Non-communicable disease prevention in Nepal: Systemic challenges and future directions

Developing countries like Nepal are experiencing double burden of communicable and non-communicable diseases (NCD) resulting in social and economic losses. In Nepal, more than half of the disease burden is due to NCD. The major NCD in Nepal are cardiovascular diseases, cancers, chronic respiratory diseases and diabetes. Behavioural factors such as tobacco use, alcohol consumption, physical inactivity and unhealthy diet are driving the epidemic of NCD which are further influenced by social, economic and environmental determinants. The health system of Nepal has not been able to address the ever increasing burden of NCD. With the formulation of the Multisectoral Action Plan for Prevention and Control of NCD 2014-2020, there has been some hope for tackling the NCD and their social determinants in Nepal through a primary prevention approach. This paper discusses the systemic challenges and recommends two key actions for the prevention and control of NCD in Nepal.