2025
Factors associated with the adoption of the WHO Package of Essential Non-Communicable Diseases (PEN) Protocol 1 in primary healthcare settings in Nepal: a cross-sectional study
Timalsena D, Nakarmi C, Mali S, Dhakal A, Bharati A, Bishwokarma A, Adhikari A, Poudel B, Kulung B, Baral P, Bhattarai S, Dixit L, Pokharel Y, Rhodes E, Xu D, Spiegelman D, Shrestha A. Factors associated with the adoption of the WHO Package of Essential Non-Communicable Diseases (PEN) Protocol 1 in primary healthcare settings in Nepal: a cross-sectional study. BMJ Open 2025, 15: e090923. PMID: 40935428, DOI: 10.1136/bmjopen-2024-090923.Peer-Reviewed Original ResearchConceptsWHO packageNon-communicable diseasesPrimary healthcareBody mass indexCardiovascular disease risk-prediction chartsHealthcare workersCardiovascular diseaseRisk prediction chartsPrimary healthcare settingsPrimary healthcare facilitiesPrimary healthcare centresBlood glucose screeningCardiovascular disease riskLow-resource settingsCross-sectional studyAssociated with accessBMI assessmentHealthcare settingsSystemic barriersProvider motivationBlood pressure measurementsAvailability of metforminRisk chartsPrediction chartsHealthcare facilitiesBarriers and facilitators to patient utilization of noncommunicable disease services in primary healthcare facilities in Nepal: a qualitative study
Mali S, Rhodes E, Nakarmi C, Shrestha S, Dhakal A, Bharati A, Bishwokarma A, Adhikari A, Poudel B, Rai B, Manandhar S, KC S, Timalsena D, Silwal S, Dhimal M, Baral P, Teufel F, Bhattarai S, Spiegelman D, Shrestha A. Barriers and facilitators to patient utilization of noncommunicable disease services in primary healthcare facilities in Nepal: a qualitative study. BMC Health Services Research 2025, 25: 863. PMID: 40598095, PMCID: PMC12217986, DOI: 10.1186/s12913-025-13050-8.Peer-Reviewed Original ResearchNon-communicable diseasesPrimary healthcare facilitiesPatient utilizationNon-communicable disease interventionsHealthcare facilitiesWorld Health OrganizationPurposive sample of patientsQualitative studyPurposive samplingNoncommunicable disease servicesCardiovascular diseaseNCD servicesChronic respiratory diseasesSample of patientsDisease servicesHealth OrganizationDisease interventionRespiratory diseaseFacilitationServicesFacilitiesBarriersNepalInterventionDiseaseHarnessing HIV clinics to deliver integrated hypertension care for People living with HIV in Uganda: A formative mixed methods study
Semitala F, Ayebare F, Kiggundu J, Kiwala C, Senfuma J, Mutungi G, Ssinabulya I, Kayima J, Muddu M, Spiegelman D, Schwartz J, Longenecker C, Katahoire A. Harnessing HIV clinics to deliver integrated hypertension care for People living with HIV in Uganda: A formative mixed methods study. PLOS Global Public Health 2025, 5: e0004701. PMID: 40465676, PMCID: PMC12136366, DOI: 10.1371/journal.pgph.0004701.Peer-Reviewed Original ResearchFragmented care deliveryHypertension careQualitative dataHIV clinicSub-Saharan AfricaCare deliveryConsolidated Framework for Implementation ResearchAnalyzed qualitative dataQualitative interviewsInterruptions due to side effectsSub-SaharanHIV servicesBlood pressureHealthcare accessNon-communicable diseasesMixed methods studyUgandaPeri-urban UgandaChronic careSystolic blood pressureHIV careImplementation researchPocket costsMedication accessAnalyzed quantitative data
2021
Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa
Brault MA, Vermund SH, Aliyu MH, Omer SB, Clark D, Spiegelman D. Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa. International Journal Of Environmental Research And Public Health 2021, 18: 10751. PMID: 34682492, PMCID: PMC8535610, DOI: 10.3390/ijerph182010751.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesNon-communicable disease careInfectious diseasesHIV care infrastructureTropical infectious diseasesHIV/AIDS epidemicIntegrated service delivery modelCOVID-19Future pandemic threatsLow-cost interventionMinistry of HealthDisease careChronic diseasesCardiovascular diseaseSuch careIntegrated careAIDS ReliefHealth systemSub-Saharan AfricaDiseaseService delivery modelsPandemic threatAIDS epidemicCare infrastructureHealthcare model
2012
Cohort studies around the world: Methodologies, research questions and integration to address the emerging global epidemic of chronic diseases
Nair H, Shu XO, Volmink J, Romieu I, Spiegelman D. Cohort studies around the world: Methodologies, research questions and integration to address the emerging global epidemic of chronic diseases. Public Health 2012, 126: 202-205. PMID: 22325615, DOI: 10.1016/j.puhe.2011.12.013.Peer-Reviewed Original ResearchConceptsChronic diseasesCohort studyChronic non-communicable diseasesNon-communicable chronic diseasesDual disease burdenCommunicable infectious diseasesNon-communicable diseasesMultiple cohort studiesResource-constrained settingsDisease burdenRisk factorsLifestyle changesGlobal epidemicInfectious diseasesDiseaseDisease distributionEpidemicBurdenPopulationSettingDramatic increase
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