ◽  
Study Approach ◽  
Long Run ◽  
Institutional Contexts ◽  
Holistic Research

The role of innovation without disrupting tradition is gaining importance within GI research. Next to maintaining competitiveness within niche markets, the topic of sustainability is put into focus by different GI stakeholders. This paper aims to shed light on the combination of tradition and innovation and their effects on long-term sustainability. A new framework was developed combining the concept of a GI entrepreneur, the TISyn model, and the Triple-Bottom line. It can be used for holistic research of GI agricultural productions while focusing not only on economic factors but also on social and environmental ones. Three protected designations of origin (PDO) products were researched as case studies using the framework: Stromberger Pflaume (Germany), Carciofo Spinoso di Sardegna (Italy), and Vlaams Brabantse tafeldruif (Belgium). The selection of these cases was based on a qualitative content analysis of GI documents, with the possibility of comparing different national and institutional contexts, while using products belonging to the same product class (fruits and vegetables). Furthermore, the selection was refined by the available empirical material and the willingness and ability of GI stakeholders to engage in topics investigated here. The comparative case study approach allows us to qualitatively assess differences between the dimensions of sustainability within different contexts. Thus, it will help build a new theory around the synergy of tradition and innovation within the GI scheme. The results can support new GI policy designs and their implementation, which may benefit all the GI stakeholders in the long-run.

scholarly journals Challenges and opportunities to tackle the rising prevalence of diet-related non-communicable diseases in Africa

2019 ◽  
Vol 78 (4) ◽  
pp. 506-512 ◽  
Author(s):  
Victor O. Owino
Keyword(s):  
Infectious Diseases ◽  
Nutrition Education ◽  
Breast Feeding ◽  
Burden Of Disease ◽  
Communicable Diseases ◽  
Overweight And Obesity ◽  
Double Burden ◽  
Non Communicable Diseases ◽  
Tract Infections ◽  
Hiv Aids

Africa is experiencing a sharp rise in non-communicable diseases (NCD) related to rapid globalisation and urbanisation leading to shifts in dietary and lifestyle patterns characterised by increased energy intake and physical inactivity. However, unlike more resource-endowed regions, Africa has a double burden of disease: NCD co-exist with infectious diseases including lower respiratory tract infections, HIV/AIDS and diarrhoeal diseases. The African economy is also relatively weaker, making it difficult to cope with this burden. It is postulated that NCD will soon overtake infectious diseases as the number one cause of death in the African region. The recognition of NCD as diseases and obesity as a related risk factor is weak in Africa, compounded by stigma associated with wasting in HIV/AIDS and obesity being perceived as a sign of wealth, achievement and care. There is also a dearth of data on overweight and obesity in the region and little knowledge that infant feeding practices, such as breast-feeding, are linked to reduced risk of NCD in both children and mothers. While complex multi-sectoral approaches to address this NCD menace are needed, Africa may benefit from taking simple initial steps to address NCD risk factors including: (1) behaviour change communication to challenge perceptions on NCD; (2) promoting and protecting breast-feeding; (3) formulating policies and regulations limiting wide availability of unhealthy foods; (4) mainstream nutrition education in school curricula and (5) collection of accurate data based on indicators that can reflect the double burden of disease and malnutrition; and fostering multi-sectoral actions against NCD.

scholarly journals Poverty and risk factors for non-communicable diseases in developing countries: a systematic review

The Lancet ◽  
2016 ◽  
Vol 388 ◽  
pp. S17 ◽  
Author(s):  
Luke Allen ◽  
Julianne Williams ◽  
Nick Townsend ◽  
Bente Mikkelsen ◽  
Nia Roberts ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Developing Countries ◽  
Communicable Diseases ◽  
Non Communicable Diseases
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