Risk-Attributable Burden of Chronic Diseases and Cost of Prevention in Bangladesh.

A. Mirelman,T. Koehlmoos,L. Niessen

Published 2012 in Global Heart

ABSTRACT

To address the increasing burden from noncommunicable diseases (NCD) in Bangladesh, new epidemiologic and economic information for risk factors are needed. This work quantified the attributable risk from specific NCD risk factors and undertook a costing exercise for prevention of NCD risk factors. We used available data for Bangladesh and implemented an iterative questionnaire process with local experts to calculate risk factor population attributable fractions and establish resource requirements for NCD prevention. The burden analysis showed that myocardial infarction and stroke occurrence can be greatly reduced by risk factor control. From the costing, we found that $3.95 USD per capita is needed for a prevention program, which is 26% of the total expenditure on health. These estimates should facilitate advocacy for setting expenditure targets and identifying financing mechanisms to address NCD. The information supports the scaling-up of NCD prevention strategies in Bangladesh and serves as a model for work in developing country settings.

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