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

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.

scholarly journals The Empowerment of Integrated Development Post of Non-Communicable Diseases in Efforts to Prevent and Control Non- Communicable Diseases

2016 ◽  
Vol 5 (3) ◽  
pp. 294
Author(s):  
Yandrizal Yandrizal ◽  
Rizanda Machmud ◽  
Melinda Noer ◽  
Hardisman Hardisman ◽  
Afrizal Afrizal ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Early Detection ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Combination Method ◽  
Integrated Development ◽  
Non Communicable Diseases ◽  
And Control ◽  
Non Communicable Disease

Non-Communicable disease has already been the main cause of death in many countries, as many as 57 million death in the world in 2008, 36 million (63 percent) is because of un-infectious disease, specifically heart illness, diabetes, cancer, and chronic respiratory diseases. Prevention and controlling efforts of un-infectious diseases developing in Indonesia is non-communicable disease integrated development post (Pospindu PTM). This research used combination method approach with exploratory design. Exploratory design with sequential procedure used combination consecutively, the first is qualitative and the second is quantitative method. Public Health Center formed Posbindu PTM has not disseminate yet to all stakeholders. Posbindu PTM members felt benefit by following this activity. Some of them did not know follow the activity because of unknown about it. There was  connection between coming behavior to Posbindu PTM to preventing behavior of non-communicable disease.Percentage for high blood pressure risk indicated 20-25 percent from all visitors. Formulation of its policy implementation started with stakeholder analysis; head of sub district, head of urban village, head of health department in regency/city, head of public health service, head of neighborhood Association, and the head of family welfare development.  Analysis of perception, power and authority found that every stakeholder had authority to manage the member directly or indirectly. It was not implemented because of the lack knowledge of stakeholders about the Posbindu PTM function.They would play a role after knowing the aim and advantage of the post by motivate the people to do early detection, prevention and control the non-communicable disease. The members were given wide knowledge about  early detection, preventing  and control the un-infectious disease, measuring and checking up their healthy continuously so that keep feeling the advantage of coming to the post.

scholarly journals Surveillance system evaluation of non-communicable diseases through integrated community-based intervention called ‘Posbindu PTM’ in Wonosobo district, Central Java province, Indonesia

2018 ◽  
pp. 15
Author(s):  
Rieski Prihastuti ◽  
Trisno Agung Wibowo ◽  
Misinem Misinem
Keyword(s):  
Surveillance System ◽  
Reporting System ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
System Evaluation ◽  
Main Function ◽  
Community Based ◽  
Non Communicable Diseases ◽  
Surveillance System Evaluation ◽  
Non Communicable Disease

Purpose: Non-communicable diseases are leading cause of the global death, especially from cardiovascular disease, cancers, chronic obstructive pulmonary disease, and diabetes. Prevention and primary detection of non-communicable disease in Indonesia were done through integrated community-based intervention called ‘Posbindu PTM’. Implementation of ‘Posbindu PTM’ needed to be evaluated to determine each component in the non-communicable disease surveillance systems. Methods: This study was descriptive. Respondent were programmer in district health office and programmer in 24 primary health care in Wonosobo. Surveillance system evaluation that used was programs evaluation based on WHO (structure, main function, support function and quality of surveillance system). Results: The weakness of ‘Posbindu PTM’ in Wonosobo were lack of knowledge in the regulation, networking, collaborating, risk factor detecting and reporting; not availability of technical guidebook; low training participant; low monitoring and evaluation activity; also complex reporting system. There was 84% ‘Posbindu PTM’ that had not reported on time and 87,50 % programmer had not done the analysis, interpretation, and dissemination. This was related to the completeness of the report caused too many data that needed to be collected and affect the timeliness of the report. Conclusion: Strengthening ‘Posbindu PTM’ should be done in the reporting system aspect, especially in the timeliness and analysis of the report. Monthly reminder and refreshing in reporting system were done to improve the reporting system aspect.

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

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.

scholarly journals Is there an association between cutaneous leishmaniasis and skin cancer? A systematic review

2019 ◽  
Vol 4 ◽  
pp. 110
Author(s):  
Rodrigo M. Carrillo-Larco ◽  
J. Gonzalo Acevedo-Rodriguez ◽  
Carlos Altez-Fernandez ◽  
Karol Ortiz-Acha ◽  
Cesar Ugarte-Gil
Keyword(s):  
Systematic Review ◽  
Skin Cancer ◽  
Cutaneous Leishmaniasis ◽  
Observational Studies ◽  
Communicable Disease ◽  
Case Reports ◽  
Communicable Diseases ◽  
Neglected Diseases ◽  
Non Communicable Diseases ◽  
Co Morbidity

Background: Cutaneous leishmaniasis is a prevalent communicable disease in low- and middle-income countries, where non-communicable diseases like skin cancer are on the rise. However, the study of multi-morbidity or co-morbidity between communicable and non-communicable diseases is limited, and even null for some tropical or neglected diseases. Nevertheless, looking at these conditions together instead of as isolated entities in places where these illnesses exist, could show new prevention and treatment paths. We aimed to summarize and critically appraise the epidemiological evidence on the association between cutaneous leishmaniasis and skin cancer. Methods: Following the PRISMA guidelines, we conducted a systematic review using five search engines (Embase, Medline, Global Health, Scopus and Web of Science). We sought observational studies in which the outcome was skin cancer whilst the exposure was cutaneous leishmaniasis; these conditions should have had laboratory or pathology confirmation. Results: No epidemiological investigations have studied the association between cutaneous leishmaniasis and skin cancer. Most of the evidence about the association of interest is still based on case reports and other clinical observations rather than strong epidemiological observational studies. Conclusions: Research is much needed to verify the repeatedly clinical observation that cutaneous leishmaniasis may be a risk factor for skin cancer. This evidence could inform and guide early diagnosis or prevention of skin cancer in survivors of cutaneous leishmaniasis or where cutaneous leishmaniasis is still highly prevalent. Registration: PROSPERO ID CRD42018111230; registered on 16/10/18.

Making primary healthcare responsive to non-communicable diseases in sub-Saharan Africa

2020 ◽  
Vol 114 (4) ◽  
pp. 229-231 ◽  
Author(s):  
Frank Baiden
Keyword(s):  
Primary Healthcare ◽  
Communicable Disease ◽  
Premature Mortality ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
Community Based ◽  
Non Communicable Diseases ◽  
Formal Integration ◽  
Sub Saharan ◽  
Non Communicable Disease

Abstract Primary healthcare (PHC) meets the needs of people's health throughout their lives and empowers individuals and communities to oversee their own health. Most of the community-based activities currently undertaken in PHC in sub-Saharan Africa (SSA) address child and maternal health. Non-communicable diseases are now major causes of morbidity and premature mortality in SSA. In this paper, I propose the formal integration of community-based, non-communicable disease prevention and early detection into PHC activities. I offer practical suggestions on how this can be achieved to ensure a continuum of care.

scholarly journals Socio-cultural aspects of non-communicable disease prevention in three villages in the West Java

2021 ◽  
Vol 34 (3) ◽  
pp. 340
Author(s):  
Erna Herawati ◽  
Yulia Sofiatin
Keyword(s):  
Disease Prevention ◽  
Communicable Disease ◽  
Social Institutions ◽  
Communicable Diseases ◽  
West Java ◽  
Non Communicable Diseases ◽  
Cultural Aspects ◽  
Audiovisual Aids ◽  
Prevention And Treatment ◽  
Non Communicable Disease

Community responses to disease, including non-communicable diseases, are influenced by the socio-cultural system. The system shapes community knowledge and belief on diseases, as well as community attitude and practice towards prevention and treatment. Drawing on the case in West Java Province, this study aims at identifying socio-cultural aspects in preventing non-communicable diseases. This study was conducted by using a qualitative design. The data were collected through in-depth interviews and archival study. This study found four socio-cultural aspects related to disease and the prevention and treatment of disease in West Java: 1) knowledge and practice of medicine covered in a local knowledge system about the prevention and treatment of non-communicable diseases, 2) local institutions, involving social institutions ranging from families, mosque neighborhood groups, and recitation groups, 3) social actors involved, such as ustaz, traditional leaders, and youth groups, 4) local health communication, using visual and audiovisual aids. This study concludes that these four aspects must be considered in designing a socio-cultural-based non-communicable disease prevention strategy, to be effective and in accordance with the socio-cultural context in West Java.

scholarly journals Association between non-communicable diseases and satisfaction with healthcare and self-rated health: experiences from post-conflict communities

2020 ◽  
pp. 86-86
Author(s):  
Jovana Milosevic ◽  
Marija Milic ◽  
Momcilo Mirkovic ◽  
Nenad Milosevic ◽  
Tatjana Novakovic ◽  
...  
Keyword(s):  
Health Status ◽  
Waiting Time ◽  
Vegetable Intake ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Multinomial Regression ◽  
Non Communicable Diseases ◽  
Negatively Associated ◽  
Self Rated Health ◽  
Post Conflict

