ArticleHealth research policy and systems2017
Responding to non-communicable diseases in Zambia: a policy analysis.
Article in Health research policy and systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 56 citations in OpenAlex.
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- Stakeholder engagement and pharmaceutical pricing regulation: a qualitative inquiry.Journal of pharmaceutical policy and practice · 2025Article
- Factors influencing non-communicable disease policy process in Sub-Saharan Africa: a scoping review.BMJ public health · 2025Article
- The prevalence and behavioral risk factors contributing to non-communicable diseases in Bushbuckridge, Mpumalanga province, South Africa.Frontiers in epidemiology · 2025Article
- Factors Influencing the Implementation of a Disability Package for Children with Developmental Disabilities: A Policy Analysis.Acta medica Philippina · 2025Article
- A scoping review of current trends of multisectoral collaborations for health within the education, agriculture, and environment sectors in Anglophone Africa.Frontiers in public health · 2025Article
- Evaluating a multifaceted implementation strategy and package of evidence-based interventions based on WHO PEN for people living with HIV and cardiometabolic conditions in Lusaka, Zambia: protocol for the TASKPEN hybrid effectiveness-implementation stepped wedge cluster randomized trial.Implementation science communications · 2024Article
- Mortality from non-communicable diseases and associated risk factors in Zambia; analysis of the sample vital registration with verbal autopsy 2015/2016.BMC public health · 2024Article
- Burden of chronic kidney diseases and underlying causes in Zambia: evidence from the global burden of disease study 2019.BMC nephrology · 2023Article
- Opportunities and constraints for cleaner production policy in the developing world: a case study of Sindh Region, Pakistan.Environment, development and sustainability · 2023Article
- School Food Environment in Urban Zambia: A Qualitative Analysis of Drivers of Adolescent Food Choices and Their Policy Implications.International journal of environmental research and public health · 2022Article
- Challenges and enablers for implementation of WHO 'Best buys' interventions targeting risk factors of diabetes and hypertension in South Africa: a mixed methods study.The Pan African medical journal · 2022Article
- Gastrointestinal Cancer Prevention Policies: A Qualitative Systematic Review and Meta-Synthesis.International journal of preventive medicine · 2022Review
- Population-level interventions targeting risk factors of diabetes and hypertension in South Africa: a document review.BMC public health · 2021Review
- Prioritizing Health-Sector Interventions for Noncommunicable Diseases and Injuries in Low- and Lower-Middle Income Countries: National NCDI Poverty Commissions.Global health, science and practice · 2021Article
- Reorienting Primary Health Care Services for Non-Communicable Diseases: A Comparative Preparedness Assessment of Two Healthcare Networks in Malawi and Zambia.International journal of environmental research and public health · 2021Article
- Reasons for poor blood pressure control in Eastern Sub-Saharan Africa: looking into 4P's (primary care, professional, patient, and public health policy) for improving blood pressure control: a scoping review.BMC cardiovascular disorders · 2021Article
- War on Diabetes in Singapore: a policy analysis.Health research policy and systems · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-communicable diseases (NCDs) are an emerging global health concern. Reports have shown that, in Zambia, NCDs are also an emerging problem and the government has begun initiating a policy response. The present study explores the policy response to NCDs by the Ministry of Health in Zambia using the policy triangle framework of Walt and Gilson.
methodsA qualitative approach was used for the study. Data collected through key informant interviews with stakeholders who were involved in the NCD health policy development process as well as review of key planning and policy documents were analysed using thematic analysis.
resultsThe government's policy response was as a result of international strategies from WHO, evidence of increasing disease burden from NCDs and pressure from interest groups. The government developed the NCD strategic plan based on the WHO Global Action Plan for NCDs 2013-2030. Development of the NCD strategic plan was driven by the government through the Ministry of Health, who set the agenda and adopted the final document. Stakeholders participated in the fine tuning of the draft document from the Ministry of Health. The policy development process was lengthy and this affected consistency in composition of the stakeholders and policy development momentum. Lack of representative research evidence for some prioritised NCDs and use of generic targets and indicators resulted in the NCD strategic plan being inadequate for the Zambian context. The interventions in the strategic plan also underutilised the potential of preventing NCDs through health education. Recent government pronouncements were also seen to be conflicting the risk factor reduction strategies outlined in the NCD strategic plan.
conclusionThe content of the NCD strategic plan inadequately covered all the major NCDs in Zambia. Although contextual factors like international strategies and commitments are crucial catalysts to policy development, there is need for domestication of international guidelines and frameworks to match the disease burden, resources and capacities in the local context if policy measures are to be comprehensive, relevant and measurable. Such domestication should be guided by representative local research evidence.
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