Health promotion practice
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Health promotion practice · May 2012
LetterIs health promotion the starting point of primary cardiovascular care in low- and middle-income countries like Nepal?
Cardiovascular diseases (CVDs) are on the rise in low- and middle-income countries (LMICs) but have not received adequate priority. With a lack of concrete policy and programs, the present emphasis of CVD management in most LMICs is on curative aspects. Nepal is a prototype in this trend as it is treatment centric, particularly in urban areas. A major drawback of cure-centrism is that it requires both larger funds and more skilled manpower--both of which are limited in Nepal and other LMICs. ⋯ Health promotion is practiced in Nepal in connection with many health care programs and could be used to include CVD preventive strategies. The authors believe this to be a first step to increase health literacy toward CVD in the general population which may help bridge limited funds and manpower that the current curative-centric CVD strategy requires. Thus, health promotion strategies should be a tempting option for many LMICs and deserve further explorative attention.
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Health promotion practice · May 2012
The Patient Protection and Affordable Care Act: opportunities for prevention and advocacy.
The Patient Protection and Affordable Care Act has come under intense scrutiny about its mandate for individual health insurance purchase, yet it has received little praise in the popular press for its prevention measures. Irrespective of the Supreme Court's decision regarding the "individual mandate," it is important for public health professionals to advocate for the preservation of the prevention and wellness provisions in the current law. The article addresses the Supreme Court's hearing for the "individual mandate," the likely impact of the general election in 2012, and specific prevention components of the law that should be championed by health education and health promotion advocates.