Non-communicable disease care and management in two sites of the Cape Town Metro during the first wave of COVID-19: A rapid appraisal

Delobelle, Peter; Abbas, Mumtaz; Datay, Ishaaq; De, Angela; Levitt, Naomi; Schouw, Darcelle; Reid, Steve

doi:10.4102/phcfm.v14i1.3215

Cited by 11 publications

(26 citation statements)

References 15 publications

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“…Hypertension management has been disrupted in 59% of the countries, while diabetic complications management has been disrupted in 56% of the countries [54]. A study in two primary care sites in the Cape Town Metro, South Africa, has highlighted the impact of COVID-19 on NCD services disruption showing a sharp decline in the number of HbA1c tests performed (up to -59%) in March-April 2020 compared with 2019, and the proportion of patients with uncontrolled diabetes was higher (up to +11%) [55]. As of June 2020, a significant reduction in immunization campaigns was reported in 89% of WHO African region countries, including cancer-preventive vaccination against Hepatitis B Virus and Human papillomavirus (HPV) [56].…”

Section: Non-communicable Diseasesmentioning

confidence: 99%

The impact of COVID-19 on communicable and non-communicable diseases in Africa: a narrative review

2022

Infez Med

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The global pandemic of coronavirus disease 2019 (COVID-19) has disproportionately impacted global human health, economy, and security. Because of weaker health-care systems, existing comorbidities burden (HIV, malaria, tuberculosis, and non-communicable conditions), and poor socioeconomic determinants, initial predictive models had forecast a disastrous impact of COVID-19 in Africa in terms of transmission, severity, and deaths. Nonetheless, current epidemiological data seem not to have matched expectations, showing lower SARS-CoV-2 infection and fatality rates compared to Europe, the Americas and Asia. However, only few studies were conducted in low-and middle-income African settings where high poverty and limited access to health services worsen underlying health conditions, including endemic chronic infectious diseases such as HIV and tuberculosis. Furthermore, limited, and heterogeneous research was conducted to evaluate the indirect impact of the pandemic on general health services and on major dis-SUMMARY eases across African countries. International mitigation measures, such as resource reallocation, lockdowns, social restrictions, and fear from the population have had multi-sectoral impacts on various aspects of everyday life, that shaped the general health response. Despite the vast heterogeneity of data across African countries, available evidence suggests that the COV-ID-19 pandemic has severely impacted the control and prevention programs, the diagnosis capacity and the adherence to treatment of major infectious diseases (HIV, TB, and Malaria) -including neglected diseasesand non-communicable diseases. Future research and efforts are essential to deeply assess the medium-and long-term impact of the pandemic, and to implement tailored interventions to mitigate the standstill on decades of improvement on public health programs.

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Section: Non-communicable Diseasesmentioning

confidence: 99%

The impact of COVID-19 on communicable and non-communicable diseases in Africa: a narrative review

2022

Infez Med

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“…Another identified weakness that needs to be strengthened is the lack of a specific structure in Iran's healthcare system to monitor the status of communicable and non-communicable diseases. As evidence in many countries suggests disruption of services to non-COVID patients ( 56 , 57 ), particularly patients with non-communicable diseases ( 58 ), the present interviewees believed that this neglect is problematic and other diseases should also be taken into consideration in the national response to COVID-19. This requires the existence of a monitoring structure to determine the status of these diseases.…”

Section: Discussionmentioning

confidence: 83%

The necessity revealed by COVID-19 pandemic: Paradigm shift of Iran's healthcare system

