Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 1355
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2019  |  Volume : 8  |  Issue : 2  |  Page : 326-329

Communicable or noncommunicable diseases? Building strong primary health care systems to address double burden of disease in India

1 Secretary, Basic HealthCare Services, Udaipur, Rajasthan, India
2 Director, Basic HealthCare Services, Udaipur, Rajasthan, India
3 Executive (Programs), Basic HealthCare Services, Udaipur, Rajasthan, India

Correspondence Address:
Dr. Pavitra Mohan
Basic Health Care Services, 39, Krishna Colony Bedla Road, Udaipur - 313 011, Rajasthan
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_67_19

Rights and Permissions

Between 1990 and 2016, India has seen an epidemiological transition in disease burden and deaths, with a steady rise in noncommunicable disease (NCD) burden. This has led to a tussle for policy attention and resources between proponents of communicable diseases such as tuberculosis, and of NCDs, such as cardiovascular diseases and diabetes. Review of evidence from global burden of diseases studies and from our own field data from rural south Rajasthan reveals that communicable-malnutrition- maternal-newborn diseases (CMNND), injuries, and NCDs are major causes of disease burden and deaths in childhood, youth and older age group, respectively. Risk factors related to diet, nutrition, and air pollution contribute significantly to communicable as well as NCDs. Many NCDs in adults have origins in malnutrition during pregnancy and early childhood; similarly, certain NCDs are caused by a communicable disease. We argue that the binary of communicable and NCD is incorrect, and that resources and policy attention be focused on strengthening primary health care systems that address CMMNDs as well as NCDs; and reduce the underlying risk factors.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded734    
    Comments [Add]    
    Cited by others 3    

Recommend this journal