Implementing a package of noncommunicable disease interventions in the Republic of Moldova: two-year follow-up data
Autor: | Zinaida Alexa, Angela Anisei, Angela Ciobanu, Jill Farrington, Tiina Laatikainen, Diana Chiosa, Ghenadie Curocichin, Virginia Salaru, Laura Inglin, Dylan Collins, Maria Munteanu, Tatiana Zatic |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male Low resource Psychological intervention Short Report Disease cluster law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Environmental health Medicine Humans National level 030212 general & internal medicine Risk factor Noncommunicable Diseases Care Planning Aged Primary Health Care business.industry 030503 health policy & services Public Health Environmental and Occupational Health Infant Statin treatment Middle Aged Moldova Noncommunicable disease Female 0305 other medical science business Delivery of Health Care Follow-Up Studies |
Zdroj: | Primary Health Care Research & Development |
ISSN: | 1477-1128 |
Popis: | SUMMARY Noncommunicable diseases (NCDs) are a growing challenge in the Republic of Moldova. A previously reported pilot cluster randomized controlled trial aimed to determine the feasibility of implementing and evaluating essential interventions for NCDs (e.g. cardiovascular risk scoring, hypertension management, statin treatment, etc.) in primary health care in the Republic of Moldova, with a view toward national scale up. One-year follow-up data (previously published) demonstrated modest improvements in NCD risk factor identification and management could be achieved. Herein, we report the second-year follow-up data and conclude that sustainable improvements in NCD risk factor control (e.g. hypertension control) can be achieved in primary health care in low resource settings by adapting existing resources (e.g. WHO PEN) and conducting focused clinical training and support. If scaled to a national level, these improvements in risk factor control could significantly translate to reductions in premature mortality from NCDs. |
Databáze: | OpenAIRE |
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