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首页> 外文期刊>BMC Public Health >Fostering cardiovascular health at work – case study from Senegal
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Fostering cardiovascular health at work – case study from Senegal

机译：培养心血管健康在工作 - 塞内加尔的案例研究

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Of the 15 million annual premature deaths from non-communicable diseases (NCDs), 85% occur in low- and middle-income countries (LMICs). Affecting individuals in the prime of their lives, NCDs impose severe economic damage to economies and businesses, owing to the high mortality and morbidity within the workforce. The Novartis Foundation urban health initiative, Better Hearts Better Cities, was designed to improve cardiovascular health in Dakar, Senegal through a combination of interventions including a workplace health program. In this study, we describe the labor policy environment in Senegal and the outcomes of a Novartis Foundation-supported multisector workplace health coalition bringing together volunteering private companies. A mixed method design was applied between April 2018 and February 2020 to evaluate the workplace health program as a case study. Qualitative methods included a desk review of documents relevant to the Senegalese employment context and work environment and in-depth interviews with eight key informants including human resource representatives and physicians working in the participating companies. Quantitative methods involved an analysis of workplace health program indicators, including data on diagnosis, treatment and control of hypertension in employees, provided by the coalition companies, and a cost estimate of NCD-related ill-health as compared to the investment needed for hypertension screening and awareness raising events. Senegal has a legal and regulatory system that ensures employee protection, supports social security benefits, and promotes health and hygiene in companies. The Dakar Workplace Health Coalition comprised 18 companies, with a range of staff between 300 and 4′220, covering 36′268 employees in total. Interviews suggested that the main enablers for workplace program success were strong leadership support within the company and a central coordination mechanism for the program. The main barrier to monitor progress and outcomes was the reluctance of companies to share data. Four companies provided aggregated anonymized cohort data, documenting?a total of 21′392 hypertension screenings and an increasing trend in blood pressure control (from 34% in Q4 2018 to 39% in Q2 2019) in employees who received antihypertensive treatment. Evidence on workplace health and wellness programs in Africa is scarce. This study highlights how private sector companies can play a significant role in improving cardiovascular population health in LMICs.
机译：在非传染性疾病（NCD）的1500万年度过早死亡中，低收入和中等收入国家（LMIC）发生了85％。利用劳动力内部的死亡率高和发病率高，影响了他们生活的素质的素质，对经济和企业造成严重的经济损失。诺华基金会的城市健康倡议，更好的心灵更好的城市，旨在通过包括工作场所健康计划的干预措施来改善塞内加尔的心血管健康。在这项研究中，我们描述了塞内加尔的劳动政策环境以及诺华基金会支持的多媒体工作场所健康联盟的劳动政策环境，携带志愿者私营公司。在2018年4月和2020年间应用混合方法设计，以评估工作场所健康计划作为案例研究。定性方法包括与塞内利亚尔的就业背景和工作环境有关的文件的审查审查，并深入访谈，其中包括八名关键信息人，包括在参与公司中工作的人力资源代表和医生。定量方法涉及对工作场所健康计划指标的分析，包括联盟公司提供的员工诊断，治疗和控制的数据，以及与高血压筛查所需的投资相比，与NCD相关不良病态的成本估算和提高认识活动。塞内加尔有一个法律和监管体系，确保员工保护，支持社会保障福利，并在公司促进健康和卫生。达喀尔工作场所卫生联盟由18家公司组成，员工在300到4'220之间，总共占36,268名员工。采访表明，工作场所方案成功的主要推动者是本公司内部的强大领导支持以及该计划的央行协调机制。监测进展和结果的主要障碍是公司不愿分享数据。四家公司提供汇总的匿名队列数据，记录了21'392的高血压筛查和血压控制的越来越大的趋势（2018年第4季度的34％到2019年第2季度的39％），在接受抗高血压治疗的员工中。关于非洲工作场所健康和健康计划的证据是稀缺的。本研究突出了私营部门公司如何在改善LMIC中改善心血管人口健康方面发挥重要作用。

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