Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework
Samoa needs to intensify the response to the growing non-communicable disease burden. This study aimed to assess bottlenecks in the care continuum and identify possible solutions. The mixed-methods study used the cascade framework as an analysis tool and hypertension as a tracer condition for chroni...
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| Format: | Journal Article |
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John Wiley and Sons, Inc.
2021
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| Online Access: | http://hdl.handle.net/10986/36033 |
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okr-10986-360332022-01-28T16:19:16Z Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework Fraser-Hurt, Nicole Naseri, Leausa Take Thomsen, Robert Matalavea, Athena Ieremia-Faasili, Victoria Reupena, Muagatutia Sefuiva Hawley, Nicola L. Pomer, Alysa Rivara, Anna C. Obure, Dayo Carol Zhang, Zhang HYPERTENSION DIABETES OBESITY NONCOMMUNICABLE DISEASE PRIMARY HEALTH CARE CASCADE IMPLEMENTATION RESEARCH Samoa needs to intensify the response to the growing non-communicable disease burden. This study aimed to assess bottlenecks in the care continuum and identify possible solutions. The mixed-methods study used the cascade framework as an analysis tool and hypertension as a tracer condition for chronic non-communicable diseases. Household survey data were integrated with medical record data of hypertension patients and results from focus group discussions with patients and healthcare providers. Hypertension prevalence was 38.1% but only 4.7% of hypertensive individuals had controlled blood pressure. There were large gaps in the care continuum especially at screening and referral due to multiple socio-cultural, economic and service delivery constraints. In Samoa, care for chronic non-communicable diseases is not effectively addressing patient needs. This calls for better health communication, demand creation, treatment support, nutritional interventions and health service redesign, with a focus on primary healthcare and effective patient and community engagement. 2021-07-28T18:55:04Z 2021-07-28T18:55:04Z 2021-07-26 Journal Article Australian and New Zealand Journal of Public Health http://hdl.handle.net/10986/36033 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank John Wiley and Sons, Inc. Publications & Research Publications & Research :: Journal Article East Asia and Pacific Samoa |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| topic |
HYPERTENSION DIABETES OBESITY NONCOMMUNICABLE DISEASE PRIMARY HEALTH CARE CASCADE IMPLEMENTATION RESEARCH |
| spellingShingle |
HYPERTENSION DIABETES OBESITY NONCOMMUNICABLE DISEASE PRIMARY HEALTH CARE CASCADE IMPLEMENTATION RESEARCH Fraser-Hurt, Nicole Naseri, Leausa Take Thomsen, Robert Matalavea, Athena Ieremia-Faasili, Victoria Reupena, Muagatutia Sefuiva Hawley, Nicola L. Pomer, Alysa Rivara, Anna C. Obure, Dayo Carol Zhang, Zhang Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework |
| geographic_facet |
East Asia and Pacific Samoa |
| description |
Samoa needs to intensify the response to the growing non-communicable disease burden. This study aimed to assess bottlenecks in the care continuum and identify possible solutions. The mixed-methods study used the cascade framework as an analysis tool and hypertension as a tracer condition for chronic non-communicable diseases. Household survey data were integrated with medical record data of hypertension patients and results from focus group discussions with patients and healthcare providers. Hypertension prevalence was 38.1% but only 4.7% of hypertensive individuals had controlled blood pressure. There were large gaps in the care continuum especially at screening and referral due to multiple socio-cultural, economic and service delivery constraints. In Samoa, care for chronic non-communicable diseases is not effectively addressing patient needs. This calls for better health communication, demand creation, treatment support, nutritional interventions and health service redesign, with a focus on primary healthcare and effective patient and community engagement. |
| format |
Journal Article |
| author |
Fraser-Hurt, Nicole Naseri, Leausa Take Thomsen, Robert Matalavea, Athena Ieremia-Faasili, Victoria Reupena, Muagatutia Sefuiva Hawley, Nicola L. Pomer, Alysa Rivara, Anna C. Obure, Dayo Carol Zhang, Zhang |
| author_facet |
Fraser-Hurt, Nicole Naseri, Leausa Take Thomsen, Robert Matalavea, Athena Ieremia-Faasili, Victoria Reupena, Muagatutia Sefuiva Hawley, Nicola L. Pomer, Alysa Rivara, Anna C. Obure, Dayo Carol Zhang, Zhang |
| author_sort |
Fraser-Hurt, Nicole |
| title |
Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework |
| title_short |
Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework |
| title_full |
Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework |
| title_fullStr |
Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework |
| title_full_unstemmed |
Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework |
| title_sort |
improving services for chronic non-communicable diseases in samoa : an implementation research study using the care cascade framework |
| publisher |
John Wiley and Sons, Inc. |
| publishDate |
2021 |
| url |
http://hdl.handle.net/10986/36033 |
| _version_ |
1764484287139151872 |