Assessment of capacity to prevent and manage major non-communicable diseases (NCDs) in primary care centres in Zambia: A health systems approach

评估赞比亚初级保健中心预防和管理主要非传染性疾病（NCD）的能力：卫生系统方法

• 批准号: 9356596
• 负责人: Wilbroad Mutale
• 金额: $ 13.49万
• 依托单位: UNIVERSITY OF ZAMBIA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9356596
• 关键词: AIDS/HIV problem; Address; Adopted; Adverse effects; Africa; Africa South of the Sahara; Anti-Retroviral Agents; Benchmarking; Communicable Diseases; Complex; Country; Data; Databases; Epidemiology; Equipment; Evaluation; Goals; HIV; Health Benefit; Health Information System; Health Policy; Health care facility; Health system; Human Resources; Intervention; Interview; Lead; Life; Life Style; Longitudinal Studies; Low income; Medicine; Metabolic; Methods; Patients; Pharmaceutical Preparations; Prevention; Primary Health Care; Public Health; Readiness; Recommendation; Research; Research Infrastructure; Research Project Grants; Resources; Services; Surveys; System; Thinking; Universities; Work; Zambia; base; burden of illness; design; experience; follow-up; improved; informant; low income country; mortality; multidisciplinary; prevent; primary care setting; programs; scale up; service utilization; systems research; tool

Abstract Country-specific data on NCDs in Africa are scarce and most of the available data are based on estimations. This is true for Zambia, making it difficult to assess the burden of NCDs and the capacity of the health system to respond to the burden of NCDs. There are clear gaps in the evidence of successful implementation of NCD interventions within the primary health care setting in Sub-Saharan Africa, despite WHO putting forward recommendations through the WHO Essential Non communicable Disease Interventions (WHO PEN package) to tackle NCDs. We propose a mixed-methods approach to assess health systems capacity to provide NCD related services by adopting and adapting a WHO recommended NCD tool in the Zambian context. This preliminary work will inform the design of a comprehensive long-term study to be supported through an R01 mechanism, which will adopt the WHO PEN package to improve NCD services in primary care within Zambia. To accomplish these aims we have assembled a strong multidisciplinary team representing Vanderbilt University and the University of Zambia. Completion of this study and the follow-up trial will not only benefit the health system in Zambia but will also provide evidence on how to re- orient health systems in Sub-Saharan Africa, to address the growing NCD burden. To our knowledge this will be the first study to address health systems’ capacity to respond to the growing threat of NCD in Zambia.

摘要 关于非洲非传染性疾病的具体国家数据很少，现有数据大多基于 估计数。赞比亚的情况正是如此，因此难以评估非传染性疾病和艾滋病毒/艾滋病的负担。 卫生系统应对非传染性疾病负担的能力。有明显的差距， 在初级卫生保健中成功实施非传染性疾病干预措施的证据 尽管世卫组织提出了建议， 世卫组织非传染性疾病基本干预措施（世卫组织PEN一揽子措施），以应对非传染性疾病。 我们提出了一种混合方法来评估卫生系统提供非传染性疾病的能力 通过在赞比亚采用和调整世卫组织推荐的非传染性疾病工具， 上下文这一初步工作将为设计一项全面的长期研究提供信息， 通过R 01机制提供支持，该机制将采用世卫组织PEN包来改进 赞比亚初级保健中的非传染性疾病服务。 为了实现这些目标，我们组建了一支强大的多学科团队，代表 范德比尔特大学和赞比亚大学。完成本研究和随访 这项试验不仅有利于赞比亚的卫生系统，而且还将提供证据，说明如何重新 为撒哈拉以南非洲的卫生系统提供指导，以应对日益增加的非传染性疾病负担。对我们 知识，这将是第一项研究，以解决卫生系统的能力，以应对 赞比亚非传染性疾病的威胁日益严重。