J Korean Med Sci.  2016 Feb;31(2):326-328. 10.3346/jkms.2016.31.2.326.

International Medical Mission Facing Global Increase of Chronic Disease: 2-Year Experience in Bangladesh

• Min J

• KMID: 2360061
• DOI: http://doi.org/10.3346/jkms.2016.31.2.326

Abstract

Specialists of developing countries are facing the epidemic growth of noncommunicable diseases (NCDs). From 2011 to 2013, I, as a Korean volunteer doctor, had been working in a local primary healthcare center in Bangladesh, assessing rates of NCDs. Proportion of patients with NCDs was increased from 74.96% in 1999 to 83.05% in 2012, particularly due to the spreading of diabetes mellitus, cardiovascular diseases, and tuberculosis. To succeed in medical mission in developing countries, volunteer doctors have to take measures for preventing chronic diseases along with proper treatment.

Keyword

Volunteers; Developing Countries; Noncommunicable Disease

MeSH Terms

Bangladesh/epidemiology
Cardiovascular Diseases/epidemiology
Chronic Disease/*epidemiology
Diabetes Mellitus/epidemiology
Global Health/trends
Humans
*Medical Missions, Official
Primary Health Care
Tuberculosis/epidemiology

Reference

1. Dans A, Ng N, Varghese C, Tai ES, Firestone R, Bonita R. The rise of chronic non-communicable diseases in southeast Asia: time for action. Lancet. 2011; 377:680–689.

2. Martiniuk AL, Manouchehrian M, Negin JA, Zwi AB. Brain Gains: a literature review of medical missions to low and middle-income countries. BMC Health Serv Res. 2012; 12:134.

3. Ahsan Karar Z, Alam N, Kim Streatfield P. Epidemiological transition in rural Bangladesh, 1986-2006. Glob Health Action. 2009; 2.

4. World Health Organization. Noncommunicable diseases country profiles, Bangladesh. accessed on 4 September 2015. Available at http://www.who.int/nmh/countries/bgd_en.pdf.

5. Institute of Health Metrics and Evaluation. Global burden of diseases, Bangladesh. accessed on 4 September 2015. Available at https://www.healthdata.org/sites/default/files/files/country_profiles/GBD/ihme_gbd_country_report_bangladesh.pdf.

6. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004; 364:937–952.

7. Bleich SN, Koehlmoos TL, Rashid M, Peters DH, Anderson G. Noncommunicable chronic disease in Bangladesh: overview of existing programs and priorities going forward. Health Policy. 2011; 100:282–289.

8. Bishop R, Litch JA. Medical tourism can do harm. BMJ. 2000; 320:1017.

9. Lluberas G. Medical tourism. Wilderness Environ Med. 2001; 12:63.

10. Roberts M. A piece of my mind. Duffle bag medicine. JAMA. 2006; 295:1491–1492.

11. Wall LL, Arrowsmith SD, Lassey AT, Danso K. Humanitarian ventures or 'fistula tourism?': the ethical perils of pelvic surgery in the developing world. Int Urogynecol J Pelvic Floor Dysfunct. 2006; 17:559–562.

12. Wolfberg AJ. Volunteering overseas--lessons from surgical brigades. N Engl J Med. 2006; 354:443–445.

13. Van Tilburg CS. Attitudes toward medical aid to developing countries. Wilderness Environ Med. 1995; 6:264–268.

14. Green T, Green H, Scandlyn J, Kestler A. Perceptions of short-term medical volunteer work: a qualitative study in Guatemala. Global Health. 2009; 5:4.

15. Mendis S, Al Bashir I, Dissanayake L, Varghese C, Fadhil I, Marhe E, Sambo B, Mehta F, Elsayad H, Sow I, et al. Gaps in capacity in primary care in low-resource settings for implementation of essential noncommunicable disease interventions. Int J Hypertens. 2012; 2012:584041.

16. Goudge J, Gilson L, Russell S, Gumede T, Mills A. Affordability, availability and acceptability barriers to health care for the chronically ill: longitudinal case studies from South Africa. BMC Health Serv Res. 2009; 9:75.

17. Maher D, Ford N. Action on noncommunicable diseases: balancing priorities for prevention and care. Bull World Health Organ. 2011; 89:547–547A.

18. Suchdev P, Ahrens K, Click E, Macklin L, Evangelista D, Graham E. A model for sustainable short-term international medical trips. Ambul Pediatr. 2007; 7:317–320.

19. Maher D, Ford N, Unwin N. Priorities for developing countries in the global response to non-communicable diseases. Global Health. 2012; 8:14.

20. Bezruchka S. Medical tourism as medical harm to the third world: Why? For whom? Wilderness Environ Med. 2000; 11:77–78.