Effect of multicomponent intervention on composite quality of care metric among T2DM patients in South Asia: CARRS Trial

SummaryGlobally, female sterilization is one of the most popular contraceptive methods despite concerns about quality of care for women who report being sterilized. In this study, informed choice among sterilized women was quantified using Demographic and Health Survey (DHS) data from 2000 to 2012 for countries in South Asia and Latin America. Three responses measured informed choice and knowledge about whether women were informed by a health worker or provider: that sterilization is permanent, the potential side-effects of sterilization and other methods of contraception. An ascending composite Method Information Index with scores ranging from 0 (women received no information) to 3 (women received information across all three indicators) was used. Using ordinal logistic regression analysis, the results indicated that women younger than 25 and older than 35 at the time of sterilization, and those at high parities, had lower odds of a high score on the index, while the opposite was true for women sterilized in the private sector in Latin America. Educated women in India had higher odds of a high score on the index, while the same was true for educated and wealthy women in Colombia. These findings indicate that not enough health care providers spend time informing women in South Asia and Latin America about different aspects of sterilization, and that there are specific groups of women that are more affected. There is an urgent need to improve quality of care within health systems providing sterilization for this very important and effective type of contraception.

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Quality of Care among Non-Communicable Diseases (NCDs) Service Delivery in South Asia: A Systematic Rapid Review

10.21203/rs.3.rs-155655/v1 ◽

2021 ◽

Author(s):

Saraban Ether ◽

K M Saif-Ur-Rahman

Keyword(s):

Cardiovascular Disease ◽

Quality Of Care ◽

South Asia ◽

South Asian ◽

Communicable Diseases ◽

Rapid Review ◽

Cochrane Library ◽

Non Communicable Diseases ◽

The Impact

Abstract Background: South Asia is facing the challenges of non-communicable diseases (NCDs) which are getting doubled due to the low quality of care (QoC) around NCD services. This systematic rapid review aims to unpack available approaches to establish the quality of care around NCD services and the impact of those approaches to reduce NCD burden in South Asian countries. Methods: Three electronic databases (Medline, Embase, and the Cochrane Library) were searched. Studies published from 1st January 1990 to 31st December 2020 were included. Studies written in English in the South Asian context following any research design about four major NCDs (cancer, diabetes, cardiovascular disease, chronic respiratory disease), and interventions to achieve QoC were included. Data extraction was done using a pre-specified form. A narrative synthesis was conducted for analyzing the extracted information. This systematic rapid review is registered in PROSPERO (International prospective register of systematic reviews) - CRD42020157401.Results: Among 829 identified studies 13 were included in the review for in-depth analysis. Most of the studies focused on cancer followed by diabetes and cardiovascular disease. Community and clinic-based screening, NCD care education, NCD specialized corner or hospital, and a follow-up system ensure patient satisfaction, accessibility, early detection, timely referral, and help to reduce disease severity, mortality rate, and incidence of the new disease.Conclusions: The effective interventions for improving QoC around NCD services can be scaled up in different settings in South Asia to reduce the burden of NCDs.

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