Publication: Improving Services for Chronic Non-communicable Diseases in Samoa: An Implementation Research Study Using the Care Cascade Framework
dc.contributor.author | Fraser-Hurt, Nicole | |
dc.contributor.author | Naseri, Leausa Take | |
dc.contributor.author | Thomsen, Robert | |
dc.contributor.author | Matalavea, Athena | |
dc.contributor.author | Ieremia-Faasili, Victoria | |
dc.contributor.author | Reupena, Muagatutia Sefuiva | |
dc.contributor.author | Hawley, Nicola L. | |
dc.contributor.author | Pomer, Alysa | |
dc.contributor.author | Rivara, Anna C. | |
dc.contributor.author | Obure, Dayo Carol | |
dc.contributor.author | Zhang, Zhang | |
dc.date.accessioned | 2021-07-28T18:55:04Z | |
dc.date.available | 2021-07-28T18:55:04Z | |
dc.date.issued | 2021-07-26 | |
dc.description.abstract | 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. | en |
dc.identifier.citation | Australian and New Zealand Journal of Public Health | |
dc.identifier.doi | 10.1596/36033 | |
dc.identifier.uri | https://hdl.handle.net/10986/36033 | |
dc.publisher | John Wiley and Sons, Inc. | |
dc.rights | CC BY-NC-ND 3.0 IGO | |
dc.rights.holder | World Bank | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/igo | |
dc.subject | HYPERTENSION | |
dc.subject | DIABETES | |
dc.subject | OBESITY | |
dc.subject | NONCOMMUNICABLE DISEASE | |
dc.subject | PRIMARY HEALTH CARE | |
dc.subject | CASCADE | |
dc.subject | IMPLEMENTATION RESEARCH | |
dc.title | Improving Services for Chronic Non-communicable Diseases in Samoa | en |
dc.title.subtitle | An Implementation Research Study Using the Care Cascade Framework | en |
dc.type | Journal Article | en |
dc.type | Article de journal | fr |
dc.type | ArtÃculo de revista | es |
dspace.entity.type | Publication | |
okr.associatedcontent | https://onlinelibrary.wiley.com/doi/10.1111/1753-6405.13113 Journal website (version of record) | en |
okr.date.disclosure | 2021-07-28 | |
okr.date.doiregistration | 2025-05-06T11:20:09.305740Z | |
okr.doctype | Publications & Research | |
okr.doctype | Publications & Research::Journal Article | |
okr.externalcontent | External Content | |
okr.guid | 439531643341163185 | |
okr.identifier.doi | 10.1111/1753-6405.13113 | |
okr.identifier.report | 168210 | |
okr.language.supported | en | |
okr.peerreview | Academic Peer Review | |
okr.region.administrative | East Asia and Pacific | |
okr.region.country | Samoa | |
okr.topic | Health, Nutrition and Population::Health Policy and Management | |
okr.topic | Health, Nutrition and Population::Health Service Management and Delivery | |
okr.topic | Health, Nutrition and Population::Health Systems Development & Reform |
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