PDF(Pubmed)
Abstract：
There is a rising prevalence of non-communicable diseases (NCDs) in Papua New Guinea (PNG), adding to the disease burden from communicable infectious diseases and thus increasing the burden on the healthcare system in a low-resource setting. The aim of this review was to identify health and nutrition promotion programs conducted in PNG and the enablers and barriers to these programs. Four electronic databases and grey literature were searched. Two reviewers completed screening and data extraction. This review included 23 papers evaluating 22 health and nutrition promotion programs, which focused on the Ottawa Charter action areas of developing personal skills (12 programs), reorienting health services (12 programs) and strengthening community action (6 programs). Nineteen programs targeted communicable diseases; two addressed NCDs, and one addressed health services. Enablers of health promotion programs in PNG included community involvement, cultural appropriateness, strong leadership, and the use of mobile health technologies for the decentralisation of health services. Barriers included limited resources and funding and a lack of central leadership to drive ongoing implementation. There is an urgent need for health and nutrition promotion programs targeting NCDs and their modifiable risk factors, as well as longitudinal study designs for the evaluation of long-term impact and program sustainability.
摘要：
巴布亚新几内亚（PNG）的非传染性疾病（NCDs）患病率上升，传染病增加了疾病负担，从而增加了低资源环境下医疗保健系统的负担。这项审查的目的是确定在PNG中进行的健康和营养促进计划以及这些计划的推动者和障碍。检索了四个电子数据库和灰色文献。两名评审员完成了筛选和数据提取。这篇综述包括23篇论文，评估了22项健康和营养促进计划，侧重于《渥太华宪章》发展个人技能的行动领域(12个项目)，重新定位卫生服务(12个方案)和加强社区行动(6个方案)。19个针对传染病的方案；两个针对非传染性疾病，其中一个涉及卫生服务。PNG健康促进计划的支持者包括社区参与，文化适宜性，坚强的领导,以及使用移动医疗技术来分散医疗服务。障碍包括资源和资金有限，以及缺乏推动持续执行的中央领导。迫切需要针对非传染性疾病及其可改变的风险因素的健康和营养促进计划，以及用于评估长期影响和计划可持续性的纵向研究设计。
