What is the NCD service capacity and disruptions due to COVID-19? Results from the WHO non-communicable disease country capacity survey in the Americas region

Luciani, Silvana; Caixeta, Roberta; Chavez, Carolina; Ondarsuhu, Dolores; Hennis, Anselm

doi:10.1136/bmjopen-2022-070085

Cited by 17 publications

(7 citation statements)

References 23 publications

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“…In addition, risk factor prevention and health promotion policies need to be strengthened so that more countries are on track to achieve the NCD-related SDG 2030 health goals. Based on 25 years of the PAHO NCD program and the more recent observations of disrupted NCD services because of the COVID-19 pandemic ( 49 ), the following actions are recommended to assist efforts to build better and stronger responses to NCDs post-pandemic and develop a set of supportive evidence-based tools ( Table 3 ).…”

Section: Building a Stronger Ncd Responsementioning

confidence: 99%

Noncommunicable diseases in the Americas: a review of the Pan American Health Organization’s 25-year program of work

Luciani

Nederveen

Martínez

et al. 2023

Revista Panamericana De Salud Pública

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This article describes progress in tackling noncommunicable diseases (NCDs) in the Americas since the Pan American Health Organization (PAHO) started its NCD program 25 years ago. Changes in the epidemiology of NCDs, NCD policies, health service capacity, and surveillance are discussed. PAHO’s NCD program is guided by regional plans of action on specific NCDs and risk factors, as well as a comprehensive NCD plan. Its work involves implementing evidence-based World Health Organization technical packages on NCDs and their risk factors with the aim of achieving the Sustainable Development Goal target of a one third reduction in premature mortality caused by NCDs by 2030. Important advances have been made in the past 25 years in implementation of: policies on NCD risk factors; interventions to improve NCD diagnosis and treatment; and NCD surveillance. Premature mortality from NCDs decreased by 1.7% a year between 2000 and 2011 and 0.77% a year between 2011 and 2019. However, policies on risk factor prevention and health promotion need to be strengthened to ensure more countries are on track to achieving the NCD-related health goals of the Sustainable Development Goals by 2030. Actions are recommended for governments to raise the priority of NCDs by: making NCDs a core pillar of primary care services, using revenues from health taxes to invest more in NCD prevention and control; and implementing policies, laws, and regulations to reduce the demand for and availability of tobacco, alcohol, and ultra-processed food products.

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Section: Building a Stronger Ncd Responsementioning

confidence: 99%

Noncommunicable diseases in the Americas: a review of the Pan American Health Organization’s 25-year program of work

Luciani

Nederveen

Martínez

et al. 2023

Revista Panamericana De Salud Pública

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“…Adequate advertising in the community and training for PHCW in the use of the device are necessary for future implementation. The needs mentioned by the different stakeholders could be a response to a weak primary healthcare level or a low level of satisfaction between the patients (21,22).…”

Section: Main Ndingsmentioning

confidence: 99%

Co-creation process of an intervention to implement a multiparameter point-of-care device in a Primary Healthcare setting for non-communicable diseases in Peru

Albitres-Flores

Pérez-León

Bernabé‐Ortiz

et al. 2023

Preprint

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Background Point-of-care devices (POCT) are diagnostic tools that can provide quick and accurate results within minutes, making them suitable for diagnosing non-communicable diseases (NCDs). However, these devices are not widely implemented in healthcare systems and for this reason is relevant to understand the implementation process. Aims To describe the process and define a strategy to implement a multiparameter POCT for diagnosing and managing NCDs in a low- and middle- income country. Methods A descriptive and non-experimental study was conducted in one region of Peru (Tumbes) to design an intervention for implementing a multiparameter POCT. Two co-creation sessions were conducted involving three groups: community members, primary healthcare workers, and regional decision-makers. These sessions included activities to understand patient journeys in receiving care for NCDs, identify facilitators and barriers to POCT usage, and define an implementation strategy for POCT in both rural and urban settings. The research team analysed the data and summarized key topics for discussion after each session. Results A total of 78 participants were enrolled across the three groups. Among community members: 22.2% had only diabetes, 24.1% had only hypertension, and 18.5% had both diagnoses. In the patient journey, community members mentioned that it took at least three days to receive a diagnosis and treatment for an NCD. Most of the participants agreed that the POCT devices would be beneficial for their communities, but they also identified some concerns. The strategy for POCT implementation included healthcare workers training, POCT must be placed in the laboratory area and must be able to perform tests for glucose, glycated haemoglobin, cholesterol, and creatinine. Advertising about POCT should be displayed at the healthcare centres and the municipality using billboards and flyers. Conclusions The co-creation process was effective in developing strategies for the implementation of multiparameter POCT devices for NCDs, involving the participation of different groups of stakeholders inboth rural and urban settings in Peru.

