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Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan

Non-communicable diseases (NCDs) are a major global health concern, and their management is particularly challenging in humanitarian contexts where healthcare resources are limited. The WHO Non-Communicable Diseases Kit (WHO-NCDK) is a health system intervention targeted at the primary healthcare (P...

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Autores principales: Alani, Ahmad Hecham, Miller, Laura, Waweru, Isaac, Atwiine, Aston B, Njagi, Stella, Tonelli, Marcello, Kisarach, Kelly, Mohammed, Abdelrhman, Mugera, Ronald, Ibrahim, Nazik Mohamed, Abdulhammed Mohamad, Dina, Kiapi, Lilian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10367079/
https://www.ncbi.nlm.nih.gov/pubmed/37295806
http://dx.doi.org/10.1136/bmjgh-2023-012077
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author Alani, Ahmad Hecham
Miller, Laura
Waweru, Isaac
Atwiine, Aston B
Njagi, Stella
Tonelli, Marcello
Kisarach, Kelly
Mohammed, Abdelrhman
Mugera, Ronald
Ibrahim, Nazik Mohamed
Abdulhammed Mohamad, Dina
Kiapi, Lilian
author_facet Alani, Ahmad Hecham
Miller, Laura
Waweru, Isaac
Atwiine, Aston B
Njagi, Stella
Tonelli, Marcello
Kisarach, Kelly
Mohammed, Abdelrhman
Mugera, Ronald
Ibrahim, Nazik Mohamed
Abdulhammed Mohamad, Dina
Kiapi, Lilian
author_sort Alani, Ahmad Hecham
collection PubMed
description Non-communicable diseases (NCDs) are a major global health concern, and their management is particularly challenging in humanitarian contexts where healthcare resources are limited. The WHO Non-Communicable Diseases Kit (WHO-NCDK) is a health system intervention targeted at the primary healthcare (PHC) level and designed to provide essential medicines and equipment for NCDs management in emergency settings, meeting the needs of 10 000 people for 3 months. This operational evaluation aimed to assess the effectiveness and utility of the WHO-NCDK in two PHC facilities in Sudan and identify key contextual factors that may influence its implementation and impact. Using a cross-sectional mixed-methods observational approach that combined quantitative and qualitative data, the evaluation found that the kit played a critical role in maintaining continuity of care when other supply chain solutions were disrupted. However, contextual factors such as local communities’ unfamiliarity with healthcare facilities, the national integration of NCDs into PHC, and the existence of monitoring and evaluation systems were identified as important considerations for enhancing the WHO-NCDK’s utility and usefulness. The evaluation suggests that the WHO-NCDK can be an effective intervention in emergency settings, provided that contextual factors such as local needs, facility capacity and healthcare worker capacity are considered before kit deployments.
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spelling pubmed-103670792023-07-26 Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan Alani, Ahmad Hecham Miller, Laura Waweru, Isaac Atwiine, Aston B Njagi, Stella Tonelli, Marcello Kisarach, Kelly Mohammed, Abdelrhman Mugera, Ronald Ibrahim, Nazik Mohamed Abdulhammed Mohamad, Dina Kiapi, Lilian BMJ Glob Health Practice Non-communicable diseases (NCDs) are a major global health concern, and their management is particularly challenging in humanitarian contexts where healthcare resources are limited. The WHO Non-Communicable Diseases Kit (WHO-NCDK) is a health system intervention targeted at the primary healthcare (PHC) level and designed to provide essential medicines and equipment for NCDs management in emergency settings, meeting the needs of 10 000 people for 3 months. This operational evaluation aimed to assess the effectiveness and utility of the WHO-NCDK in two PHC facilities in Sudan and identify key contextual factors that may influence its implementation and impact. Using a cross-sectional mixed-methods observational approach that combined quantitative and qualitative data, the evaluation found that the kit played a critical role in maintaining continuity of care when other supply chain solutions were disrupted. However, contextual factors such as local communities’ unfamiliarity with healthcare facilities, the national integration of NCDs into PHC, and the existence of monitoring and evaluation systems were identified as important considerations for enhancing the WHO-NCDK’s utility and usefulness. The evaluation suggests that the WHO-NCDK can be an effective intervention in emergency settings, provided that contextual factors such as local needs, facility capacity and healthcare worker capacity are considered before kit deployments. BMJ Publishing Group 2023-06-09 /pmc/articles/PMC10367079/ /pubmed/37295806 http://dx.doi.org/10.1136/bmjgh-2023-012077 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Practice
Alani, Ahmad Hecham
Miller, Laura
Waweru, Isaac
Atwiine, Aston B
Njagi, Stella
Tonelli, Marcello
Kisarach, Kelly
Mohammed, Abdelrhman
Mugera, Ronald
Ibrahim, Nazik Mohamed
Abdulhammed Mohamad, Dina
Kiapi, Lilian
Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan
title Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan
title_full Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan
title_fullStr Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan
title_full_unstemmed Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan
title_short Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency: an operational evaluation in Sudan
title_sort lessons learned from implementing the non-communicable diseases kit in a humanitarian emergency: an operational evaluation in sudan
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10367079/
https://www.ncbi.nlm.nih.gov/pubmed/37295806
http://dx.doi.org/10.1136/bmjgh-2023-012077
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