scholarly journals Primary Health Care: a strategic framework for the prevention and control of chronic non-communicable disease

2014 ◽  
Vol 7 (1) ◽  
pp. 24504 ◽  
Author(s):  
Alessandro R. Demaio ◽  
Karoline Kragelund Nielsen ◽  
Britt Pinkowski Tersbøl ◽  
Per Kallestrup ◽  
Dan W. Meyrowitsch
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prevention And Control ◽  
Communicable Disease ◽  
Strategic Framework ◽  
Primary Health ◽  
And Control ◽  
Non Communicable Disease

scholarly journals Prevention and Control of COVID-19 by Primary Health Care Facilities in China: A Field- Survey-Based Qualitative Study in Three Typical Cities

2021 ◽  
Author(s):  
Yunyun Yan ◽  
Teng-yang Fan ◽  
Yan-ling Zheng ◽  
Hai-qin Yang ◽  
Tian-shu Li ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Prevention And Control ◽  
Field Survey ◽  
Risk Levels ◽  
Face To Face ◽  
Primary Health ◽  
Community Residents ◽  
And Control

Abstract Background In fulfilling the COVID-19 containment, primary health care (PHC) facilities in China played an important role. We sought to investigate the exact tasks performed at the PHC facilities and the processes of COVID-19 prevention and control.Methods Semi-structured face-to-face interviews for primary care physicians (PCPs) and a simple survey for residents were conducted in the field survey. Based-on purposive stratified sampling, 32 PCPs were selected from 22 PHC facilities in Wuhan as a high-risk city, in Shanghai as medium-risk city and in Zunyi as low-risk city. In the field survey, semi-structured face-to-face interviews were conducted with PCPs to summarize the tasks of COVID-19 prevention and control at the PHC facilities. A simple survey was used to investigate the local residents’ awareness about COVID-19 prevention and control.Results In pre-outbreak period, the PHC facilities mainly engaged in storing medical supplies; in out-break period, they were responsible for screening, transferring, quarantine and treatment; in regular prevention and control period, attention was given to the employees and items of cold-chain & fresh food markets, etc. In Wuhan, PHC facilities focused on graded diagnoses and treatments of patients; in Shanghai, they were mainly engaged in at-home/centralized quarantine; in Zunyi, they focused on the screening of high-risk individuals. In urban areas, COVID-19 were more likely to be transmitted; in urban-rural areas, it was difficult to perform screening on the migrant populations; in rural areas, the risk was much lower. The community residents had satisfactory compliance with the preventive measures.Conclusion We identified differences in the prevention and control tasks performed at the PHC facilities in China. During the different phases of the pandemic, the tasks were adjusted depending on the gradually comprehensive understanding of COVID-19. Among the cities at different risk levels, screening, quarantine, transferring or treatment was chosen to be a priority accordingly. Located in different intra-city geographic locations at different risk levels, the PHC facilities conducted their own tasks accordingly. Additionally, compliance on the part of the local community residents could not be overemphasized in COVID-19 prevention and control.

Seeking Solutions to the Challenges in Health Services in Developing Nations

2015 ◽  
pp. 1-51
Author(s):  
Jessica McCormack ◽  
Patrick Rawstorne ◽  
Mohamud Sheikh
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Diseases ◽  
Burden Of Disease ◽  
Communicable Disease ◽  
Developing Nations ◽  
Global Burden ◽  
Primary Health ◽  
Non Communicable Disease

The Global Burden of Disease (GBD) study, 2010, confirmed that the world's population is living longer and we are now less likely than a decade earlier to die from an infectious disease but also more likely to live our twilight years with morbidity (Murray et al., 2012). We will also most likely die from a chronic non-communicable disease (NCD) such as cardiovascular diseases, cancers, respiratory diseases, and diabetes (Beaglehole, et al., 2008). However this brief glimpse at the trends in the health of the world's population obscures massive inequalities in the burden of disease as well as variations across the globe. In this piece, we will revisit primary health care, both at its dawn, its contribution to developing nations, and the ills it struggled through over the years. Cuba and Thailand are the key examples of developing nations that have experienced the contribution of primary health care more than most other countries.

scholarly journals How well are non-communicable disease services being integrated into primary health care in Africa: A review of progress against World Health Organization’s African regional targets

