Accelerating integration of noncommunicable diseases into primary health care

[Extract] Noncommunicable diseases (NCDs), principally cardiovascular diseases, cancer, diabetes and chronic respiratory diseases, are the leading causes of death and disability in the World Health Organization’s Region of the Americas, with an estimated 6 million deaths in 2021, 38% of which were premature, occurring in people younger than 70 years (1). Many of these premature deaths can be avoided with improved access to and quality of primary health care.

Better care for NCDs

Noncommunicable diseases (NCDs) are the leading causes of death in the Region of the Americas, leading to 6 million deaths in 2021, 38% of which are premature in people under 70 years of age. The main NCDs are cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases, caused by common risk factors of tobacco, harmful use of alcohol, unhealthy diet and physical inactivity.

Preparing for ICD-11 transition: lessons from case studies in Argentina and Mexico

Objectives

To explore the early stages of the International Classification of Diseases 11th Revision (ICD-11) implementation in Argentina and Mexico, focusing on mortality coding, to identify essential elements and key considerations for successful adoption. 

Methods

Qualitative analysis was conducted using case studies from Argentina and Mexico. Data were collected through interviews, workshops, and document analysis to uncover opportunities, challenges, and strategic decisions in ICD-11 implementation. 

Evaluation of knowledge about childhood cancer among health professionals in five cities of Colombia

Objective

To assess primary health care professionals’ knowledge regarding the timely detection of childhood cancer in five priority cities in Colombia. 

Methods

Descriptive cross-sectional study with an analytical component, of 141 nursing, general medicine, family medicine, and pediatrics professionals in five of the Colombian cities with the highest rates of mortality due to this cause. A multivariate analysis was performed to predict the percentage of success obtained on each section of the test and overall. 

Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina

Objectives

To evaluate implementation of the second round of human papillomavirus (HPV)-based cervical screening, introduced in Argentina in 2012–2014 through the Jujuy Demonstration Project for women 30 years and older, and describe the characteristics of women who adhere to the recommended five-year rescreening interval. 

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