Exploring key-stakeholder perceptions on non-communicable disease care during the COVID-19 pandemic in Kenya.

Autor:	Sureshkumar S; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland., Mwangi KJ; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.; Department of Non-Communicable Diseases, Ministry of Health, Nairobi, Kenya., Gathecha G; Department of Non-Communicable Diseases, Ministry of Health, Nairobi, Kenya., Marcus K; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland., Kohlbrenner B; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland., Issom D; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland., Benissa MR; University Hospitals of Geneva, Geneva, Switzerland., Aebischer-Perone S; University Hospitals of Geneva, Geneva, Switzerland., Braha N; Royal Free Hospitals, National Health Service, London, United Kingdom., Candela E; RCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Chhabra KG; Department of Public Health Dentistry, Nims Dental College and Hospital, Nims University, Rajasthan, India., Desikachari BR; The Medical Park (HSMP), Chennai, India., Dondi A; RCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Etchebehere M; Faculdade Israelita de Ciencias da Saude Albert Einstein, Sao Paulo, Brazil., Kengne AP; Non-communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa., Missoni E; Center for Research on Health and Social Care Management - CERGAS, SDA Bocconi Management School, Milan, Italy., Mustapha F; Disease Control Division, Ministry of Health, Putrajaya, Malaysia., Palafox B; London School of Hygiene and Tropical Medicine, London, United Kingdom., Pati S; ICMR-Regional Medical Research Centre, Odisha, India., Madhu PP; Department of Public Health Dentistry, Sharad Pawar Dental College and Hospital, Wardha, India., Peer N; Non-communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa., Quint J; Imperial College London, London, United Kingdom., Tabrizi R; Non-Communicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran., Yusoff H; Department of Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Sarawak, Malaysia., Oris M; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland., Beran DH; Division of Tropical and Humanitarian Medicine, Faculty of Medicine, University of Geneva, Geneva University Hospitals, Geneva, Switzerland., Balabanova D; London School of Hygiene and Tropical Medicine, London, United Kingdom., Etter JF; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Jazyk:	angličtina
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2023 Mar 30; Vol. 44, pp. 153. Date of Electronic Publication: 2023 Mar 30 (Print Publication: 2023).
DOI:	10.11604/pamj.2023.44.153.38616
Abstrakt:	Introduction: over one third of total Disability-Adjusted-Life-Years lost in Kenya are due to non-communicable diseases (NCD). In response, the Government declared significant commitment towards improving NCD care. The COVID-19 pandemic increased the burden on the already overstretched health systems in Kenya. The aims of this study are to assess whether health care providers perceived NCD care to be optimal during the pandemic and explore how to improve responses to future emergencies. Methods: this cross-sectional online survey included healthcare personnel with non-clinical roles (public health workers and policy-makers) and those delivering health care (doctors and nurses). Respondents were recruited between May and September 2021 by random sampling, completed by snowball sampling. Results: among 236 participants (42% in clinical, 58% in non-clinical roles) there was an overall consensus between respondents on NCD care being disrupted and compromised during the pandemic in Kenya. Detracted supplies, funding, and technical resources affected the continuity of NCDs' response, despite government efforts. Respondents agreed that the enhanced personnel capacity and competencies to manage COVID-19 patients were positive, but noted a lack of guidance for redirecting care for chronic diseases, and advocated for digital innovation as a solution. Conclusion: this paper explores the perceptions of key stakeholders involved in the management of NCDs in Kenya to improve planning for future emergency responses. Gaps were identified in health system response and preparedness capacity during the pandemic including the perceived need to strengthen NCD services, with solutions offered to guide resilience efforts to protect the health system from disruption. Competing Interests: The authors declare no competing interests. (Copyright: Sugitha Sureshkumar et al.)
Databáze:	MEDLINE
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