Mohammadpour

Delavari

Kavosi

et al. 2023

Front. Public Health

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BackgroundCOVID-19 pandemic has resulted in drastic changes around the world, revealing vulnerable aspects of healthcare systems. This study aimed to explore how Iranian healthcare system experienced the paradigm shift during the pandemic and determine the aspects that need improvement during the pandemic era.MethodThis qualitative study was conducted in 2021. A framework analysis approach was used to analyze the content of the 19 semi-structured interviews with the healthcare system experts from Shiraz University of Medical Sciences (SUMS). The interviews‘ audio files changed into transcript after each session and data was saturated at the 19 interview. To increase the trustworthiness of the study, Guba and Lincoln's criteria including credibility, transferability, dependability, and confirmability were used. Goldsmith's five-step framework analysis was used applying MAX QDA version 10 software.ResultEight main themes and 20 subthemes were explored. The main themes included “strengthening the electronic health infrastructure,” “research for evidence-based decision making,” “dedicated financing to the pandemic,” “prevention of disruption in the effective provision of services and medicines,” “enriching the authority of the Ministry of Health by focusing on interactions,” “recruiting, managing and empowering health human resources with attention to financial and non-financial incentives,” “reforming educational approaches in training students in medical universities,” as well as “lessons learned from neglected aspects.”ConclusionTo be ready to respond to a possible future pandemic and for a paradigm shift, bold steps must be taken to make fundamental changes in various aspects of the healthcare system including e-health development, evidence-based decision making, dedicated budgets for pandemics, reinforcement of interactions at the national and international level, as well as sufficient attention to healthcare workers from all financial, non-financial and educational aspects.

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“…The three sub-themes that emerged under patient-related health management challenges were, self-management challenges, affordability challenges, and health service accessibility challenges. Self-management challenges reported among PLWD during the COVID-19 pandemic include reduced daily meal frequency [36,37], inadequate physical activity [26,37], and worsening glycaemic control [15,33,34]. Affordability challenges were related to increased costs of medicines [13] and reduced individual or household income [37].…”

Section: Resultsmentioning

confidence: 99%

“…This resulted in fewer active health workers at health facilities that increased workload [13,34]. At the same time, inadequate healthcare infrastructure limited available physical clinic space due to overwhelming patient numbers [13,34]. The COVID-19 pandemic was also characterised by poor management of health information and medical records attributed to the heavy workload of health workers and the fear of the risk of cross-infection while collecting patient data [13,25].…”

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 on diabetes mellitus outcomes and care in sub-Saharan Africa: A scoping review

Sseguya,

Bahendeka,

MacLennan

et al. 2024

Preprint

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Background The COVID-19 pandemic impacted diabetes mellitus clinical outcomes and chronic care globally. However, little is known about its impact in low-resource settings such as sub-Saharan Africa. Hence, to address this, we systematically conducted a scoping review to explore the COVID-19 impact on diabetes outcomes and care in countries of sub-Saharan Africa. Methods We applied our search strategy to PubMed, Web of Science, CINAHL, African Index Medicus, Google Scholar, Cochrane Library, Scopus, Science Direct, ERIC and Embase to obtain relevant articles published from January 2020 to March 2023. Two independent reviewers were involved in the screening of retrieved articles. Data from eligible articles were extracted from quantitative, qualitative and mixed methods studies. Numerical data were summarised using descriptive statistics, while a thematic framework was used to categorise and identify themes for qualitative data. Results We found 42 of the retrieved 360 articles eligible, mainly from South Africa, Ethiopia and Ghana (73.4%). COVID-19 increased the risk of death (OR 1.30,9.0, 95% CI), hospitalisation (OR 3.30,3.73: 95% CI), and severity (OR: 1.30,4.05, 95% CI) in persons with diabetes mellitus. COVID-19 also increased the risk of developing diabetes mellitus in hospitalised cases. The pandemic, on the other hand, was associated with disruptions in patient self-management routine and diabetes mellitus care service delivery. Three major themes emerged, namely, (i) patient-related health management challenges, (ii) diabetes mellitus care service delivery challenges, and (iii) reorganisation of diabetes mellitus care delivery. Conclusion COVID-19 increased mortality and morbidity among people living with diabetes mellitus. In addition, the COVID-19 pandemic worsened diabetes mellitus care management. Sub-Saharan African countries should, therefore, institute appropriate policy considerations for persons with diabetes mellitus during widespread emergencies.

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Non-communicable disease care and management in two sites of the Cape Town Metro during the first wave of COVID-19: A rapid appraisal

Cited by 11 publications

References 15 publications

The impact of COVID-19 on communicable and non-communicable diseases in Africa: a narrative review

The impact of COVID-19 on communicable and non-communicable diseases in Africa: a narrative review

The necessity revealed by COVID-19 pandemic: Paradigm shift of Iran's healthcare system

Impact of COVID-19 on diabetes mellitus outcomes and care in sub-Saharan Africa: A scoping review

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