Outcomes and Challenges in Noncommunicable Disease Care Provision in Health Facilities Supported by Primary Health Care System Strengthening Project in Sri Lanka: A Mixed-Methods Study

Nair, Divya; Thekkur, Pruthu; Fernando, Manoj; Kumar, Ajay; Satyanarayana, Srinath; Chandraratne, Nadeeka; Chandrasiri, Amila; Attygalle, Deepika; Higashi, Hideki; Bandara, Jayasundara; Berger, Selma Dar; Harries, Anthony

doi:10.3390/healthcare11020202

Cited by 3 publications

(2 citation statements)

References 41 publications

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“…The programme managers need to monitor these targets on a monthly or quarterly basis and focus on the GN divisions and PMCIs with poor registration coverage. The recommendations made in our previous publications to overcome staff shortages and resolve the issues with HMIS should also be taken into consideration to enhance efficiency of the registration process [26,32].…”

Section: Discussionmentioning

confidence: 99%

Empanelment of the Population to the Primary Medical Care Institution of Sri Lanka: A Mixed-Methods Study on Outcomes and Challenges

et al. 2023

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The registration of individuals with designated primary medical care institutions (PMCIs) is a key step towards their empanelment with these PMCIs, supported by the Primary Health Care System Strengthening Project in Sri Lanka. We conducted an explanatory mixed-methods study to assess the extent of registration at nine selected PMCIs and understand the challenges therein. By June 2021, 36,999 (19.2%, 95% CI-19.0–19.4%) of the 192,358 catchment population allotted to these PMCIs were registered. At this rate, only 50% coverage would be achieved by the end of the project (December 2023). Proportions of those aged <35 years and males among those registered were lower compared to their general population distribution. Awareness activities regarding registration were conducted in most of the PMCIs, but awareness in the community was low. Poor registration coverage was due to a lack of dedicated staff for registration, misconceptions of health care workers about individuals needing to be registered, reliance on opportunistic or passive registration, and lack of monitoring mechanisms; these were further compounded by the COVID-19 pandemic. Moving forward, there is an urgent need to address these challenges to improve registration coverage and ensure that all individuals are empaneled before the close of the project for it to have a meaningful impact.

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Section: Discussionmentioning

confidence: 99%

Empanelment of the Population to the Primary Medical Care Institution of Sri Lanka: A Mixed-Methods Study on Outcomes and Challenges

et al. 2023

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“…Hypertension, often referred to as the "silent killer," is a global health concern with a high prevalence and a range of risk factors, including lifestyle choices and genetic predisposition. Understanding and addressing loss to follow-up in hypertensive patients is crucial for preventing severe consequences such as heart disease, stroke, and kidney dysfunction [ 5 ].…”

Section: Reviewmentioning

confidence: 99%

Empowering Communities: A Review of Community-Based Outreach Programs in Controlling Hypertension in India

Bera,

Mondal,

Bhattacharya

2023

Cureus

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India's epidemiological shift from communicable to non-communicable diseases (NCDs) signifies the impact of healthcare advancements and changing lifestyles. Despite declines in infectious diseases, challenges related to chronic conditions such as cardiovascular diseases and diabetes have risen. Approximately one in four Indian adults has hypertension, with only 12% maintaining controlled blood pressure. To meet the 25% relative reduction target in hypertension prevalence by 2025, India must enhance treatment access and public health initiatives. A global report underscores the urgency of preventing, detecting, and managing hypertension, especially in low- and middle-income countries like India, where 188.3 million adults are estimated to have hypertension. Loss to follow-up persists in both communicable and non-communicable diseases, driven by factors such as stigma and socioeconomic barriers. Community outreach programs have proven effective, incorporating mobile health interventions, community health worker engagement, and door-to-door screenings. Hypertension management faces similar challenges, with community outreach tailored to lifestyle factors and cultural beliefs showing promise. The comprehensive strategy to control hypertension involves strengthening primary healthcare centers, promoting wellness centers, and capacitating Community Health Officers. While community-led, tech-enabled private sector interventions can screen and manage NCDs, integration with the public health system is crucial for widespread adoption and cost-effectiveness. In conclusion, tailored strategies, such as community outreach integrated into healthcare systems, are essential to address loss to follow-up and enhance health management success in both communicable and non-communicable diseases.

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Knowledge, attitudes, and practice of primary care professionals regarding community activities: a descriptive study

Mosteiro-Miguéns,

Zapata-Cachafeiro,

Novío

et al. 2024

Family Practice

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Background Promoting health via a community approach is one of the most effective strategies for reducing the current incidence of chronic diseases. Primary care (PC), through the implementation of community activities (CA), has the potential to achieve this goal. Yet the implementation of CA at health centers is not standardized and is often thanks only to the voluntariness of health professionals. Objective To ascertain the knowledge, attitudes, and practices of PC professionals regarding the implementation of CA. Methods We carried out a cross-sectional study by circulating a self-administered online questionnaire on CA, across the period December 2022 through June 2023 in Galicia (Spain). All health professionals working in the Galician Health Service PC setting were invited to participate. Results A total of 521 health professionals participated in the study. They included all types of PC health professionals (physicians, general and specialist nurses -midwives, pediatrics, family and community, mental health- and social workers), including residents in training. Only 14.8% and 12.5% of professionals correctly identified CAs and social prescription (SPr) interventions, respectively. Furthermore, 93.9% recognized that the development of CA in health centers was deficient. Despite this, 76.5% showed a good attitude toward participation in CA. Conclusions PC professionals find it difficult to identify CA and SPr interventions. Therefore, it is necessary to improve the training of these professionals in the implementation of CA with a view to enhancing population health, reducing the incidence of chronic diseases, and helping lessen the healthcare burden of the health system.

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Outcomes and Challenges in Noncommunicable Disease Care Provision in Health Facilities Supported by Primary Health Care System Strengthening Project in Sri Lanka: A Mixed-Methods Study

Cited by 3 publications

References 41 publications

Empanelment of the Population to the Primary Medical Care Institution of Sri Lanka: A Mixed-Methods Study on Outcomes and Challenges

Empanelment of the Population to the Primary Medical Care Institution of Sri Lanka: A Mixed-Methods Study on Outcomes and Challenges

Empowering Communities: A Review of Community-Based Outreach Programs in Controlling Hypertension in India

Knowledge, attitudes, and practice of primary care professionals regarding community activities: a descriptive study

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