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Improving services for chronic non-communicable diseases in Samoa: an implementation research study using the care
Nicole Fraser-Hurt1, Leausa Take Naseri2, Robert Thomsen2
1The World Bank Group, Washington DC, USA.
Australian and New Zealand Journal of Public Health
|July 26, 2021
Summary
Samoa faces significant challenges in managing non-communicable diseases like hypertension, with low blood pressure control rates. Addressing bottlenecks in healthcare access and patient engagement is crucial for improving chronic disease management.
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- Samoa is experiencing a rising burden of non-communicable diseases (NCDs).
- Effective management of chronic conditions requires a robust healthcare continuum.
- Gaps in care delivery hinder effective NCD management in Samoa.
Purpose of the Study:
- To assess bottlenecks in the NCD care continuum in Samoa.
- To identify solutions for improving chronic disease management.
- To evaluate the hypertension care cascade as a tracer for NCDs.
Main Methods:
- A mixed-methods approach was employed, utilizing the cascade framework.
- Data sources included household surveys, medical records, and focus group discussions.
- Hypertension was used as a tracer condition for chronic NCDs.
Main Results:
- Hypertension prevalence was high at 38.1%, with only 4.7% of individuals achieving controlled blood pressure.
- Significant gaps were identified in screening and referral stages of the care continuum.
- Socio-cultural, economic, and service delivery factors contributed to these care gaps.
Conclusions:
- Current chronic NCD care in Samoa does not adequately meet patient needs.
- Improvements require enhanced health communication, demand creation, and treatment support.
- Health system redesign focusing on primary healthcare and community engagement is essential for continuity of care and prevention.
Keywords:
Pacific Island Countriescare cascadechronic care modelsnon-communicable diseasesprimary healthcareMore Related Videos
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