Publication: Financing for NCDs and Mental Health: Where will the Money Come From?
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2025-02-26
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2025-02-26
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This policy brief reviews the options for increasing funding for NCDs and mental healthfrom the perspective of health ministries, finance ministries, and development agencies.This policy brief complements another policy brief, Financing for NCDs and mental health:making the money work better, that identifies mechanisms for improving the efficiency ofcurrent spending. These recommendations emerged from the International Dialogue onSustainable Financing for Noncommunicable Diseases and Mental Health (June 2024)and related technical background papers.
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“World Health Organization; World Bank. 2025. Financing for NCDs and Mental Health: Where will the Money Come From?. International Dialogue on Sustainable Financing for Noncommunicable Disease and Mental Health. © World Bank. http://hdl.handle.net/10986/42871 License: CC BY-NC 3.0 IGO.”
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Publication Financing for NCDs and Mental Health(Washington, DC: World Bank, 2025-02-26)In the wake of the COVID-19 pandemic, many national governments face significant macrofiscal challenges that make increasing resources for NCDs and mental health more difficult. Hence, the challenge for the coming years is to improve financing for NCDs and mental health in the context of tighter health budgets. This policy brief reviews theoptions for governments to improve and get better value for money in their spending on NCDs and mental health. It also identifies options for ministries of health to use discretionary funds to support increased effective coverage of NCD and mental health interventions. This brief complements another policy brief, Financing for NCDs and mental health: where will the money come from, that identifies mechanisms for increasing financing for these conditions. These recommendations emerged from the International Dialogue on Sustainable Financing for Noncommunicable Diseases and Mental Health (June 2024) and related technical background papersPublication Integrating the Response to NCDS and Mental Health in the Context of Building Resilient Health Systems in Africa(Washington, DC: World Bank, 2024-04-03)From June 6 to 8, 2023, the Ministry of Health of Rwanda organized an event entitled “Integrating the Response to Noncommunicable Diseases (NCDs) and Mental Health (MH) in the Context of Building Resilient Health Systems in Africa” followed by a technical workshop, with the participation of representatives from the governments of Eswatini, Ethiopia, Ghana, Kenya, Lesotho, Rwanda, Uganda, and Zimbabwe. 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Yet, the average per capita expenditure on MH provision in African countries is US$0.46, with only 1.6 health professionals per 100,000 population working in this field. Primary health care and community-based services are essential strategies to support health systems and to avoid the consequences of early mortality and the social and economic losses brought on by the increased incidence of NCDs and MH. The challenges imposed by NCDs require a stronger collaboration among African countries to see how policies developed in different countries could be adaptative to other regional needs and contexts. Countries participating in the workshop shared some achievements and discussed the challenges ahead for the integration of the provision of mental health services and NCDs care at the first level of care.Publication Prevention and Control of Selected Chronic NCDs in Sri Lanka : Policy Options and Action(World Bank, Washington, DC, 2010-10)Strategic decisions to reorient population-based prevention and clinic- and hospital-based care policies toward non-communicable diseases (NCDs) will enable healthier aging and reduce loss of productivity among the working-age population in Sri Lanka. This report aims to stimulate policy dialogue for NCDs and to provide an evidence base to facilitate decisions. Its focus is mainly on chronic NCDs-that is, cardiovascular disease (CVD), diabetes, and asthma/chronic obstructive pulmonary disease (COPD), and to a lesser extent cancer-and their major modifiable risk factors (tobacco use, unhealthy diet, lack of exercise, and harmful alcohol use). 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Promising examples can be seen globally for action on both specific NCD risk factors as well as in a more systemic approach to policy decision making.Publication Chronic Emergency : Why NCDs Matter(World Bank, Washington, DC, 2011-07)'Chronic emergency: why non communicable diseases (NCDs) Matter' examines the magnitude of the challenge posed by NCDs in middle- and low-income countries, and makes the case for elevating the challenge as a priority item to address on the agenda of decision-makers. NCDs are on the rise in all middle- and low-income country regions. By 2030, NCDs are expected to account for three quarters of the disease burden in middle-income countries, up from two-thirds today and approaching the level of high-income countries. In low income countries, the NCD share of the disease burden will increase even more quickly and will approach the levels currently found in middle-income countries. At the same time, many low-income countries will continue to contend with substantial communicable disease burdens, thus facing a double burden of disease. Further, compared to their higher-income counterparts, many developing countries will face elevated NCD levels at earlier stages of economic development and with a much compressed timeline to address the challenge. The overall economic and social cost of NCDs vastly exceeds their direct medical costs. NCDs affect economies, health systems, and households and individuals through a range of drivers such as reduced labor productivity, higher medical treatment costs, and lost savings. These drivers aggregate into significant socioeconomic impacts, including in the areas of: country productivity and competitiveness; fiscal pressures; health outcomes; and poverty, inequity and opportunity loss. Despite the magnitude of the NCD challenge, there is considerable space for action. While most countries will not be able to treat their way out of the NCD challenge because of the immense costs such a strategy requires, they can target NCD risk factors and promote healthier lifestyles through focused prevention efforts while also facilitating strategic adaptation measures to mitigate the impact of NCDs on economies, health systems, and households and individuals.
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