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投资应对非传染性疾病和精神健康状况:一项政治选择。

Investing in Addressing NCDs and Mental Health Conditions: a Political Choice.

作者信息

Collins Téa E, Karapici Amanda, Berlina Daria

机构信息

World Health Organization, Avenue Appia 20, 1211 Geneva, Switzerland.

出版信息

Ann Glob Health. 2025 Apr 29;91(1):22. doi: 10.5334/aogh.4649. eCollection 2025.

Abstract

Noncommunicable diseases (NCDs) and mental health conditions are responsible for 75% of deaths globally, with the greatest burden in low‑ and middle‑income countries (LMICs). The economic impact of NCDs and mental health conditions on households, health systems, and economies is also staggering. Despite the growing burden of NCDs, the available funding to address these diseases is limited, with less than 2.3% of global health development assistance spent on NCDs. The 2025 United Nations (UN) High‑Level Meeting on NCDs will provide a critical opportunity to reaffirm global commitments, enhance political will, and advocate for greater resource mobilization for the prevention and control of NCDs and mental health conditions. Investments will be needed in the strengthening of health systems, integrated models of care, multisectoral action, and a greater focus on vulnerable populations. Increased domestic and international funding will be required for implementation research as well, to ensure sustainable progress toward overcoming context‑specific barriers impeding the achievement of Sustainable Development Goals (SDG) target 3.4 on reducing premature mortality from NCDs and improving mental health and well‑being. The challenge remains to convert high‑level commitments into actionable, measurable strategies and mobilize the resources required to meet these goals, particularly in low‑income settings.

摘要

非传染性疾病(NCDs)和精神健康状况导致全球75%的死亡,在低收入和中等收入国家(LMICs)负担最为沉重。非传染性疾病和精神健康状况对家庭、卫生系统和经济的经济影响也惊人。尽管非传染性疾病负担日益加重,但用于应对这些疾病的可用资金有限,全球卫生发展援助中用于非传染性疾病的不到2.3%。2025年联合国非传染性疾病问题高级别会议将提供一个关键契机,以重申全球承诺、增强政治意愿并倡导为预防和控制非传染性疾病及精神健康状况筹集更多资源。需要对加强卫生系统、综合照护模式、多部门行动以及更加关注弱势群体进行投资。实施研究也需要增加国内和国际资金,以确保在克服阻碍实现关于降低非传染性疾病过早死亡率以及改善精神健康和福祉的可持续发展目标(SDG)具体目标3.4方面取得可持续进展。挑战仍然是将高层承诺转化为可行动、可衡量的战略,并调动实现这些目标所需的资源,特别是在低收入环境中。

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