亚开行-弥合非传染性疾病和心理健康的差距_利用技术产生影响（英）-2025.2_46页_1mb

Bridging Gaps Report Summary

• Context: A two-year knowledge-sharing initiative by ADB, focused on leveraging innovative technologies to address noncommunicable diseases (NCDs) and mental health challenges. Coordinated primarily through technical assistance and regional forums.

• Key Areas:

  • NCDs (heart disease, diabetes, cancer) and mental health continue to pose major burdens in Asia-Pacific, accounting for nearly three-quarters of deaths.
  • Recommended priorities: early detection, integrating care at primary health care (PHC) levels, scaling up-effective technologies, and aligning strategies with UHC and SDG 3.4.
  • Aging populations in the region require specific attention, with special focus on holistic life-course approaches.

Report Highlights

1. Primary health care (PHC) is recognized as core to managing NCDs and mental health in resource-constrained settings. PHC-based screening/diagnostic technologies and digital tools are enabling decentralized care.
2. Technology innovations such as telemedicine, mobile apps, AI-enabled diagnostics, teleconsultations (e.g., e-prescriptions) were assessed as catalysts for improving access to care.
3. Country-level willingness and clear policy framework are essential prerequisites for adoption. Case studies from Bangladesh, India, Indonesia, and Viet Nam highlight context-specific challenges and adaptations.
4. Regulatory reforms, especially concerning medical devices (including digital tools), are critical to ensuring affordability, quality, and safe deployment. Medical device local production is noted as a priority.
5. Financing models: Innovative financing including blended finance, public–private partnerships (data indicates demand for strengthening quality and affordability), and results-based financing were discussed as mechanisms to sustain scale-up.

Notable Findings and Recommendations

• Investments in early detection: Reduces premature mortality and enhances cost-effectiveness for costly chronic treatments.
• Skills/knowledge gaps in PHC workforce: Requires targeted training and capacity building to support technology integration.
• Financing sustainable scale-up: Need for additional public funding to supplement private sector pilot projects under blended finance models.

Concluding Vision

ADB and partners call for accelerated collaboration across government, academia, private sector, and development partners toward human-centered, equity-focused, and sustainable health systems. ADB reiterates support for such partnerships and emphasizes how strategically sequenced technology integration — tested as per CO’s feasibility requirements — can propel health goals in the region.