Scaling up chronic disease prevention interventions in lower- and middle-income countries

Annu Rev Public Health. 2013:34:317-35. doi: 10.1146/annurev-publhealth-031912-114402. Epub 2013 Jan 7.


Chronic diseases are increasingly becoming a health burden in lower- and middle-income countries, putting pressure on public health efforts to scale up interventions. This article reviews current efforts in interventions on a population and individual level. Population-level interventions include ongoing efforts to reduce smoking rates, reduce intake of salt and trans-fatty acids, and increase physical activity in increasingly sedentary populations. Individual-level interventions include control and treatment of risk factors for chronic diseases and secondary prevention. This review also discusses the barriers in interventions, particularly those specific to low- and middle-income countries. Continued discussion of proven cost-effective interventions for chronic diseases in the developing world will be useful for improving public health policy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Chronic Disease / prevention & control*
  • Chronic Disease / therapy
  • Cost-Benefit Analysis
  • Developing Countries*
  • Exercise
  • Health Promotion / economics
  • Health Promotion / methods*
  • Humans
  • Risk Factors
  • Smoking Prevention
  • Sodium Chloride, Dietary
  • Trans Fatty Acids


  • Sodium Chloride, Dietary
  • Trans Fatty Acids