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Ageing population, medical inflation and the escalating burden of non-communicable diseases, particularly diabetes and pre-diabetes affecting over 425 million adults globally, make innovative healthcare delivery approaches to address workforce shortages and health inequities necessary across Asia Pacific. This chapter discusses the unique role of community health workers (CHWs), some of whom are lay health workers (LHWs), in medical task-shifting in Asia-Pacific countries including India and Singapore, and then uses Hong Kong as an example of a highly developed metropolitan city in China to examine the strategic role of engaging LHWs in disease prevention and management among obese, underprivileged Chinese people. The Hong Kong experience provides a framework demonstrating that LHW-led task-shifting offers sustainable pathways toward universal health coverage prioritising prevention over treatment, contributing meaningfully to Sustainable Development Goal 3 on NCD reduction across similar Asia-Pacific metropolitan contexts.

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Bridging Primary Care Gaps: Lay and Community Health Workers in Non-Communicable Disease Prevention across the Asia-Pacific

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  • 发表日期：

    2026年

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  • Crystal Ying Chan

摘要

Ageing population, medical inflation and the escalating burden of non-communicable diseases, particularly diabetes and pre-diabetes affecting over 425 million adults globally, make innovative healthcare delivery approaches to address workforce shortages and health inequities necessary across Asia Pacific. This chapter discusses the unique role of community health workers (CHWs), some of whom are lay health workers (LHWs), in medical task-shifting in Asia-Pacific countries including India and Singapore, and then uses Hong Kong as an example of a highly developed metropolitan city in China to examine the strategic role of engaging LHWs in disease prevention and management among obese, underprivileged Chinese people. The Hong Kong experience provides a framework demonstrating that LHW-led task-shifting offers sustainable pathways toward universal health coverage prioritising prevention over treatment, contributing meaningfully to Sustainable Development Goal 3 on NCD reduction across similar Asia-Pacific metropolitan contexts.