Journal article
Lessons learned in the provision NCD primary care to Syrian refugee and host communities in Lebanon: the need to ‘act locally and think globally’
Journal of public health (Oxford, England), Vol.42(3), pp.e361-e368
08/18/2020
DOI: 10.1093/pubmed/fdz096
PMID: 31763670
Abstract
ABSTRACT
Background
Prevention and control of non-communicable diseases (NCDs) remain inadequate in resource-scarce countries, particularly in conflict situations. This paper describes a multicomponent intervention for management of hypertension and diabetes among older adult Syrian refugees and the Lebanese host community and reflects on challenges for scaling up NCD integration into primary care in humanitarian situations.
Methods
Using a mixed method approach, the study focused on monitoring and evaluation of the three components of the intervention: healthcare physical facilities and documentation processes, provider knowledge and guideline-concordant performance, and refugee and host community awareness.
Results
Findings revealed overall high compliance of healthcare workers with completing data collection forms. Their knowledge of basic aspects of hypertension/diabetes management was adequate, but diagnosis knowledge was low. Patients and healthcare providers voiced satisfaction with the program. Yet, interruptions in medicines’ supplies and lapses in care were perceived by all study groups alike as the most problematic aspect of the program.
Conclusions
Our intervention program was aligned with internationally agreed-upon practices, yet, our experiences in the field point to the need for more ‘local testing’ of modified interventions within such contexts. This can then inform ‘thinking globally’ on guidelines for the delivery of NCD care in crisis settings.
Details
- Title: Subtitle
- Lessons learned in the provision NCD primary care to Syrian refugee and host communities in Lebanon: the need to ‘act locally and think globally’
- Creators
- Abla M Sibai - Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut 1107 2020, LebanonMartine Najem Kteily - Center for Public Health Practice, Faculty of Health Sciences, American University of Beirut, Beirut 1107 2020, LebanonRana Barazi - Center for Public Health Practice, Faculty of Health Sciences, American University of Beirut, Beirut 1107 2020, LebanonMia Chartouni - Center for Public Health Practice, Faculty of Health Sciences, American University of Beirut, Beirut 1107 2020, LebanonMaguy Ghanem - HelpAge International, Lebanon Office, Beirut 1107 2020, LebanonRima A Afifi - Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, IA 52242, USA
- Resource Type
- Journal article
- Publication Details
- Journal of public health (Oxford, England), Vol.42(3), pp.e361-e368
- DOI
- 10.1093/pubmed/fdz096
- PMID
- 31763670
- NLM abbreviation
- J Public Health (Oxf)
- ISSN
- 1741-3842
- eISSN
- 1741-3850
- Publisher
- Oxford University Press
- Grant note
- DOI: 10.13039/501100011029, name: Helmholtz Alberta Initiative, award: 102915; DOI: 10.13039/100007688, name: American University of Beirut, award: 22424
- Language
- English
- Date published
- 08/18/2020
- Academic Unit
- Injury Prevention Research Center; Community and Behavioral Health
- Record Identifier
- 9984214855502771
Metrics
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