Introduction/Objective. Estimating the prevalence of non-communicable diseases (NCD), multimorbidities, and their association with self-rated health as well as satisfaction with healthcare. Methods. This cross-sectional study was conducted among ethnic Serb communities at Kosovo and Metohija during 2015?2016. Data of sociodemographic and lifestyle characteristics, self-rated health status and satisfaction with healthcare was obtained through a survey which included 1 067 adults, 535 of whom reported presence of non-communicable disease. Multinomial regression was performed to analysis factors associated with self-rated health and self-rated satisfaction with the healthcare. Results. Presence of one NCD was reported by 50.1% respondents, whereas 23.1% of the respondents reported multimorbidity. While self-reported NCD presence was negatively associated with self-rated health (p: 0.001-0.016), no association between NCDs and satisfaction with healthcare was observed (p: 0.178-0.974). Being single (p: 0.011-0.017), lower educational level (p: 0.031-0.047), regular breakfast (p = 0.032), frequent vegetable intake (p: 0.009-0.029), no alcohol use (p = 0.010), shorter waiting time (p: 0.001-0.004) and sufficient finance for dental care (p = 0.021) were factors statistically significantly correlated with greater satisfaction with the healthcare. Conclusion. Presence of non-communicable diseases was negatively associated with self-rated health status, while shorter waiting time and adequate finances were associated with higher level of satisfaction with the healthcare. The results of our study could be of the importance for policy makers in creating the more effective healthcare service in unstable political and security situations.

scholarly journals Peningkatan Pemahaman Risiko Penyakit Tidak Menular pada Remaja melalui Deteksi Dini dengan Pemeriksaan Komposisi Tubuh di SMK PGRI 2 Surakarta (Increased Understanding of the Risk of Non-Communicable Diseases in Adolescents through Early Detection by Examination of Body Composition in SMK PGRI 2 Surakarta)

2020 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Aryanti Setyaningsih ◽  
Nastitie Cinintya Nurzihan
Keyword(s):  
Body Composition ◽  
Health Education ◽  
Early Detection ◽  
Healthy Lifestyle ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
Health Group ◽  
Obesity Hypertension ◽  
Non Communicable Disease

Abstrak Remaja merupakan kelompok kesehatan prima namun rentan karena mengalami perubahan perilaku berisiko sehingga akan menentukan status kesehatan pada saat dewasa. Salah satu permasalahan kesehatan yang meningkat pada remaja adalah meningkatnya penyakit tidak menular pada remaja, misalnya obesitas, hipertensi, diabetes dan hiperkolesterolemia. Remaja perlu mendapatkan pemaparan mengenai penyakit tidak menular perlu diberikan kepada remaja guna meningkatkan kesadaran dan pemahaman remaja mengenai risiko, dampak, dan deteksi dini penyakit tidak menular pada remaja. Oleh karena itu, perlu diberikan pendidikan kesehatan sebagai dasar penerapan hidup sehat dan cara deteksi dini yang dapat dilakukan oleh remaja guna pencegahan penyakit tidak menular pada remaja. Kegiatan ini dilaksanakan di di SMK 2 PGRI Surakarta yang dilakukan selama 2 hari pada Bulan Juli 2019. Metode kegiatan adalah pendidikan kesehatan dan pemeriksaan komposisi tubuh dengan pengukuran indeks massa tubuh. Tiga puluh dua siswa mengikuti kegiatan ini. Hasil evaluasi menunjukkan peningkatan pengetahuan penyakit tidak menular dan kemampuan siswa dalam memahami status gizi mereka melalui pengukuran komposisi tubuh sebagai bagian dari deteksi dini penyakit tidak menular. Dengan demikian, dapat disimpulkan bahwa terdapat peningkatan pengetahuan dan kesadaran peserta kegiatan dalam melakukan pencegahan terhadap penyakit tidak menular remaja. �Kata kunci: Deteksi Dini; Pendidikan Kesehatan; Pengetahuan; PTM; Remaja�Abstract Adolescents are a prime health group but are vulnerable because they experience changes in risky behavior that will determine their health status as adults. One of the increasing health problems in adolescents is the increase in non-communicable diseases in adolescents, such as obesity, hypertension, diabetes, and hypercholesterolemia. Adolescents need to get exposure to non-communicable diseases to increase awareness and understanding of the risks, impacts, and early detection of non-communicable diseases in adolescents. Therefore, it is necessary to provide health education as a basis for implementing a healthy lifestyle and early detection that can be done by adolescents to prevent non-communicable diseases in adolescents. This activity was carried out at SMK 2 PGRI Surakarta which was conducted for 2 days in July 2019. The method of the activity was health education and examination of body composition by measuring body mass index. Thirty-two students participated in this activity. Evaluation results show an increase in knowledge of non-communicable diseases and the ability of students to understand their nutritional status through measurement of body composition as part of early detection of non-communicable diseases. Thus, it can be concluded that there is an increase in the knowledge and awareness of participant activities in the prevention of adolescent non-communicable diseases.�Keywords: Early Detection; Health Education; Knowledge; Non-Communicable Disease; Adolescent

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