Economic Development and Non-Communicable Chronic Diseases

This article outlines the economics of non communicable chronic diseases (NCDs), necessary for designing evidence-based health policies to reduce the prevalence of NCDs. The main risk factors of NCDs are manmade: abuse of alcohol, tobacco, junk food, and lack of exercise. Hence we define an economic category of analysis, unwholesome goods. The analysis tackles the two dimensions of NCDs: individual and collective. The first one linked to how much NCDs are a result of consumer’s choice and the second one, the recognition that NCDs are result of a complex interrelated environment at the society level, evidencing the need for a multisectoral approach. An economic analysis includes the study of 1) NCD in the context of intergenerational life cycle dynamics; 2) demand, supply, externalities, and political economy of NCD factors; 3) the incidence of lifestyle risks according to socioeconomic status, and changes under the impact of economic growth and the demographic transition. Where do the different countries lie on the development pathway? How much of the burden lies on the individual and on the collective dimensions of NCDs? What are the most effective policies for immediate application tackling both, the individual and collective dimensions? To what extent are households affected by financial catastrophe and impoverishment due to NCDs? What are the essential requirements for the health systems to respond with efficiency and efficacy to the NCDs phenomenon? Policy and research initiatives include health sector capability for NCDs, prevention of NCD factors, promotion of multisectoral approaches, and a comprehensive data initiative. Conclusions point to the need to simultaneously implement health policy and construct the necessary evidence bases. A comprehensive data initiative is proposed as needed in addition to expanding data availability in tandem with policy implementation. Finally an initiative is proposed to formulate sufficiently effective multisectoral policies and to establish the necessary links between the health sector and other sectors involved.