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Worldwide public policies for celiac disease: are patients well assisted?

Author

Listed:
  • Ana Luísa Falcomer

    (University of Brasilia)

  • Bruna Araújo Luchine

    (University of Brasilia)

  • Hanna Ramalho Gadelha

    (University of Brasilia)

  • José Roberto Szelmenczi

    (University of Brasilia)

  • Eduardo Yoshio Nakano

    (University of Brasilia)

  • Priscila Farage

    (Federal University of Goiás (UFG))

  • Renata Puppin Zandonadi

    (University of Brasilia)

Abstract

Objectives To evaluate public policies (PP) to celiac disease (CD) patients and classify countries regarding the level of assistance provided by the Public Policies for Celiac Disease Score. Methods Countries were scored from 0 to 6 according to the existence of PP regarding industrial food and meal regulations, health service support, food allowance/financial incentive, gluten-free (GF) food certification, and CD associations. Subsequently, countries were allocated to continents. In total, 192 countries are registered as members of the World Health Organization. Results The European continent (score 3.63) is the most advanced in CD patient care, followed by South America (2.86), North America (1.05), Asia (0.53), Oceania (0.5), and Africa (0.27). Industrial food regulations were the most frequent PP (40.6%). 15.6% of the countries display regulations for meals; 13.5% have health service support; 13.5% have policies of food allowance/financial incentive; 19.3% have GF certification; and 34.4% have celiac associations. Conclusions Policies regarding GF meals and food safety certification, health service support, and financial incentives need improvement to ensure correct treatment and reduce the diseases’ financial burden for celiac patients and governments.

Suggested Citation

  • Ana Luísa Falcomer & Bruna Araújo Luchine & Hanna Ramalho Gadelha & José Roberto Szelmenczi & Eduardo Yoshio Nakano & Priscila Farage & Renata Puppin Zandonadi, 2020. "Worldwide public policies for celiac disease: are patients well assisted?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(6), pages 937-945, July.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:6:d:10.1007_s00038-020-01451-x
    DOI: 10.1007/s00038-020-01451-x
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