TY  - JOUR
PY  - 2021//
TI  - Reframing non-communicable diseases and injuries for equity in the era of universal health coverage: findings and recommendations from the Kenya NCDI Poverty Commission
JO  - Annals of global health
A1  - Nato, Joyce
A1  - Mwangi, Nelson
A1  - Abubakar, Hussein
A1  - Meme, Hellen
A1  - Odhiambo, Frank
A1  - Bukachi, Fredrick
A1  - Kamano, Jemima
A1  - Kimaiyo, Sylvester
A1  - Nyamongo, Mary
A1  - Gathecha, Gladwell
A1  - Mwangi, Kibachio
A1  - Oti, Samuel
A1  - Kyobutungi, Catherine
A1  - Wamukoya, Marylene
A1  - Mohamed, Shukri F.
A1  - Wanyonyi, Emma
A1  - Ali, Zipporah
A1  - Nyanjau, Loise
A1  - Nganga, Ann
A1  - Kiptui, Dorcas
A1  - Karagu, Alfred
A1  - Nyangasi, Mary
A1  - Mwenda, Valerian
A1  - Mwangi, Martin
A1  - Mulaki, Aaron
A1  - Mwai, Daniel
A1  - Waweru, Paul
A1  - Anyona, Mamka
A1  - Masibo, Peninah
A1  - Beran, David
A1  - Guessous, Idris
A1  - Coates, Matt
A1  - Bukhman, Gene
A1  - Gupta, Neil
SP  - e3
EP  - e3
VL  - 87
IS  - 1
N2  - BACKGROUND: Kenya has implemented a robust response to non-communicable diseases and injuries (NCDIs); however, key gaps in health services for NCDIs still exist in the attainment of Universal Health Coverage (UHC). The Kenya Non-Communicable Diseases and Injury (NCDI) Poverty Commission was established to estimate the burden of NCDIs, determine the availability and coverage of health services, prioritize an expanded set of NCDI conditions, and propose cost-effective and equity-promoting interventions to avert the health and economic consequences of NCDIs in Kenya. <br><br>METHODS: Burden of NCDIs in Kenya was determined using desk review of published literature, estimates from the Global Burden of Disease Study, and secondary analysis of local health surveillance data. Secondary analysis of nationally representative surveys was conducted to estimate current availability and coverage of services by socioeconomic status. The Commission then conducted a structured priority setting process to determine priority NCDI conditions and health sector interventions based on published evidence. <br><br>FINDINGS: There is a large and diverse burden of NCDIs in Kenya, with the majority of disability-adjusted life-years occurring before age of 40. The poorest wealth quintiles experience a substantially higher deaths rate from NCDIs, lower coverage of diagnosis and treatment for NCDIs, and lower availability of NCDI-related health services. The Commission prioritized 14 NCDIs and selected 34 accompanying interventions for recommendation to achieve UHC. These interventions were estimated to cost $11.76 USD per capita annually, which represents 15% of current total health expenditure. This investment could potentially avert 9,322 premature deaths per year by 2030. <br><br>CONCLUSIONS AND RECOMMENDATIONS: An expanded set of priority NCDI conditions and health sector interventions are required in Kenya to achieve UHC, particularly for disadvantaged socioeconomic groups. We provided recommendations for integration of services within existing health services platforms and financing mechanisms and coordination of whole-of-government approaches for the prevention and treatment of NCDIs.<p />  <p>Language: en</p>
LA  - en
SN  - 2214-9996
UR  - http://dx.doi.org/10.5334/aogh.3085
ID  - ref1
ER  -