Publication:
Improving Services for Chronic Non-communicable Diseases in Samoa: An Implementation Research Study Using the Care Cascade Framework

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dc.contributor.authorFraser-Hurt, Nicole
dc.contributor.authorNaseri, Leausa Take
dc.contributor.authorThomsen, Robert
dc.contributor.authorMatalavea, Athena
dc.contributor.authorIeremia-Faasili, Victoria
dc.contributor.authorReupena, Muagatutia Sefuiva
dc.contributor.authorHawley, Nicola L.
dc.contributor.authorPomer, Alysa
dc.contributor.authorRivara, Anna C.
dc.contributor.authorObure, Dayo Carol
dc.contributor.authorZhang, Zhang
dc.date.accessioned2021-07-28T18:55:04Z
dc.date.available2021-07-28T18:55:04Z
dc.date.issued2021-07-26
dc.description.abstractSamoa 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.citationAustralian and New Zealand Journal of Public Health
dc.identifier.doi10.1596/36033
dc.identifier.urihttps://hdl.handle.net/10986/36033
dc.publisherJohn Wiley and Sons, Inc.
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.subjectHYPERTENSION
dc.subjectDIABETES
dc.subjectOBESITY
dc.subjectNONCOMMUNICABLE DISEASE
dc.subjectPRIMARY HEALTH CARE
dc.subjectCASCADE
dc.subjectIMPLEMENTATION RESEARCH
dc.titleImproving Services for Chronic Non-communicable Diseases in Samoaen
dc.title.subtitleAn Implementation Research Study Using the Care Cascade Frameworken
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.associatedcontenthttps://onlinelibrary.wiley.com/doi/10.1111/1753-6405.13113 Journal website (version of record)en
okr.date.disclosure2021-07-28
okr.date.doiregistration2025-05-06T11:20:09.305740Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Journal Article
okr.externalcontentExternal Content
okr.guid439531643341163185
okr.identifier.doi10.1111/1753-6405.13113
okr.identifier.report168210
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.administrativeEast Asia and Pacific
okr.region.countrySamoa
okr.topicHealth, Nutrition and Population::Health Policy and Management
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
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