Prevention and Control of Tobacco Use as a Major Risk Factor for Non-communicable Diseases (NCDS): A Lifecourse Approach

Background: The increasing burden of Non communicable diseases calls for added role on the part of health professionals. The female Health workers being the closest to population play an important role in alleviating the problem to great extent. Objective of this study was to assess the Knowledge, and skills of female health workers (FHWs) regarding selected non communicable diseases risk reduction and the client satisfaction with NCD skill services performed by FHWs.Methods: This study was undertaken at selected health centres of Jodhpur. FHWs working at these centres and women receiving health services from FHWs were recruited for the study. Data were collected using predesigned NCD knowledge questionnaire, skill checklist and client satisfaction scale. Method of data collection were paper pencil questionnaire, observation and interview. Descriptive and inferential statistics were calculated to summarize demographics and key variables.Results: Nearly 24% and 35% of FHWs had average knowledge regarding HTN/ diabetes, breast and cervical cancer respectively. 47% of subjects had good level of knowledge regarding mental health. Most of FHWs (77%) had adequate BP measurement and RBS testing skills. Majority had inadequate breast examination and waist circumference measurement skills. Level of knowledge related to hypertension and diabetes were found to be significantly associated with NCD training of health workers in past (p level=0.03). Nearly 67% of the women were satisfied with the NCD health services provided by FHWs.Conclusions: Overall FHWs had average level of awareness regarding different NCDs’ prevention and control. Routine skills pertaining to NCDs screening methods such as BP and blood glucose measurement were adequate among FHWs. Overall women were satisfied with the NCD related health services provided by FHWs. Being an important concern there is need to plan refresher training programs for these health workers so that their services can be effectively utilized for prevention and control of NCDs.

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Prevention & Control Efforts Non-Communicable Diseases (PTM); Hypertension

Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sriwijaya ◽

10.32539/dies.v2i1.52 ◽

2020 ◽

Vol 2 (1) ◽

pp. 145-152

Author(s):

Dian Wahyuni

Keyword(s):

Blood Pressure ◽

Online Education ◽

Prevention And Control ◽

Complementary Therapies ◽

Communicable Diseases ◽

Non Communicable Diseases ◽

Education Seminar ◽

Release Data ◽

And Control

BALITBANG KEMENKES in 2020 release data in the form of tendency of non-communicable diseases (PTM) starting from the age of 10-14 years including increasing heart pressure. The purpose of this avenue is describing the prevention and control of hypertension. The method used by the online education seminar on health cadres in Sakatiga village, FK UNSRI fostered village since 2014. Finally, it is hoped that the community (cadres) can understand and implement efforts to prevent and control hypertension in the form of routinely measuring blood pressure, taking hypertension medication regularly and using complementary therapies.

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Community Health Workers for Non-Communicable Diseases Prevention and Control in Bangladesh: A Qualitative Study

10.21203/rs.3.rs-49718/v1 ◽

2020 ◽

Author(s):

Lal Rawal ◽

Shamim Jubayer ◽

Shohel R Choudhury ◽

Sheikh Mohammad Shariful Islam ◽

Abu Abdullah

Keyword(s):

Community Health ◽

Community Health Workers ◽

Prevention And Control ◽

Health Workers ◽

Community Support ◽

Communicable Diseases ◽

Health Facilities ◽

Non Communicable Diseases ◽

And Control ◽

Central Level

Abstract Objective: To examine the barriers and facilitators to engaging Community Health Workers (CHWs) for Non-communicable Diseases (NCDs) prevention and control in Bangladesh.Design: We used multipronged approaches, including a. Situation analyses using a literature review, key personnel and stakeholders’ meetings, and exploratory studies. A grounded theory approach was used for qualitative data collection, and data were analysed thematically.Setting: Data were collected from health facilities across three districts in Bangladesh, and two stakeholder consultative meetings were conducted at the central level.Participants: We conducted in-depth interviews with CHWs (Health Inspector; Community Health Care Provider; Health Assistant and Health Supervisor) (n=4); key informant interviews with central level health policymakers/ managers (n=15) and focus group discussions with CHWs (4 FGDs; total n=29). Participants in a stakeholder consultative meeting included members from the government (n=4), non-government organisations (n=2), private sector (n=1) and universities (n=2).Results: The CHWs in Bangladesh deliver a wide range of public health programs. They also provide several NCDs specific services, including screening, provisional diagnosis, and health education and counselling for common NCDs, dispatching of basic medications, and referral to relevant health facilities. These services are being delivered from the sub-district health facility, community clinics and urban health clinics. The participants identified key challenges and barriers, which include lack of NCD specific guidelines, inadequate training, excessive workload, inadequate systems-level support, and lack of logistics supplies and drugs. The facilitating factors to engage CHWs included government commitment and program priority, development of NCD related policies and strategies, the establishment of NCD corners, community support systems, social recognition and staff motivation.Conclusion: Engaging CHWs has been a key driver to NCDs services delivery in Bangladesh. However, there is a need for capacity building of CHWs, systems-level support and maximizing CHWs engagement to prevention and control of NCDs in Bangladesh.

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Existing NCD Monitoring and Surveillance Systems and its adaptability to Fiji’s context: A Systematic Review

Pacific Health Dialog ◽

10.26635/phd.2021.101 ◽

2021 ◽

Vol 21 (7) ◽

pp. 440-448

Author(s):

Josua Ligairi ◽

Donald Wilson ◽

Isimeli Tukana

Keyword(s):

Surveillance System ◽

Prevention And Control ◽

Communicable Diseases ◽

Sentinel Surveillance ◽

Surveillance Systems ◽

Equal Distribution ◽

Non Communicable Diseases ◽

Mesh Terms ◽

Monitoring And Surveillance ◽

And Control

Introduction: The United Nations high-level meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases passed a political declaration on Non-Communicable Diseases (NCD) prevention and control in 2011, emphasizing the great need for NCD surveillance including in Low-to-Middle-Income-Countries (LMICs). Method: A review of literature was conducted and set for full text citations published in English dated 1 January, 2007 to 31 August 2019. MESH terms or key words were selected from the following groups of generic terms: the following words “Health surveillance systems” and “NCD monitoring and surveillance system”. The literatures were tabulated according to the authors, date that was published and which journal, the title of the study, the surveillance design and their recommendations. The 13 articles that were identified, only one was conducted in a developing country while the rest were conducted in high income countries. Results: 60% of the NCD surveillace system reviewed use passive surveillance, 30% uses passive assisted sentinel surveillance and 10% use passive assited spatial surveillance. Based on countries surveillance system there was an equal distribution on involvement in policy development (33%), behavioural risk associated aggregates (33%) and intergrated health information System (33%).Through intense review, passive assisted sentinel surveillance was mostly practiced and the use of spatial surveillace in this context for interregional comparisons of specified diseases. Conclusion: There was less evidence on surveillance in LMIC but the following surveillance systems were identified as essential for Fiji’s proposed NCD surveillance system. This study suggest that a probable surveillance system that can be adopted by Fiji is a passive assisted sentinel surveillance system enhanced with Spatial data. Further consultation and a feasibility study can be proposed as a way forward for this study findings.

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