Anderson, Ian2014-04-162014-04-162013-09https://hdl.handle.net/10986/17851There is increasing recognition that non-communicable diseases (NCDs) are an important international and development issue globally, undermining health gains and imposing financial and economic costs on governments and households. NCDs are an important health challenge in the Pacific. First, (NCDs) can impose large but often preventable health, financial, and economic costs on countries. This is particularly important in the Pacific, where government already finances and provides the bulk of health services. Second, risk factors in the Pacific are feeding a pipeline of potentially expensive-to-treat NCDs, including diabetes and heart disease, but governments are already fiscally constrained in how much more they can provide to the health system. Third, from a public health and public finance perspective, many of the NCDs are avoidable or their health and financial costs can at least be postponed through good primary and secondary prevention. This will require a more coherent approach to health system financing and to health system operations, more generally. Improving both allocative efficiency ("doing the right things") and technical efficiency ("doing things right") are critical strategies to improve health outcomes in a financially sustainable way in the resource-constrained Pacific.en-USCC BY 3.0 IGOACCESS TO EDUCATIONADDICTIONADULT MORTALITYADULT POPULATIONAGEDAGINGAGING POPULATIONSAIDALLOCATIVE EFFICIENCYANTENATAL CAREASTHMABOTH SEXESBREAST CANCERBRONCHITISBURDEN OF DISEASECANCERSCARDIOVASCULAR DISEASECAUSES OF DEATHCHILD HEALTHCHILDREN PER WOMANCHOLESTEROLCHRONIC DISEASECHRONIC DISEASESCIRCULATORY SYSTEMCITIZENSCOLON CANCERCOMMUNICABLE DISEASESCOMMUNITY ACTIONCOMPLICATIONSCORONARY HEART DISEASECURRENT POPULATIONDANGERSDEATH RATEDEATH RATESDEATHSDEMENTIADEMOGRAPHIC TRANSITIONDENTAL HEALTHDEPENDENCY RATIODEVELOPING COUNTRIESDIABETESDIABETES MELLITUSDIAGNOSISDIARRHEADIETDIETSDISABILITIESDISABILITYDISEASE BURDENDISEASE CONTROLDOMESTIC VIOLENCEDOUBLE BURDENDRUGSEARLY DETECTIONECONOMIC GROWTHECONOMIC IMPLICATIONSECONOMIC RESOURCESELDERLYEMPHYSEMAEPIDEMICEPIDEMICSESSENTIAL HEALTH SERVICESEXCESSIVE CONSUMPTIONEXPENDITURESEYE DISEASESFEMALEFEMALESFERTILITY RATEFERTILITY RATESFEWER PEOPLEFINANCIAL MANAGEMENTFOOD INSECURITYGLOBAL HEALTHGLUCOSEGROSS DOMESTIC PRODUCTGROSS NATIONAL INCOMEGROWTH IN POPULATIONHARM REDUCTIONHEALTH CARE COSTSHEALTH CARE SPENDINGHEALTH CARE SYSTEMSHEALTH CENTERSHEALTH ECONOMICSHEALTH EXPENDITUREHEALTH FACILITIESHEALTH FINANCINGHEALTH INDICATORSHEALTH INFORMATIONHEALTH INFORMATION SYSTEMHEALTH INFORMATION SYSTEMSHEALTH INFRASTRUCTUREHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH PROMOTIONHEALTH SECTORHEALTH SERVICEHEALTH SERVICESHEALTH SPECIALISTHEALTH SYSTEMHEALTH SYSTEM FINANCINGHEART ATTACKSHEART DISEASEHIGH BLOOD PRESSUREHIGH FERTILITYHIVHOSPITALHOSPITAL COSTSHOSPITALSHUMAN DEVELOPMENTHYPERTENSIONILL HEALTHILLNESSESINCOMEINFANTINFANT MORTALITYINFANT MORTALITY RATEINFECTIOUS DISEASESINFLUENZAINJURIESINPATIENT CAREINTERVENTIONKIDNEY DIALYSISKIDNEY FAILURELABOR SUPPLYLACK OF DEVELOPMENTLEADING CAUSE OF DEATHLEADING CAUSESLEADING CAUSES OF DEATHLIFE EXPECTANCYLIFESTYLESLIMITED PROSPECTSLIVE BIRTHSLIVERLONG-TERM CARELUNG CANCERLUNG DISEASEMALARIAMATERNAL MORTALITYMATERNAL MORTALITY RATEMEASLESMEDICAL CAREMEDICAL TREATMENTMEDICINEMEDICINESMENTAL HEALTHMENTAL ILLNESSMETABOLIC DISORDERSMIDWIVESMILLENNIUM DEVELOPMENT GOALSMINISTERS OF HEALTHMINISTRIES OF HEALTHMINISTRY OF HEALTHMORBIDITYMORTALITYMOTHERNATIONAL EFFORTSNATIONAL POLICYNATIONAL POPULATIONNATIONAL PRIORITIESNATIONAL PRIORITYNATIONAL STRATEGYNCDNEONATAL MORTALITYNEOPLASMSNEWBORNNONCOMMUNICABLE DISEASESNURSESNUTRITIONOBESITYOFFICIAL DEVELOPMENT ASSISTANCEOLD AGEOUTPATIENT CAREPATIENTPATIENTSPHYSICAL ACTIVITYPHYSICAL ENVIRONMENTPHYSICIANSPNEUMONIAPOLICY IMPLICATIONSPOPULATION FACTORSPOPULATION GROWTHPOPULATION GROWTH RATEPOPULATION GROWTH RATESPOPULATION SIZEPOSTERSPREGNANT WOMENPREMATURE DEATHPREVALENCEPREVENTION STRATEGIESPRIMARY HEALTH CAREPROBABILITYPROGRESSPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HEALTH OFFICIALSPUBLIC POLICYPURCHASING POWERPURCHASING POWER PARITYREPRODUCTIVE NEEDSRESPECTRESPIRATORY DISEASESRHEUMATIC FEVERRISK FACTORSRURAL AREASSCREENINGSEPTICAEMIASEXSEXUAL CONTACTSIZE OF POPULATIONSSMOKERSSMOKINGSOCIOECONOMIC DEVELOPMENTSOCIOECONOMIC STATUSSUBSTANCE ABUSESURGERYSYMPTOMSSYNDROMETOBACCO PRODUCTSTOLERANCETRANSPORTATIONTUBERCULOSISUNDER FIVE MORTALITYUNDER-FIVE MORTALITYUNEMPLOYMENTURBAN AREASURBAN POPULATIONURBANIZATIONVICIOUS CYCLEVIOLENCEVISIONVITAL STATISTICSVULNERABILITYWOMANWORKFORCEWORKING-AGE POPULATIONWORLD HEALTH ORGANIZATIONYOUNG ADULTSYOUNG AGESYOUNG POPULATIONS10.1596/17851