Feasibility assessment of invigorating grassrooTs primary healthcare for prevention and management of cardiometabolic diseases in resource-limited settings in China, Kenya, Nepal, Vietnam (the FAITH study): rationale and design.
Abstract
Background:Cardiometabolic diseases are the leading cause of death and disability
in many low- and middle-income countries. As the already severe burden from these
conditions continues to increase in low- and middle-income countries, cardiometabolic
diseases introduce new and salient public health challenges to primary health care
systems. In this mixed-method study, we aim to assess the capacity of grassroots primary
health care facilities to deliver essential services for the prevention and control
of cardiometabolic diseases. Built on this information, our goal is to propose evidence-based
recommendations to promote a stronger primary health care system in resource-limited
settings. Methods:The study will be conducted in resource-limited settings in China,
Kenya, Nepal, and Vietnam using a mixed-method approach that incorporates a literature
review, surveys, and in-depth interviews. The literature, statistics, and document
review will extract secondary data on the burden of cardiometabolic diseases in each
country, the existing policies and interventions related to strengthening primary
health care services, and improving care related to non-communicable disease prevention
and control. We will also conduct primary data collection. In each country, ten grassroots
primary health care facilities across representative urban-rural regions will be selected.
Health care professionals and patients recruited from these facilities will be invited
to participate in the facility assessment questionnaire and patients' survey. Stakeholders
- including patients, health care professionals, policymakers at the local, regional,
and national levels, and local authorities - will be invited to participate in in-depth
interviews. A standard protocol will be designed to allow for adaption and localization
in data collection instruments and procedures within each country. Discussion:With
a special focus on the capacity of primary health care facilities in resource-limited
settings in low- and middle-income countries, this study has the potential to add
new evidence for policymakers and academia by identifying the most common and significant
barriers primary health care services face in managing and preventing cardiometabolic
diseases. With these findings, we will generate evidence-based recommendations on
potential strategies that are feasible for resource-limited settings in combating
the increasing challenges of cardiometabolic diseases.
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https://hdl.handle.net/10161/19560Published Version (Please cite this version)
10.1186/s41256-019-0124-0Publication Info
Gong, Enying; Lu, Hongsheng; Shao, Shuai; Tao, Xuanchen; Peoples, Nicholas; Kohrt,
Brandon A; ... Yan, Lijing L (2019). Feasibility assessment of invigorating grassrooTs primary healthcare for prevention
and management of cardiometabolic diseases in resource-limited settings in China,
Kenya, Nepal, Vietnam (the FAITH study): rationale and design. Global health research and policy, 4(1). pp. 33. 10.1186/s41256-019-0124-0. Retrieved from https://hdl.handle.net/10161/19560.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Brandon A. Kohrt
Adjunct Associate Professor in the Department of Psychiatry and Behavioral Sciences
Brandon Kohrt is a medical anthropologist and psychiatrist who completed his MD-PhD
at Emory University in 2009. He is currently Assistant Professor of Psychiatry, Global
Health, and Cultural Anthropology at Duke University. Dr. Kohrt has worked in Nepal
since 1996 researching and aiding victims of war including child soldiers. Since 2006
has worked with Transcultural Psychosocial Organization (TPO) Nepal. Dr. Kohrt has
been a consultant to The Carter Center Mental Health Program Liberia Init
Lijing Yan
Professor of Global Health at Duke Kunshan University
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