Saturday, October 22, 2011

Cost-effectiveness Evidence on Prevention, Control, and Treatment of NCDs

Combined Population- and Individual-based Interventions

World Bank (2006) recommends a set of combined population- and individual-based interventions to tackle part of the CVD burden in low- and middle-income countries (Appendix 3, Tables A3.2 and A3.3):

* Management of acute myocardial infarction with aspirin and beta-blockers

* Primary prevention of coronary artery disease with legislation substituting 2 percent of trans fat with polyunsaturated fat

* Secondary prevention of congestive heart failure with angiotensin-converting enzyme inhibitors and beta-blockers incremental to diuretics

* Secondary prevention of myocardial infarction and stroke with a polypill containing aspirin,
beta-blocker, thiazide diuretic, angiotensin-converting enzyme inhibitor, and statin.

No comments: