scholarly journals Barriers of Adherence among Palestinian Healthcare Professionals towards the Protocol of Health Education and Counselling on Healthy Behaviours for Non-Communicable Diseases

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Ahmed Hassan Albelbeisi ◽  
Ali Albelbeisi ◽  
Abdel Hamid El Bilbeisi ◽  
Mahmoud Taleb ◽  
Amirhossein Takian ◽  
...  

BACKGROUND፡ Despite the huge numbers of the universally produced and employed protocols, the adherence with them is still low to moderate in the healthcare settings. This study was employed to assess the attitudes of Palestinian healthcare professionals in Gaza Strip to health education and counseling on healthy behaviours protocol (WHO-PEN Protocol 2), for patients with non-communicable diseases in the Ministry of Health primary healthcare centers.METHODS: This cross-sectional study was conducted with a census sample of all governmental family physicians and nurses (n=175). The study questionnaire was developed based on Cabana theoretical framework. The Arabic version questionnaire was developed based on the cross-cultural adaptation framework. The psychometric properties of the Arabic version questionnaire was finally evaluated.RESULTS: The psychometric properties of the Arabic version questionnaire showed good construct validity and internal consistency reliability. The overall adherence level to WHO-PEN Protocol 2 was 70.0, SD=6.9. The main perceived barriers were lack of incentive, patients’ factors, and lack of time. In general, most of healthcare professional respondents had a positive attitude toward the protocol, but this attitude was not predictor to protocol adherence.CONCLUSION: The good validity and reliability of the questionnaire can provide support for the accuracy of the study results. Varied implementation strategies targeting the major barriers derived from the study are extremely required for addressing the lack of incentives, patients’ factors and time constraints.

2021 ◽  
Author(s):  
Gobopamang Letamo ◽  
Mpho Keetile ◽  
Kannan Navaneetham ◽  
Keitumetse Medupi

Abstract Background There is scanty information regarding sex or gender differences in health-related habits, NCD risk factors, and prevalence of NCDs in Botswana. The purpose of this study is to assess the influence of gender differences on health-related habits, weight status, common NCD risk factors, and on the prevalence of non-communicable diseases. Methods A cross-sectional, population-based survey called the Botswana STEPS Survey II which was conducted in 2014 based on people aged 15–64 years. The survey used a multi-stage cluster sampling methodology to arrive at nationally representative sample. As such during analysis of data, a complex sample module from SPSS was adopted to account for the multiple stages of sampling. The predicted probabilities of outcome variables were derived by controlling the covariates. A total sample size of 2947 participants aged 25–64 years were used in this study. Results The study results showed that a statistically significant high predicted percentage of men compared to women smoked tobacco (34.4%, 95% CI: 33.5–35.1 vs. 4.4%, 95% CI: 4.3–4.5). Men were also consistently engaging in heavy alcohol use and low consumption of fruit and/or vegetables, and these differences were statistically significant. On the other, physical inactivity among women was higher than men. Controlling other covariates, a higher predicted probability of women than men were overweight (28.7%, 95% CI: 28.6–28.8 vs. 18.3%, 95% CI: 18.0-18.6) and obese (25.8%, 95% CI: 25.4–26.2 vs. 10.2%, 95% CI: 9.9–10.5). Women are at the greater risk of developing NCDs compared to men since the adjusted prevalence of at least 3 common risk factors were more among women than men. A higher adjusted predicted prevalence of women than men suffered from hypertension (39.4%, 95% CI: 38.9–40.0 vs. 26.1%, 95% CI: 25.5–26.8). Conclusions Overall, the study observed that there were gender differences in health-related habits, malnutrition, NCD risk factors and NCD prevalence. Appropriate policies and programmes need to be adopted in order to urgently address the problem of NCDs.


Author(s):  
Febi K. Kolibu ◽  
Chreisye Mandagi ◽  
Paul Kawatu

Background: Hypertension is one of the leading causes of death for cases of non-communicable diseases in Indonesia. Basic Health Research in 2018 by the ministry of health of the republic of Indonesia found the number of non-communicable diseases such as hypertension, stroke and diabetes mellitus has increased compared to revious research. The aim of this study was to determine the factors associated with the occurrence of hypertension in the Talaud Islands Regency.  Methods: This is a survey research using cross sectional method, the instrument used is a questionnaire that has been tested for validity and reliability. The number of samples are 100 people with purposive sampling technique.  Results: The results of the chi square analysis show that gender does not associate with the occurrence of hypertension (p value 0.641), age has no association with the occurrence of hypertension (p value 0.641), obesity and hypertension showed that there was a significant association (p value 0.033), family history and hypertension were associated (p value 0.033), no association between smoking and hypertension (p value 0.582), consumption of risky food do not have an association with the occurrence of hypertension (p value 0.612), there is no association between physical activity and the occurrence of hypertension (p value 0.641), alcohol consumtion and hypertension were associated (p value 0.024), stress has no association with the occurrence of hypertension (p value 0.083).Conclusions: Factors associated with hypertension in the Talaud Islands Regency are obesity, family history of hypertension and alcohol consumption.


2021 ◽  
Vol 9 ◽  
pp. 205031212110291
Author(s):  
Ahmed Hassan Albelbeisi ◽  
Ali Albelbeisi ◽  
Abdel Hamid El Bilbeisi ◽  
Mahmoud Taleb ◽  
Amirhossein Takian ◽  
...  

Objectives: Non-communicable diseases are non-infectious health conditions caused by genetic, physiological, environmental, and behavioral factors. Currently, non-communicable diseases account for almost two-thirds of deaths globally. This study aimed to explore the patients’ adherence level to the key recommendations, and the main barriers toward the practice of healthy behaviors among non-communicable diseases patients. Method: This cross-sectional study was conducted among a representative sample of non-communicable diseases patients, receiving care in five primary healthcare centers in the Gaza Strip, Palestine. An interview-based questionnaire about demographics, medical history, and barriers toward the practice of healthy behaviors was developed and collected based on the health belief model and the theory of planned behaviors. Independent samples t-test, one-way analysis of variance, chi-square, and Fisher’s exact test were used for analysis. Results: Four hundred patients with non-communicable diseases, aged (53.06 ± 10.03) years old, (56.8% females and 43.3% males) were included in this study. The patient’s adherence was reported as 50.1%, standard deviation = 18.3 in terms of attended regular physical activity, and 44.0%, standard deviation = 15.4 in terms of eating a healthy diet. The main barriers to being active among patients were lack of accessibility to materials, lack of social support, and lack of reminder; while in terms of eating a healthy diet were lack of accessibility to materials, lack of social support, and lack of self-efficacy. Conclusion: The non-communicable diseases patients’ adherence to healthy behaviors is suboptimal. Varied implementation strategies targeting the main barriers are extremely required to enhance the access to physical activity infrastructure, affordable healthy diet options, and to reinforce the change toward healthy behaviors at all levels.


2021 ◽  
Vol 2 (2) ◽  
pp. 157-160
Author(s):  
Dian Amalia Azka

The Description of the head of local government clinic leadership understanding through the coordination of healths ervice Function In Decreasing Non Communicable Diseases (NCD) In the Working Area. Non-communicable diseases (NCD) such as heart and blood vessel disease, Diabetes Mellitus (DM), chronic lung disease, cancer (especially cervical and breast cancer) are among the health concerns of national and global concerns. To reduce the number of NCD required first-level health facilities in this case is the Puskesmas that can be the implementation of gatekeeper concept with the strengthening of four primary function of primary services, one of which is the coordination function. Therefore, it is necessary for leaders of puskesmas who have a good understanding of the coordination of care function to decrease NCD. This study aims to determine the description of the leadership of the puskesmas through the coordination of health in the decrease of Non Communicable Diseases (NCD) in its working area. This study is a descriptive study with cross sectional design, with a total sample of 37 respondents. The data were collected using questionnaires that have been tested for validity and reliability. Measurement results can be grouped into 3 categories of knowledge; ie good (if score 76% -100%), enough (56-75%), and less (<= 55%). From the results of the study, all respondents (37 respondents) had a total score above 76%, it can be concluded that the leaders of Puskesmas in Palembang City have a good understanding about the function of health coordination service in decreasing NCD in their working area.


2019 ◽  
pp. 80-86
Author(s):  
Phuoc Thuoc Doan ◽  
Thi Huong Nguyen ◽  
Thi Thanh Nhan Tran ◽  
Thi Phuong Thao Nguyen ◽  
Thi Thuy Hang Nguyen ◽  
...  

Background: Non-communicable diseases seriously affect public health and socio-economic development of the country due to the high number of people suffering from diseases, being disabled and mortal. However, the proportion of people who recognized themselves a suffering from non-communicable diseases such as hypertension, diabetes and dyslipidemia is not high. For cases that their disease situations have been identified, there are not appropriate treatment and preventive behaviors. Objectives: 1) To determine the proportion of 25 - 84 years old peoplewho identified themselves as suffering from hypertension, diabetes and dyslipidemia. 2) To learn treatment and preventive behaviors in the group of people who identified themselves as suffering from diseases. Methods: A cross-sectional study was conducted with a randomly selected sample of 1600 residents in Thua Thien Hue province. Results: The proportion of people knowing that they are suffering from hypertension, diabetes and dyslipidemia was 29.4%; 3.2% and 7.8% respectively. Among them, the proportion of people who did not treat and treated irregularly accounted for 42.7%; 13.7% and 75.2% respectively; the proportion of people who did not change their lifestyles and dietary habits accounted for 50.1%; 5.9% and 56.8% respectively. Conclusions: The proportion of people who identified themselves as suffering from some non-communicable diseases without appropriate treatment and preventive behaviors is alarming. Interventions are needed to help people realize the importance of treatment and prevention effectively. Key words: Non-communicable diseases, hypertension, diabetes, dyslipidemia


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Vareda ◽  
T Garcia ◽  
J Rachadell

Abstract Background From disease prevention to health promotion, communication is key for Public Health (PH) practice and, according to the 9th Essential Public Health Operation its goal is to improve populations health literacy and capacity to access, understand and use information. Though social media is frequently presented as a potentially useful tool for PH communication, there is a lack of evidence about its effectiveness and impact on PH outcomes. This study researches Instagram® as a PH tool and aims to know who is using it, what content is shared on the platform and how much engagement there is. Methods This cross-sectional study regards information on 1000 Instagram® posts with the hashtags publichealth, publichealthpromotion, healthpromotion, publichealthmatters and publichealtheducation. Authors categorized post content and creators, and reviewed the number of likes and comments per post to determine engagement. Data analysis was performed on IBM SPSS® Statistics. Results The most common content categories were communicable diseases (n = 383), non-communicable diseases (n = 258) and healthy lifestyles (n = 143). Health professionals post more about communicable diseases (43,6%) and non-professionals about healthy lifestyles (36,1%). Non-professionals (n = 191) post about PH issues almost as much as health professionals (n = 220) and PH associations (n = 201). Most don't reference their sources (n = 821). Posts on communicable diseases have the most likes and comments per post (mean of 172 likes and 3,1 comments). Conclusions Half the Instagram® posts analysed in this study were made by health professionals or organizations. Communicable diseases, non-communicable diseases and healthy lifestyles were the most frequent content categories and had the most engagement. The majority of posts didn't reference their sources. Though Instagram® seems to be a potential PH communication tool, further research is needed to confirm its benefits for PH. Key messages Social media platforms like Instagram® are potentially powerful tools for PH communication. There is a need to understand the efficacy of social media as health promotion tools.


2016 ◽  
Vol 7 (2) ◽  
pp. 1-13 ◽  
Author(s):  
Mohammad Rashemdul Islam ◽  
Shamima Parvin Laskar ◽  
Darryl Macer

Non-communicable diseases (NCDs) disproportionately affect low and middle-income countries where nearly three quarters of NCD deaths occur. Bangladesh is also in NCD burden. This cross-sectional study was done on 50 health facilities centres at Gazipur district in Bangladesh from July 2015 to December 2015 to introduce SARA for better monitoring and evaluation of non-communicable diseases health service delivery. The General Service readiness index score was 61.52% refers to the fact that about 62% of all the facilities were ready to provide general services like basic amenities, basic equipment, standard precautions for infection prevention, and diagnostic capacity and essential medicines to the patients. But in case of non-communicable diseases, among all the health facilities 40% had chronic respiratory disease and cardiovascular diseases diagnosis/ management and only 32% had availability of diabetes diagnosis/management. Overall readiness score was 52% in chronic respiratory disease, 73% in cardiovascular disease and 70% in diabetes. Therefore, service availability and readiness of the health facilities to provide NCD related health services were not up to the mark for facing future targets.  A full-scale census survey of all the facilities of the study area would give a better understanding of the availability and service readiness.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erfan Taherifard ◽  
Mohammad Javad Moradian ◽  
Ehsan Taherifard ◽  
Abdolrasool Hemmati ◽  
Behnaz Rastegarfar ◽  
...  

Abstract Background Refugees are highly vulnerable to many health-related risks. Monitoring non-communicable diseases (NCDs) is of overriding importance in these populations. This study aimed to investigate the prevalence of risk factors for NCDs amongst Afghan refugees in a refugee camp located in southern Iran. Methods This cross-sectional sturdy was conducted in 2018. Risk factors such as inadequate nutrition, physical inactivity, tobacco smoking, obesity and overweight, hypertension (HTN), elevated fasting plasma glucose (FPG), and dyslipidaemia were assessed. Data were gathered with a modified WHO STEPS procedure. Prevalence and age-standardized prevalence and their 95% confidence intervals (CI) were estimated. Results The estimated prevalence were 94% for inadequate fruit/vegetable consumption, 18% for physical inactivity, 9% for tobacco smoking, 3% for FPG, 20% for HTN, 51% for central obesity, 24% for overweight, 19% for obesity, and 69% for dyslipidaemia. Conclusions Except for inadequate fruit and vegetable intake and dyslipidaemia, the prevalence of other NCD risk factors was low among Afghan refugees in Iran. Raising awareness about healthy diet and its importance and the provision of more affordable fruit and vegetables are two effective measures toward improving the health of refugees in Iran.


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