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Iran’s Status of NCDs Prevention and Management Services during COVID-19 Pandemic at PHC Level
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Forouzan Akrami1    , Sahand Riazi-Isfahani2 , Alireza Mahdavi hezaveh3 , Ali Ghanbari Motlagh4 , Mehdi Najmi5 , Mehdi Afkar6 , Alireza Moghisi7 , Mansour Ranjbar8 , Christoph Hamelmann9 , Alireza Raiesi10 , Afshin Ostovar11 |
1- MPH, PhD in Medical Ethics, Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Assistant Professor, National Institute for Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran.
3- MD, MPH, Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
4- Associate Professor, Department of Radiation Oncology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- MD, Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
6- Assistant Professor of Community Medicine, Tehran Medical Sciences Islamic Azad University, Tehran, Iran
7- PhD in Community Medicine, Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
8- MD, National Professional Officer, NCDs and Mental Health Unit Head, WHO, Iran
9- WHO Representative in I.R.I, WHO, Iran
10- Professor, Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
11- Professor, Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences and Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran , aostovar@tums.ac.ir |
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Abstract: (2313 Views) |
Background and Aim: Evidence shows that COVID-19 pandemic affects non-communicable diseases (NCDs), significantly. This study aimed to analyze the status of prevention and management services of NCDs at the level of primary health care (PHC) system during the COVID-19 pandemic.
Materials and Methods: In this situation analysis study, first the circulars communicated at the level of PHC system from beginning of the pandemic to the end of September 2020 were manually and electronically retrieved, and those which included a decision or action in terms of governance and coordination mechanisms to provide NCDs in crisis and reopening stages, were analyzed. Then, the plans of major NCDs services in low-risk, intermediate, and high-risk conditions were developed and finalized based on the circulars. Finally, situation analysis was performed using SWOT analysis, and proposed strategies were extracted.
Results: 25 out of 199 circulars were analyzed. In the crisis phase, most screening, risk assessment and diagnostic services were suspended, and the follow-ups and care of patients with NCDs were mainly done by telephone. In the reopening phase, general strategies were adopted to increase capacity and to compensate delayed care, and the plan of major NCDs services at the PHC system was developed in the three-pandemic settings. Finally, main strategies were proposed with integration approach and focusing on essential services, considering vulnerable groups and the use of E-health technologies.
Conclusion: The results indicated an interruption in NCDs services during the crisis phase, while adopting strategies to respond to the pandemic. Revision of the COVID-19 guides with a particular focus on NCDs prevention and management services is recommended in national response plan. |
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| Keywords: COVID-19, Non-Communicable Diseases, PHC, Essential services |
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Full-Text [PDF 1316 kb]
(913 Downloads)
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Type of Study: Original Research |
Subject:
Public Health
Received: 2021/07/31 | Accepted: 2021/10/9 | Published: 2021/11/1
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akrami F, Riazi-Isfahani S, Mahdavi hezaveh A, Ghanbari Motlagh A, najmi M, afkar M, et al . Iran’s Status of NCDs Prevention and Management Services during COVID-19 Pandemic at PHC Level. SJKU 2021; 26 (5) :50-68 URL: http://sjku.muk.ac.ir/article-1-6878-en.html
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