Health and Nutrition Promotion Programs in Papua New Guinea: A Scoping Review

Author:

Chen Juliana12ORCID,Davies Alyse12ORCID,Tran Phyllis12,Gronau Ryley12,Rangan Anna12ORCID,Allman-Farinelli Margaret12ORCID,Porykali Shelina3,Oge Robin4ORCID,Porykali Bobby56ORCID

Affiliation:

1. Discipline of Nutrition and Dietetics, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia

2. Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia

3. School of Health Sciences and Social Work, Griffith University, Gold Coast, QLD 4222, Australia

4. National Capital District Provincial Health Authority, Port Moresby 121, Papua New Guinea

5. Aboriginal and Torres Strait Islander Health Program, George Institute for Global Health, Sydney, NSW 2000, Australia

6. Faculty of Medicine, School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia

Abstract

There is a rising prevalence of non-communicable diseases (NCDs) in Papua New Guinea (PNG), adding to the disease burden from communicable infectious diseases and thus increasing the burden on the healthcare system in a low-resource setting. The aim of this review was to identify health and nutrition promotion programs conducted in PNG and the enablers and barriers to these programs. Four electronic databases and grey literature were searched. Two reviewers completed screening and data extraction. This review included 23 papers evaluating 22 health and nutrition promotion programs, which focused on the Ottawa Charter action areas of developing personal skills (12 programs), reorienting health services (12 programs) and strengthening community action (6 programs). Nineteen programs targeted communicable diseases; two addressed NCDs, and one addressed health services. Enablers of health promotion programs in PNG included community involvement, cultural appropriateness, strong leadership, and the use of mobile health technologies for the decentralisation of health services. Barriers included limited resources and funding and a lack of central leadership to drive ongoing implementation. There is an urgent need for health and nutrition promotion programs targeting NCDs and their modifiable risk factors, as well as longitudinal study designs for the evaluation of long-term impact and program sustainability.

Publisher

MDPI AG

Reference79 articles.

1. Department of Foreign Affairs and Trade (2023, March 15). Papua New Guinea Country Brief, Available online: https://www.dfat.gov.au/geo/papua-new-guinea/papua-new-guinea-country-brief.

2. Leading causes of deaths in the mortality transition in Papua New Guinea: Evidence from the Comprehensive Health and Epidemiological Surveillance System;Pham;Int. J. Epidemiol.,2023

3. The value of lost output and cost of illness of noncommunicable diseases in the Pacific;Hou;Health Policy OPEN,2022

4. Vengiau, G. (2019). Nutrition Transition in Papua New Guinea (PNG): An Assessment of the Nutrition Transition for Three Diverse Populations, Including the Contributing Factors, Food Insecurity, and Health Risks. [Ph.D. Thesis, The University of Queensland].

5. ACIL Tasman Pty Ltd (2009). PNG LNG Economic Impact Study: An Assessment of the Direct and Indirect Impacts of the Proposed PNG LNG Project on the Economy of Papua New Guinea, ACIL Tasman Pty Ltd.

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