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DTSTART:20241103T020000
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DESCRIPTION:Session : International and Community Health Research Program 
 : Community Health Planning and Policy Development Author: Donna Spiegelm
 an\, ScD Abstract Background Non-communicable diseases (NCDs) account for
  60% of the total deaths in Nepal. In 2016\, Nepal adopted the World Heal
 th Organization’s Package of Essential Non-communicable Disease Intervent
 ions (WHO-PEN) to curb the growing burden of NCDs. Objective This study e
 valuated the readiness of primary healthcare facilities for the preventio
 n and management of NCDs\, including cardiovascular diseases (CVDs)\, dia
 betes mellitus (DM)\, and chronic respiratory diseases (CRDs)\; and explo
 red factors associated with NCD-specific service readiness. Methodology W
 e used a convergent parallel mixed methods study design. We adapted the W
 HO Service Availability and Readiness Assessment (SARA) tool and assessed
  105 primary healthcare facilities selected using multistage stratified r
 andom sampling. We performed a weighted descriptive analysis to calculate
  NCD-specific service readiness scores (0 to 100). Mann-Whitney U and Kru
 skal-Wallis tests were conducted to determine factors associated with NCD
  service readiness. Simultaneously\, we conducted 47 in-depth interviews 
 with PEN-trained health service providers delivering NCD services. Qualit
 ative data were analyzed using a thematic approach. Results The median se
 rvice readiness score of primary healthcare facilities was highest for CV
 Ds (53.3 [IQR: 30.0]) followed by diabetes (48.8 [IQR: 30.9]) and CRDs (3
 8.3 [IQR: 23.3]). Primary Healthcare Centers (PHCCs) had higher readiness
  compared to health posts. Primary healthcare facilities in the hills and
  southern plains and imposing user fees for NCD services had higher NCD-s
 pecific service readiness compared to primary healthcare facilities in th
 e mountains and facilities not charging fees\, respectively. The study’s 
 qualitative findings converged with quantitative findings and explained k
 ey discrepancies in NCD readiness according to primary healthcare facilit
 y type\, region\, and applicability of user fees. Conclusion Primary heal
 thcare facilities in Nepal lacked equipment\, medicines\, trained staff\,
  and guidelines essential for NCD management. The government should ratio
 nally allocate healthcare resources and PEN-trained personnel in primary 
 healthcare facilities without detracting from the overall aim of enhancin
 g NCD-service readiness uniformly. Public Health implications The governm
 ent must equip primary healthcare facilities with essential medical suppl
 ies while capacitating health service providers through regular PEN train
 ing and peer coaching sessions. The study’s findings will be imperative f
 or the successful implementation of PEN interventions in Nepal and other 
 lower-middle-income countries with similar healthcare settings.\n\nAdmiss
 ion:\nRegistrationFees: APHA Event Registration is Required\n\nDetails UR
 L:\nhttps://medicine.yale.edu/event/primary-healthcare-facilities-prevent
 ion-and-management-of-non-communicable-diseases/\n
DTEND;TZID=America/New_York:20241029T103000
DTSTAMP:20261030T150320Z
DTSTART;TZID=America/New_York:20241029T101500
GEO:44.970269;-93.273376
LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:9:15am - 9:30am (CDT) | 4018.0 - Readiness of primary healthcare f
 acilities for the prevention and management of non-communicable diseases 
 (NCDs) in Nepal: A mixed-methods study
UID:fbe8012c-4c62-4118-beeb-6fcc2a242eb0
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