PLoS ONE ◽  
2020 ◽  
Vol 15 (10) ◽  
pp. e0240984
Author(s):  
Azeb Gebresilassie Tesema ◽  
Whenayon Simeon Ajisegiri ◽  
Seye Abimbola ◽  
Christine Balane ◽  
Andre Pascal Kengne ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Communicable Disease ◽  
World Health ◽  
Primary Health ◽  
Non Communicable Disease

scholarly journals Observations of infection prevention and control practices in primary health care, Kenya

2017 ◽  
Vol 95 (7) ◽  
pp. 503-516 ◽  
Author(s):  
Guadalupe Bedoya ◽  
Amy Dolinger ◽  
Khama Rogo ◽  
Njeri Mwaura ◽  
Francis Wafula ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Primary Health ◽  
And Control

scholarly journals Treatment Burden Of Non-Communicable Diseases On Patients Attending Primary Health Care In Bahrain 2020: A Cross-Sectional Study

2021 ◽  
Vol 33 (3) ◽  
pp. 16-23
Author(s):  
Fatema Almousawi ◽  
Zahra Ayoob ◽  
Amna Shehab ◽  
Ismaeel Bakhsh ◽  
Mahmood Alawainati ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Chronic Disease ◽  
Communicable Disease ◽  
Cross Sectional Study ◽  
Treatment Burden ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Non Communicable Disease

Background: Adaptation to chronic disease can be challenging. Compliance with medication, adjusting to lifestyle changes, attending health care facilities, and financial costs are among many obstacles encountered. Treatment burden is defined as the effort required by the patient or caregiver to manage the medical conditions of the patient and the impact that this has on their lives. The aim of this study was to help the health care system in establishing new strategies to address the treatment burden on patients with non-communicable diseases. Methods: A cross-sectional study was conducted among patients attending non-communicable disease clinics and central diabetic clinics in eight different primary health care centers in Bahrain, using the Treatment Burden Questionnaire through structured interviews. A value of 59 and above was considered as an unacceptable burden according to patient acceptable symptom state (PASS). Results: Of the 411 participants, around 18% had an unacceptable burden. Female subjects reported a five times higher treatment burden. The younger population of less than 65 years scored higher treatment burden by three folds. Injectable medications were associated with a two-fold increase in treatment burden compared to other medication modalities. Conclusion: Although treatment burden is an emerging and insufficiently addressed concept in the literature, this study revealed an overall low treatment burden. Further studies should be conducted to assess treatment burden and suggest strategies accordingly. Health care providers are encouraged to integrate all patient aspects in the management. New recommendations to formulate updated guidelines with the aim of minimizing the treatment burden are warranted. Keywords: Bahrain, Chronic disease, Non-communicable disease, Primary health care, Surveys and Questionnaires

scholarly journals The Rising Burden of Diabetes and Hypertension in Southeast Asian and African Regions: Need for Effective Strategies for Prevention and Control in Primary Health Care Settings

2013 ◽  
Vol 2013 ◽  
pp. 1-14 ◽  
Author(s):  
Viswanathan Mohan ◽  
Yackoob K. Seedat ◽  
Rajendra Pradeepa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prevention And Control ◽  
Lifestyle Modification ◽  
Southeast Asian ◽  
Effective Strategies ◽  
Primary Health ◽  
Rehabilitative Services ◽  
And Control

Aim. To review the available literature on burden of diabetes mellitus (DM) and hypertension (HTN) and its coexistence in Southeast Asian (SEA) and the African (AFR) regions and to suggest strategies to improve DM and HTN prevention and control in primary health care (PHC) in the two regions.Methods. A systematic review of the papers published on DM, HTN, and prevention/control of chronic diseases in SEA and AFR regions between 1980 and December 2012 was included.Results. In the year 2011, SEA region had the second largest number of people with DM (71.4 million), while the AFR region had the smallest number (14.7 million). Screening studies identified high proportions (>50%) of individuals with previously undiagnosed HTN and DM in both of the SEA and AFR regions. Studies from both regions have shown that DM and HTN coexist in type 2 DM ranging from 20.6% in India to 78.4% in Thailand in the SEA region and ranging from 9.7% in Nigeria to 70.4% in Morocco in the AFR region. There is evidence that by lifestyle modification both DM and HTN can be prevented.Conclusion. To meet the twin challenge of DM and HTN in developing countries, PHCs will have to be strengthened with a concerted and multipronged effort to provide promotive, preventive, curative, and rehabilitative services.

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