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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.

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Date
2019-01
Authors
Gong, Enying
Lu, Hongsheng
Shao, Shuai
Tao, Xuanchen
Peoples, Nicholas
Kohrt, Brandon A
Xiong, Shangzhi
Kyobutungi, Catherine
Haregu, Tilahun Nigatu
Khayeka-Wandabwa, Christopher
Van Minh, Hoang
Hanh, Tran Thi Duc
Koirala, Suraj
Gautam, Kamal
Yan, Lijing L
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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.
Type
Journal article
Subject
Cardiometabolic diseases
Developing countries
Primary health care
Resource-limited settings
Permalink
https://hdl.handle.net/10161/19560
Published Version (Please cite this version)
10.1186/s41256-019-0124-0
Publication 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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Scholars@Duke

Kohrt

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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