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Preventing Multimorbidity with Lifestyle Interventions in Sub-Saharan Africa: A New Challenge for Public Health in Low and Middle-Income Countries

Author

Listed:
  • Ahmad Alkhatib

    (School of Health and Life Sciences, Teesside University Tees Valley, Middlesbrough TS1 3BX, UK)

  • Lawrence Achilles Nnyanzi

    (School of Health and Life Sciences, Teesside University Tees Valley, Middlesbrough TS1 3BX, UK)

  • Brian Mujuni

    (College of Health Sciences, Makerere University, Kampala P.O. Box 7072, Uganda)

  • Geofrey Amanya

    (Ministry of Health, 6 Lourdel Road, Nakasero, Kampala P.O. Box 7272, Uganda)

  • Charles Ibingira

    (College of Health Sciences, Makerere University, Kampala P.O. Box 7072, Uganda)

Abstract

Objectives: Low and Middle-Income Countries are experiencing a fast-paced epidemiological rise in clusters of non-communicable diseases such as diabetes and cardiovascular disease, forming an imminent rise in multimorbidity. However, preventing multimorbidity has received little attention in LMICs, especially in Sub-Saharan African Countries. Methods: Narrative review which scoped the most recent evidence in LMICs about multimorbidity determinants and appropriated them for potential multimorbidity prevention strategies. Results: MMD in LMICs is affected by several determinants including increased age, female sex, environment, lower socio-economic status, obesity, and lifestyle behaviours, especially poor nutrition, and physical inactivity. Multimorbidity public health interventions in LMICs, especially in Sub-Saharan Africa are currently impeded by local and regional economic disparity, underdeveloped healthcare systems, and concurrent prevalence of communicable and non-communicable diseases. However, lifestyle interventions that are targeted towards preventing highly prevalent multimorbidity clusters, especially hypertension, diabetes, and cardiovascular disease, can provide early prevention of multimorbidity, especially within Sub-Saharan African countries with emerging economies and socio-economic disparity. Conclusion: Future public health initiatives should consider targeted lifestyle interventions and appropriate policies and guidelines in preventing multimorbidity in LMICs.

Suggested Citation

  • Ahmad Alkhatib & Lawrence Achilles Nnyanzi & Brian Mujuni & Geofrey Amanya & Charles Ibingira, 2021. "Preventing Multimorbidity with Lifestyle Interventions in Sub-Saharan Africa: A New Challenge for Public Health in Low and Middle-Income Countries," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12449-:d:688607
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