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Rapidly adapted community health strategies to prevent treatment interruption and improve COVID-19 detection for Syrian refugees and the host population with hypertension and diabetes in Jordan.
In: International Health (1876-3413), Jg. 15 (2023-11-01), Heft 6, S. 664-675
Online
academicJournal
Zugriff:
Background We evaluated community health volunteer (CHV) strategies to prevent non-communicable disease (NCD) care disruption and promote coronavirus disease 2019 (COVID-19) detection among Syrian refugees and vulnerable Jordanians, as the pandemic started. Methods Alongside medication delivery, CHVs called patients monthly to assess stockouts and adherence, provide self-management and psychosocial support, and screen and refer for complications and COVID-19 testing. Cohort analysis was undertaken of stockouts, adherence, complications and suspected COVID-19. Multivariable models of disease control assessed predictors and non-inferiority of the strategy pre-/post-initiation. Cost-efficiency and patient/staff interviews assessed implementation. Results Overall, 1119 patients were monitored over 8 mo. The mean monthly proportion of stockouts was 4.9%. The monthly proportion non-adherent (past 5/30 d) remained below 5%; 204 (18.1%) patients had complications, with 63 requiring secondary care. Mean systolic blood pressure and random blood glucose remained stable. For hypertensive disease control, age 41–65 y (OR 0.46, 95% CI 0.2 to 0.78) and with diabetes (OR 0.73, 95% CI 0.54 to 0.98) had decreased odds, and with baseline control had increased odds (OR 3.08, 95% CI 2.31 to 4.13). Cumulative suspected COVID-19 incidence (2.3/1000 population) was suggestive of ongoing transmission. While cost-efficient (108 US |${\$}$| /patient/year), funding secondary care was challenging. Conclusions During multiple crises, CHVs prevented care disruption and reinforced COVID-19 detection. [ABSTRACT FROM AUTHOR]
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Rapidly adapted community health strategies to prevent treatment interruption and improve COVID-19 detection for Syrian refugees and the host population with hypertension and diabetes in Jordan.
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Autor/in / Beteiligte Person: | Ratnayake, Ruwan ; Rawashdeh, Fatma ; AbuAlRub, Raeda ; Al-Ali, Nahla ; Fawad, Muhammad ; Hani, Mohammad Bani ; Zoubi, Saleem ; Goyal, Ravi ; Al-Amire, Khaldoun ; Mahmoud, Refqi ; AlMaaitah, Rowaida ; Parmar, Parveen K |
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Zeitschrift: | International Health (1876-3413), Jg. 15 (2023-11-01), Heft 6, S. 664-675 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 1876-3413 (print) |
DOI: | 10.1093/inthealth/ihac083 |
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