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“…COVID-19, which emerged in China in late 2019, caused world governments to impose a range of mitigating policies, such as social distancing, lockdowns, and curfews, to overcome its impacts [ 11 ]. Moreover, healthcare facilities made a substantial shift of financial, technical, and healthcare forces to tackle the high numbers of cases of highly infectious and critically ill patients with COVID-19 [ 12 , 13 ]. This inevitably caused a major disruption to non-COVID-19 services, including chronic disease services [ 13 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, healthcare facilities made a substantial shift of financial, technical, and healthcare forces to tackle the high numbers of cases of highly infectious and critically ill patients with COVID-19 [ 12 , 13 ]. This inevitably caused a major disruption to non-COVID-19 services, including chronic disease services [ 13 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

Perspective of healthcare providers on assessing the quality and accessibility of health services for chronic diseases in Jordan during Covid-19: a mixed method study

Al-Bataineh,

Al-Hammouri,

Al-Jaraideh

2023

BMC Health Serv Res

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Background Hospital services in all parts of the world were severely affected by the crisis caused by the Coronavirus pandemic. This was particularly concerning for patients who suffer from chronic diseases. Aim: This study aimed to: assess the level of quality and accessibility of chronic disease services from the perspectives of healthcare providers, assess the association between healthcare providers’ socio-demographic factors and their perspectives on accessibility and quality level, and explore the providers’ perspectives on the barriers and facilitators of quality and accessibility to chronic disease health services during the COVID -19 pandemic. Method Design: An explanatory mixed method design was employed in this study using a questionnaire and focus group discussion approach. The questionnaire consisted of three sections including, demographic, accessibility, and quality. Sample: A convenience sampling approach was used to collect the quantitative from 412 healthcare providers working at public, private, and teaching hospitals. A purposive sample of 12 healthcare providers were interviewed to collect the qualitative data. Analysis: The quantitative data were analyzed using SPSS Statistics Version 25. The qualitative data was analyzed using the thematic analysis approach. Results This study found that the quality and accessibility of chronic disease services in northern Jordan were affected during COVID-19. Quantitative: The majority of the participants reported moderate level of accessibility and quality. Qualitative: Four main and six subthemes were identified: 1) Accessibility barriers including transportation and fear of infection; 2) Accessibility facilitators including availability of Personal Protective Equipment (PPE) and Covid-19 vaccination; 3) Quality barriers including staff shortage; 4) Quality facilitators including safety protocol. Conclusion The quality and accessibility of chronic disease services were affected due to the healthcare system restating to address the Covid-19 pandemic. Different barriers and facilitators for chronic disease healthcare services accessibility and quality were identified. The findings of this study lay the ground for healthcare decision and policymakers to develop strategies and formulate polices to ensure these patients receive the needed healthcare services, and hence improve their health outcomes.

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What is the NCD service capacity and disruptions due to COVID-19? Results from the WHO non-communicable disease country capacity survey in the Americas region

Cited by 17 publications

References 23 publications

Noncommunicable diseases in the Americas: a review of the Pan American Health Organization’s 25-year program of work

Noncommunicable diseases in the Americas: a review of the Pan American Health Organization’s 25-year program of work

Co-creation process of an intervention to implement a multiparameter point-of-care device in a Primary Healthcare setting for non-communicable diseases in Peru

Perspective of healthcare providers on assessing the quality and accessibility of health services for chronic diseases in Jordan during Covid-19: a mixed method study

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