دورية أكاديمية
Implementation research on noncommunicable disease prevention and control interventions in low- and middle-income countries: A systematic review
| العنوان: | Implementation research on noncommunicable disease prevention and control interventions in low- and middle-income countries: A systematic review |
|---|---|
| المؤلفون: | Hategeka, Celestin, Adu, Prince, Desloge, Allissa, Marten, Robert, Shao, Ruitai, Tian, Maoyi, Wei, Ting, Kruk, Margaret E. |
| المصدر: | PLoS Med |
| بيانات النشر: | Public Library of Science Public Library of Science (PLoS) |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Research Article, demo, envir |
| الوصف: | BACKGROUND: While the evidence for the clinical effectiveness of most noncommunicable disease (NCD) prevention and treatment interventions is well established, care delivery models and means of scaling these up in a variety of resource-constrained health systems are not. The objective of this review was to synthesize evidence on the current state of implementation research on priority NCD prevention and control interventions provided by health systems in low- and middle-income countries (LMICs). METHODS AND FINDINGS: On January 20, 2021, we searched MEDLINE and EMBASE databases from 1990 through 2020 to identify implementation research studies that focused on the World Health Organization (WHO) priority NCD prevention and control interventions targeting cardiovascular disease, cancer, diabetes, and chronic respiratory disease and provided within health systems in LMICs. Any empirical and peer-reviewed studies that focused on these interventions and reported implementation outcomes were eligible for inclusion. Given the focus on this review and the heterogeneity in aims and methodologies of included studies, risk of bias assessment to understand how effect size may have been compromised by bias is not applicable. We instead commented on the distribution of research designs and discussed about stronger/weaker designs. We synthesized extracted data using descriptive statistics and following the review protocol registered in PROSPERO (CRD42021252969). Of 9,683 potential studies and 7,419 unique records screened for inclusion, 222 eligible studies evaluated 265 priority NCD prevention and control interventions implemented in 62 countries (6% in low-income countries and 90% in middle-income countries). The number of studies published has been increasing over time. Nearly 40% of all the studies were on cervical cancer. With regards to intervention type, screening accounted for 49%, treatment for 39%, while prevention for 12% (with 80% of the latter focusing on prevention of the NCD behavior risk factors). Feasibility . |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359585Test/ |
| الإتاحة: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359585Test/ |
| حقوق: | undefined |
| رقم الانضمام: | edsbas.B86D2621 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |