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

被引：85

作者：

Mendis, S. ^{[1
]}

Al Bashir, Igbal ^{[2
]}

Dissanayake, Lanka ^{[3
]}

Varghese, Cherian ^{[4
]}

Fadhil, Ibtihal ^{[5
]}

Marhe, Esha ^{[6
]}

Sambo, Boureima ^{[7
]}

Mehta, Firdosi ^{[3
]}

Elsayad, Hind ^{[8
]}

Sow, Idrisa ^{[9
]}

Algoe, Maltie ^{[10
]}

Tennakoon, Herbert ^{[11
]}

Lai Die Truong ^{[12
]}

Le Thi Tuyet Lan ^{[13
]}

Huiuinato, Dismond ^{[14
]}

Hewageegana, Neelamni ^{[15
]}

Fahal, Naiema A. W. ^{[16
]}

Mebrhatu, Goitom ^{[17
]}

Tshering, Gado ^{[18
]}

Chestnov, Oleg ^{[19
]}

机构：

[1] WHO, Chron Dis Prevent & Management, Geneva, Switzerland

[2] Minist Hlth Sudan, Publ Hlth Inst, Khartoum, Sudan

[3] WHO, Colombo, Sri Lanka

[4] WHO, WPRO, Manila, Philippines

[5] WHO, EMRO, Cairo, Egypt

[6] WHO, PAHO, Paramaribo, Suriname

[7] World Hlth Org, AFRO, Brazzaville, Rep Congo

[8] Minist Hlth, Damascus, Syria

[9] WHO, Asmera, Eritrea

[10] Minist Hlth, Paramaribo, Suriname

[11] WHO, Thimphu, Bhutan

[12] WHO, Hanoi, Vietnam

[13] Gen Hosp, Ho Chi Minh City, Vietnam

[14] Minist Hlth, Cotonou, Benin

[15] Minist Hlth, Colombo, Sri Lanka

[16] Minist Hlth Sudan, NCD Directorate, Khartoum, Sudan

[17] Minist Hlth, Asmera, Eritrea

[18] Minist Hlth, Thimphu, Bhutan

[19] WHO, Geneva, Switzerland

来源：

INTERNATIONAL JOURNAL OF HYPERTENSION | 2012年 / 2012卷

关键词：

D O I：

10.1155/2012/584041

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：7

共 15 条

[1] Can non-physician health-care workers assess and manage cardiovascular risk in primary care? [J].

Abegunde, Dele O. ;

Shengelia, Bakuti ;

Luyten, Anne ;

Cameron, Alexandra ;

Celletti, Francesca ;

Nishtar, Sania ;

Pandurangi, Vasu ;

Mendis, Shanthi .

BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2007, 85 (06) :432-440

[2]

[Anonymous], 2008, PREV CARD DIS POCK G

[3]

[Anonymous], 2012, WHO GUID PRIM HLTH C

[4]

[Anonymous], 2001, PUBL SPEND HLTH CAR

[5]

[Anonymous], 2008, PRIM HLTH CAR NOW MO

[6] Alma-Ata:: Rebirth and revision 2 -: Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries:: an overview of systematic reviews [J].

Lewin, Simon ;

Lavis, John N. ;

Oxman, Andrew D. ;

Bastias, Gabriel ;

Chopra, Mickey ;

Ciapponi, Agustin ;

Flottorp, Signe ;

Garcia Marti, Sebastian ;

Pantoja, Tomas ;

Rada, Gabriel ;

Souza, Nathan ;

Treweek, Shaun ;

Wiysonge, Charles S. ;

Haines, Andy .

LANCET, 2008, 372 (9642) :928-939

[7]

Mendis S, 2005, B WORLD HEALTH ORGAN, V83, P820

[8] Cardiovascular risk management and its impact on hypertension control in primary care in low-resource settings: a cluster-randomized trial [J].

Mendis, Shanthi ;

Johnston, S. Claiborne ;

Fan, Wu ;

Oladapo, Olulola ;

Cameron, Ali ;

Faramawi, Mohammed F. .

BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2010, 88 (06) :412-419

[9]

WHO, 2010, WOR HEALT REP, P1

[10]

WHO, 2003, PREV REC HEART ATT S

← 1 2 →