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Primary health care and nutrition
Globally, dietary factors are responsible for about one in five deaths. In many low- and middle-income countries different forms of malnutrition (including obesity and undernutrition) can co-exist within the same population. This double burden of malnutrition is placing a disproportional strain on h...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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World Health Organization
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716102/ https://www.ncbi.nlm.nih.gov/pubmed/33293749 http://dx.doi.org/10.2471/BLT.20.251413 |
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author | Kraef, Christian Wood, Benjamin von Philipsborn, Peter Singh, Sudhvir Peterson, Stefan Swartling Kallestrup, Per |
author_facet | Kraef, Christian Wood, Benjamin von Philipsborn, Peter Singh, Sudhvir Peterson, Stefan Swartling Kallestrup, Per |
author_sort | Kraef, Christian |
collection | PubMed |
description | Globally, dietary factors are responsible for about one in five deaths. In many low- and middle-income countries different forms of malnutrition (including obesity and undernutrition) can co-exist within the same population. This double burden of malnutrition is placing a disproportional strain on health systems, slowing progress towards universal health coverage (UHC). Poor nutrition also impedes the growth of local economies, ultimately affecting the global economy. In this article, we argue that comprehensive primary health care should be used as a platform to address the double burden of malnutrition. We use a conceptual framework based on human rights and the Astana Declaration on primary health care to examine existing recommendations and propose guidance on how policy-makers and providers of community-oriented primary health care can strengthen the role of nutrition within the UHC agenda. Specifically, we propose four thematic areas for action: (i) bridging narratives and strengthening links between the primary health care and the nutrition agenda with nutrition as a human rights issue; (ii) encouraging primary health-care providers to support local multisectoral action on nutrition; (iii) empowering communities and patients to address unhealthy diets; and (iv) ensuring the delivery of high-quality promotive, preventive, curative and rehabilitative nutrition interventions. For each theme we summarize the available strategies, policies and interventions that can be used by primary health-care providers and policy-makers to strengthen nutrition in primary health care and thus the UHC agenda. |
format | Online Article Text |
id | pubmed-7716102 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-77161022020-12-07 Primary health care and nutrition Kraef, Christian Wood, Benjamin von Philipsborn, Peter Singh, Sudhvir Peterson, Stefan Swartling Kallestrup, Per Bull World Health Organ Policy & Practice Globally, dietary factors are responsible for about one in five deaths. In many low- and middle-income countries different forms of malnutrition (including obesity and undernutrition) can co-exist within the same population. This double burden of malnutrition is placing a disproportional strain on health systems, slowing progress towards universal health coverage (UHC). Poor nutrition also impedes the growth of local economies, ultimately affecting the global economy. In this article, we argue that comprehensive primary health care should be used as a platform to address the double burden of malnutrition. We use a conceptual framework based on human rights and the Astana Declaration on primary health care to examine existing recommendations and propose guidance on how policy-makers and providers of community-oriented primary health care can strengthen the role of nutrition within the UHC agenda. Specifically, we propose four thematic areas for action: (i) bridging narratives and strengthening links between the primary health care and the nutrition agenda with nutrition as a human rights issue; (ii) encouraging primary health-care providers to support local multisectoral action on nutrition; (iii) empowering communities and patients to address unhealthy diets; and (iv) ensuring the delivery of high-quality promotive, preventive, curative and rehabilitative nutrition interventions. For each theme we summarize the available strategies, policies and interventions that can be used by primary health-care providers and policy-makers to strengthen nutrition in primary health care and thus the UHC agenda. World Health Organization 2020-12-01 2020-05-28 /pmc/articles/PMC7716102/ /pubmed/33293749 http://dx.doi.org/10.2471/BLT.20.251413 Text en (c) 2020 The authors; licensee World Health Organization. This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Policy & Practice Kraef, Christian Wood, Benjamin von Philipsborn, Peter Singh, Sudhvir Peterson, Stefan Swartling Kallestrup, Per Primary health care and nutrition |
title | Primary health care and nutrition |
title_full | Primary health care and nutrition |
title_fullStr | Primary health care and nutrition |
title_full_unstemmed | Primary health care and nutrition |
title_short | Primary health care and nutrition |
title_sort | primary health care and nutrition |
topic | Policy & Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716102/ https://www.ncbi.nlm.nih.gov/pubmed/33293749 http://dx.doi.org/10.2471/BLT.20.251413 |
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