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3 Prevention and Treatment of Cardiovascular Diseases in Developing Countries
Pages 37-41

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From page 37...
... The first is the difficulty analyzing the data available. Government health care budgets, which are the primary source of support for prevention and treatment, are often assigned to ministries or divisions without designating the specific programs to be supported.
From page 38...
... inhibitors in patients with reduced cardiac function decreases the incidence of heart failure, thereby improving the health status of the individual with documented coronary heart disease and reducing health care costs (SOLVD, 1991~. Such secondary prevention can dramatically decrease CVD costs.
From page 39...
... This program, developed in 1993 by WHO, monitors global trends in food and nutrition intake and evaluates dietary risk factors for CVD and other noncommunicable diseases. THE ROLE OF THE PRIVATE SECTOR In calculating the ratio of prevention to care for CVD, R&D expenditures by the private-sector are an important component of both prevention and treatment of CVD.
From page 40...
... For example, in 1992 the public and private sectors together spent 10-30 percent of their health care costs ($44 billion) , on pharmaceuticals and equipment in developing countries, compared to approximately 5-20 percent of health care budgets in developed countries (IOM, 1997~.
From page 41...
... As for many countries, the health care expenditures focus on treatment and hospital infrastructure rather than prevention. A preliminary review of 30 developing countries reveals that at least half of total recurrent public health spending supports hospitals (Barnum and Kutzin, 19931.


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