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

Shanthi Mendis | Zendy; Igbal Al Bashir | Zendy; Lanka Dissanayake | Zendy; Cherian Varghese | Zendy; Ibtihal Fadhil | Zendy; Esha Marhe | Zendy; Boureima Hama Sambo | Zendy; Firdosi Mehta | Zendy; Hind Elsayad | Zendy; Idrisa Sow | Zendy; Maltie Algoe | Zendy; Herbert Tennakoon | Zendy; Lai Die Truong | Zendy; Le Thi Tuyet Lan | Zendy; Dismond Huiuinato | Zendy; N. Rajapaksa –Hewageegana | Zendy; Naiema A. W. Fahal | Zendy; Goitom Mebrhatu | Zendy; Gado Tshering | Zendy; Oleg Chestnov | Zendy

Open Access

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

Author(s) -

Shanthi Mendis,

Igbal Al Bashir,

Lanka Dissanayake,

Cherian Varghese,

Ibtihal Fadhil,

Esha Marhe,

Boureima Hama Sambo,

Firdosi Mehta,

Hind Elsayad,

Idrisa Sow,

Maltie Algoe,

Herbert Tennakoon,

Lai Die Truong,

Le Thi Tuyet Lan,

Dismond Huiuinato,

N. Rajapaksa –Hewageegana,

Naiema A. W. Fahal,

Goitom Mebrhatu,

Gado Tshering,

Oleg Chestnov

Publication year - 2012

Publication title -

international journal of hypertension

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.744

H-Index - 37

eISSN - 2090-0392

pISSN - 2090-0384

DOI - 10.1155/2012/584041

Subject(s) - medicine , psychological intervention , referral , workforce , sri lanka , capacity building , essential medicines , environmental health , disease , family medicine , economic growth , socioeconomics , nursing , public health , pathology , sociology , economics , tanzania

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.

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