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The world health organization STEPwise approach to noncommunicable disease risk-factor surveillance: Methods, challenges, and opportunities

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  • Riley, L.
  • Guthold, R.
  • Cowan, M.
  • Savin, S.
  • Bhatti, L.
  • Armstrong, T.
  • Bonita, R.

Abstract

Objectives.Wesought to outline the framework andmethods used by theWorldHealth Organization (WHO) STEPwise approach to noncommunicable disease (NCD) surveillance (STEPS), describe the development and current status, and discuss strengths, limitations, and future directions of STEPS surveillance. Methods. STEPS is a WHO-developed, standardized but flexible framework for countries to monitor the main NCD risk factors through questionnaire assessment and physical and biochemical measurements. It is coordinated by national authorities of the implementing country. The STEPS surveys are generally household-based and intervieweradministered, with scientifically selected samples of around 5000 participants. Results. To date, 122 countries across all 6 WHO regions have completed data collection for STEPS or STEPS-aligned surveys. Conclusions. STEPS data are being used to inform NCD policies and track risk-factor trends. Future priorities include strengthening these linkages fromdata to action onNCDs at the country level, and continuing to develop STEPS' capacities to enable a regular and continuous cycle of risk-factor surveillance worldwide.

Suggested Citation

  • Riley, L. & Guthold, R. & Cowan, M. & Savin, S. & Bhatti, L. & Armstrong, T. & Bonita, R., 2016. "The world health organization STEPwise approach to noncommunicable disease risk-factor surveillance: Methods, challenges, and opportunities," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 74-78.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302962_4
    DOI: 10.2105/AJPH.2015.302962
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    14. Justine I Davies & Sumithra Krishnamurthy Reddiar & Lisa R Hirschhorn & Cara Ebert & Maja-Emilia Marcus & Jacqueline A Seiglie & Zhaxybay Zhumadilov & Adil Supiyev & Lela Sturua & Bahendeka K Silver &, 2020. "Association between country preparedness indicators and quality clinical care for cardiovascular disease risk factors in 44 lower- and middle-income countries: A multicountry analysis of survey data," PLOS Medicine, Public Library of Science, vol. 17(11), pages 1-25, November.
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