Incorporating genomic medicine into primary‐level health care for chronic non‐communicable diseases in Mexico: A qualitative study

Abstract Non-Communicable Diseases (NCDs) are prevalent in the migrant population with increased years of residency in the host country. In this regard, health education and lifestyle interventions have proven to be cost-effective modifying risk factors. The Spanish pilot of the Mig-HealthCare project directly aims to reduce the prevalence of NCDs reducing the well-known “healthy migrant effect” by increasing the levels of health literacy and also turning the lifestyles of the participants into healthier habits in the host country. The Mig-HealthCare pilot in Spain is a one-month group-based Health Education and Lifestyle Intervention to prevent the incidence of non-communicable diseases in Migrant and refugee populations addressing their Acculturation Process (HELP-MAP). Consequently, the pilot intervention addressing 4 topics: health literacy, physical activity, dietary patterns and strategies for coping with stress. The implementation of the pilot will be carried out in two different community services (i) one NGO providing care and accommodation for asylum seekers and (ii) three social care units within primary health care centres. Furthermore, following the Mig-Healthcare study protocol evaluation will focus on acculturation strategies, level of health literacy, physical exercise, change in diet, use of health care access and Quality-Adjusted life-years (QALY)

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A critical review of addressing cardiovascular and other non-communicable diseases through a primary health care approach in the South-East Asia Region

Cardiovascular Diagnosis and Therapy ◽

10.21037/cdt.2018.09.03 ◽

2019 ◽

Vol 9 (2) ◽

pp. 150-157 ◽

Cited By ~ 3

Author(s):

Palitha Mahipala ◽

Gampo Dorji ◽

Klara Tisocki ◽

Manju Rani

Keyword(s):

Health Care ◽

Primary Health Care ◽

East Asia ◽

Critical Review ◽

Communicable Diseases ◽

South East Asia ◽

Non Communicable Diseases ◽

Primary Health ◽

Care Approach ◽

East Asia Region

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Challenge Non-Communicable Diseases Programs in Iran: A Qualitative Study

10.21203/rs.3.rs-605318/v1 ◽

2021 ◽

Author(s):

Fatemeh Ataollahi ◽

Leila Vali ◽

Mohammadreza Amiresmaili ◽

Nouzar Nakhaee ◽

Maryam Okhovati

Keyword(s):

Program Evaluation ◽

Qualitative Study ◽

Needs Assessment ◽

Evaluation System ◽

Communicable Disease ◽

Communicable Diseases ◽

Care Providers ◽

Research Experience ◽

Non Communicable Diseases ◽

Individual Interviews

Abstract Background One of the effective strategies to prevent and control Non- communicable diseases risk factors is to identify priorities and problems of Non-communicable programs. this study was conducted to identify the challenges of non-communicable diseases programs in order to improve programs development. Methods This study was a qualitative study which was carried out in 5 universities of medical sciences and the Ministry of Health in 2019 year. The sampling method was purposive and the participants include specialists in the field of NCD who have executive and research experience in this field. Data were collected through 40 individual interviews with health professionals and care providers. Data were analyzed by content analysis using CIPP model. Results In the present study, problems of non-communicable disease programs were identified in 4 main categories, 12 sub-categories including inadequate participation of all levels of service delivery in program development, needs assessment, budget allocation, data and program evaluation system. Conclusions Some problems of non-communicable diseases programs included inadequacy of needs assessment, lack of prioritization based on local and regional conditions, program evaluation system. Paying attention to the mentioned points will help to solve underlying problems and improve the processes of developing, implementing and evaluating programs.

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Understanding low mobilization for non-communicable diseases among people living with NCDs: A qualitative study on hypertension in urban South India

Social Science & Medicine ◽

10.1016/j.socscimed.2021.114472 ◽

2021 ◽

pp. 114472

Author(s):

Carolin Kroeger ◽

Shuba Kumar ◽

Rani Mohanraj ◽

Sripriya Kundem ◽

Kate Bärnighausen ◽

...

Keyword(s):

Qualitative Study ◽

South India ◽

Communicable Diseases ◽

Non Communicable Diseases ◽

Urban South

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The Lived Experience of Nurses on the Role of Continuing Education Programs in Promoting Their Knowledge, Skills, and Attitude Toward Non-Communicable Diseases

10.21203/rs.3.rs-431307/v1 ◽

2021 ◽

Author(s):

Maryam Zarei ◽

Leila Bazrafkan ◽

Sadaf Mojarrab

Keyword(s):

Qualitative Study ◽

Lived Experience ◽

Professional Education ◽

Training Programs ◽

Clinical Skills ◽

Skills Training ◽

Communicable Diseases ◽

Professional Skills ◽

Non Communicable Diseases ◽

Effective Training

Abstract BackgroundContinuing professional education is essential for nurses to provide quality patient care and upgrade their professional skills and competence. The need for continuing medical education (CME) has become more apparent in the face of advances in medical science, the ever-changing healthcare system, and the important role nurses play in improving health care. It is therefore imperative to explore nurses’ experience of CME courses and the extent to which such programs are effective. The present qualitative study aimed to assess the lived experience of nurses on the effect of CE programs in promoting their knowledge, skill, and attitude toward non-communicable diseases.MethodsThis qualitative study was conducted in 2019-2020 at various hospitals affiliated to Shiraz University of Medical Sciences (Shiraz, Iran). The target population was nurses actively working in the chronic wards of these hospitals. The participants were selected using maximum variation sampling, including nursing managers, education and clinical supervisors, and staff nurses. Data were collected through individual, face-to-face, semi-structured interviews and analysed using the conventional content analysis method. Data trustworthiness was assessed according to the criteria proposed by Guba and Lincoln.ResultsAnalysis of the interview data resulted in 230 primary codes based on which 15 subcategories, 6 categories, and 3 themes were identified. The extracted themes were training to improve knowledge and attitude, training to improve professional skills, and the need for effective training programs. The associated categories weretraining to improve clinical knowledge, training to improve professional attitude, training in clinical skills related to holistic and person‐centred care, communication skills training, incorporate the fundamentals of effective training, and recognize common challenges and barriers to effective training.ConclusionProfessional competence and performance of nurses can be improved through intrinsic motivation stimulation, planning and implementation of training programs based on professional needs, and effective assessment of the teaching/learning process.

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The COVID-19 Pandemic and Non-communicable Diseases—A Wake-up Call for Primary Health Care System Strengthening in Sub-Saharan Africa

Journal of Primary Care & Community Health ◽

10.1177/2150132720946948 ◽

2020 ◽

Vol 11 ◽

pp. 215013272094694

Author(s):

Christian Kraef ◽

Pamela Juma ◽

Per Kallestrup ◽

Joseph Mucumbitsi ◽

Kaushik Ramaiya ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care Systems ◽

Health Spending ◽

Communicable Diseases ◽

Sub Saharan Africa ◽

Primary Health Care System ◽

Health Coverage ◽

Non Communicable Diseases ◽

Primary Health

Strengthening Primary Health Care Systems is the most effective policy response in low-and middle-income countries to protect against health emergencies, achieve universal health coverage, and promote health and wellbeing. Despite the Astana declaration on primary health care, respective investment is still insufficient in Sub-Sahara Africa. The SARS-CoV-2019 pandemic is a reminder that non-communicable diseases (NCDs), which are increasingly prevalent in Sub-Sahara Africa, are closely interlinked to the burden of communicable diseases, exacerbating morbidity and mortality. Governments and donors should use the momentum created by the pandemic in a sustainable and effective way by pivoting health spending towards primary health care.

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