Navigating the institutional gaps, mismatch, and neglect

Joshi, Pallavi and Kale, Dinar (2024). Navigating the institutional gaps, mismatch, and neglect. In: Dauncey, Emily; Desai, Vandana and Potter, Robert B. eds. The Companion to Development Studies (4th Edition). London: Routledge, pp. 532–536.

DOI: https://doi.org/10.4324/9780429282348-106

Abstract

Non-communicable diseases (NCDs), including cardiovascular disease, cancer, diabetes, and chronic respiratory diseases, have emerged as leading causes of premature death across the globe. Despite this, the global development agenda has only recently garnered concerted efforts in response to the silent pandemic of NCDs. Cancer, case in point of this chapter, remains a wicked problem mainly in low- and middle-income countries (LMICs) with much lower incidence compared to advanced countries, however, the mortality rate is much higher. Timely access to early detection and treatment is instrumental in effective cancer care. However, prolonged policy neglect and institutional gaps have resulted in the lack of access to essential health technologies and challenges to local manufacturing capabilities to produce appropriate medical devices, diagnostics, and drugs. Using the case of India and African countries, this chapter discusses the impact of institutional gaps. It highlights the imperative to find pathways to address the mismatch between health and industrial policies and regulations for a coherent response to mitigate the barriers to accessing cancer care.

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