Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions

Objective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-sectional survey was done in eight low- and...

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Main Authors: S. Mendis, Igbal Al Bashir, Lanka Dissanayake, Cherian Varghese, Ibtihal Fadhil, Esha Marhe, Boureima Sambo, Firdosi Mehta, Hind Elsayad, Idrisa Sow, Maltie Algoe, Herbert Tennakoon, Lai Die Truong, Le Thi Tuyet Lan, Dismond Huiuinato, Neelamni Hewageegana, Naiema A. W. Fahal, Goitom Mebrhatu, Gado Tshering, Oleg Chestnov
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2012/584041
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author S. Mendis
Igbal Al Bashir
Lanka Dissanayake
Cherian Varghese
Ibtihal Fadhil
Esha Marhe
Boureima Sambo
Firdosi Mehta
Hind Elsayad
Idrisa Sow
Maltie Algoe
Herbert Tennakoon
Lai Die Truong
Le Thi Tuyet Lan
Dismond Huiuinato
Neelamni Hewageegana
Naiema A. W. Fahal
Goitom Mebrhatu
Gado Tshering
Oleg Chestnov
author_facet S. Mendis
Igbal Al Bashir
Lanka Dissanayake
Cherian Varghese
Ibtihal Fadhil
Esha Marhe
Boureima Sambo
Firdosi Mehta
Hind Elsayad
Idrisa Sow
Maltie Algoe
Herbert Tennakoon
Lai Die Truong
Le Thi Tuyet Lan
Dismond Huiuinato
Neelamni Hewageegana
Naiema A. W. Fahal
Goitom Mebrhatu
Gado Tshering
Oleg Chestnov
author_sort S. Mendis
collection DOAJ
description Objective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems. Results and Conclusions. Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs.
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series International Journal of Hypertension
spelling doaj-art-fd3729e92b2148b3a82c200af8fe23d72025-02-03T00:59:57ZengWileyInternational Journal of Hypertension2090-03842090-03922012-01-01201210.1155/2012/584041584041Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease InterventionsS. Mendis0Igbal Al Bashir1Lanka Dissanayake2Cherian Varghese3Ibtihal Fadhil4Esha Marhe5Boureima Sambo6Firdosi Mehta7Hind Elsayad8Idrisa Sow9Maltie Algoe10Herbert Tennakoon11Lai Die Truong12Le Thi Tuyet Lan13Dismond Huiuinato14Neelamni Hewageegana15Naiema A. W. Fahal16Goitom Mebrhatu17Gado Tshering18Oleg Chestnov19Chronic Disease Prevention and Management, World Health Organization, Geneva, SwitzerlandPublic Health Institute, Ministry of Health, Khartoum, SudanWorld Health Organization, Colombo, Sri LankaWPRO, World Health Organization, Manila, PhilippinesEMRO, World Health Organization, Cairo, EgyptPAHO-WHO, Paramaribo, SurinameAFRO, World Health Organization, Brazzaville, Democratic Republic of CongoWorld Health Organization, Colombo, Sri LankaMinistry of Health, Damascus, SyriaWorld Health Organization, Asmara, EritreaMinistry of Health, Paramaribo, SurinameWorld Health Organization, Thimphu, BhutanWorld Health Organization, Hanoi, VietnamGeneral Hospital, Ho Chi Minh City, VietnamMinistry of Health, Cotonou, BeninMinistry of Health, Colombo, Sri LankaNCD Directorate, Ministry of Health, Khartoum, SudanMinistry of Health, Asmara, EritreaMinistry of Health, Thimphu, BhutanWorld Health Organization, Geneva, SwitzerlandObjective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems. Results and Conclusions. Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs.http://dx.doi.org/10.1155/2012/584041
spellingShingle S. Mendis
Igbal Al Bashir
Lanka Dissanayake
Cherian Varghese
Ibtihal Fadhil
Esha Marhe
Boureima Sambo
Firdosi Mehta
Hind Elsayad
Idrisa Sow
Maltie Algoe
Herbert Tennakoon
Lai Die Truong
Le Thi Tuyet Lan
Dismond Huiuinato
Neelamni Hewageegana
Naiema A. W. Fahal
Goitom Mebrhatu
Gado Tshering
Oleg Chestnov
Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions
International Journal of Hypertension
title Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions
title_full Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions
title_fullStr Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions
title_full_unstemmed Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions
title_short Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions
title_sort gaps in capacity in primary care in low resource settings for implementation of essential noncommunicable disease interventions
url http://dx.doi.org/10.1155/2012/584041
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