Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions

Autor: Ibtihal Fadhil, Hind Elsayad, Firdosi Mehta, Boureima Sambo, Shanti Mendis, Lanka Dissanayake, Lai Die Truong, Maltie Algoe, Le Thi Tuyet Lan, Cherian Varghese, Oleg Chestnov, Naiema A. W. Fahal, Goitom Mebrhatu, Idrisa Sow, Gado Tshering, Esha Marhe, Dismond Huiuinato, Igbal Al Bashir, Herbert Tennakoon, Neelamni Hewageegana
Rok vydání: 2012
Předmět:
Zdroj: International Journal of Hypertension, Vol 2012 (2012)
International Journal of Hypertension
ISSN: 2090-0392
2090-0384
DOI: 10.1155/2012/584041
Popis: Objective.The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes.Methods.A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems.Results and Conclusions.Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs.
Databáze: OpenAIRE