Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam
Introduction: Globally, noncommunicable diseases (NCDs) are a leading cause of death among women of reproductive age. Reproductive, maternal, newborn, and child health (RMNCH) services provide an important opportunity to prevent, detect, and manage NCDs. Yet, NCD and mental health care remain poorly...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | International Journal of Noncommunicable Diseases |
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| Online Access: | https://journals.lww.com/10.4103/jncd.jncd_74_24 |
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| author | Téa E. Collins Svetlana Akselrod Anshu Banerjee Aliina Altymysheva Mekhri Shoismatuloeva Pham Thi Quynh Nga Daria Berlina Ketevan Chkhatarashvili Flaminia Ortenzi Josephine Exley Luke N Allen |
| author_facet | Téa E. Collins Svetlana Akselrod Anshu Banerjee Aliina Altymysheva Mekhri Shoismatuloeva Pham Thi Quynh Nga Daria Berlina Ketevan Chkhatarashvili Flaminia Ortenzi Josephine Exley Luke N Allen |
| author_sort | Téa E. Collins |
| collection | DOAJ |
| description | Introduction:
Globally, noncommunicable diseases (NCDs) are a leading cause of death among women of reproductive age. Reproductive, maternal, newborn, and child health (RMNCH) services provide an important opportunity to prevent, detect, and manage NCDs. Yet, NCD and mental health care remain poorly integrated into RMNCH services in many settings. We aimed to explore the feasibility of integrating NCD and mental health interventions into RMNCH interventions in Kyrgyzstan, Tajikistan, and Vietnam.
Materials and Methods:
We conducted a secondary analysis of data from a WHO project on integrating NCD and mental health interventions into RMNCH services across three countries. Our analysis used the WHO health systems building blocks framework to structure inquiry and synthesis across key areas such as service delivery, workforce, and governance.
Results:
Maternal mortality remains high in all three countries and antenatal care is hospital oriented. We identified several common barriers at the primary care level, including inadequate knowledge of NCDs and mental health conditions among healthcare workers, a lack of essential equipment, and weak coordination among healthcare providers across levels of care. Integrated management is not routinely included in training programs and adherence to clinical guidelines remains low.
Conclusions:
The healthcare systems in all three countries are not well prepared to provide integrated care. Greater emphasis is needed on strengthening primary care to ensure high-quality integrated services. Alongside updating training programs and securing the availability of essential equipment and commodities, there is a need to update clinical protocols on integrated management and revise monitoring systems to support quality improvement. The global level needs to address the research gaps and provide more support to countries to prioritize integrated care. |
| format | Article |
| id | doaj-art-35241fe55b2d4e18854074418b55da80 |
| institution | Kabale University |
| issn | 2468-8827 2468-8835 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Noncommunicable Diseases |
| spelling | doaj-art-35241fe55b2d4e18854074418b55da802025-01-07T06:22:52ZengWolters Kluwer Medknow PublicationsInternational Journal of Noncommunicable Diseases2468-88272468-88352024-12-019415015910.4103/jncd.jncd_74_24Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and VietnamTéa E. CollinsSvetlana AkselrodAnshu BanerjeeAliina AltymyshevaMekhri ShoismatuloevaPham Thi Quynh NgaDaria BerlinaKetevan ChkhatarashviliFlaminia OrtenziJosephine ExleyLuke N AllenIntroduction: Globally, noncommunicable diseases (NCDs) are a leading cause of death among women of reproductive age. Reproductive, maternal, newborn, and child health (RMNCH) services provide an important opportunity to prevent, detect, and manage NCDs. Yet, NCD and mental health care remain poorly integrated into RMNCH services in many settings. We aimed to explore the feasibility of integrating NCD and mental health interventions into RMNCH interventions in Kyrgyzstan, Tajikistan, and Vietnam. Materials and Methods: We conducted a secondary analysis of data from a WHO project on integrating NCD and mental health interventions into RMNCH services across three countries. Our analysis used the WHO health systems building blocks framework to structure inquiry and synthesis across key areas such as service delivery, workforce, and governance. Results: Maternal mortality remains high in all three countries and antenatal care is hospital oriented. We identified several common barriers at the primary care level, including inadequate knowledge of NCDs and mental health conditions among healthcare workers, a lack of essential equipment, and weak coordination among healthcare providers across levels of care. Integrated management is not routinely included in training programs and adherence to clinical guidelines remains low. Conclusions: The healthcare systems in all three countries are not well prepared to provide integrated care. Greater emphasis is needed on strengthening primary care to ensure high-quality integrated services. Alongside updating training programs and securing the availability of essential equipment and commodities, there is a need to update clinical protocols on integrated management and revise monitoring systems to support quality improvement. The global level needs to address the research gaps and provide more support to countries to prioritize integrated care.https://journals.lww.com/10.4103/jncd.jncd_74_24antenatal carechild healthguidelinesintegrated carematernalnewbornnoncommunicable diseasespolicypregnancyreproductive |
| spellingShingle | Téa E. Collins Svetlana Akselrod Anshu Banerjee Aliina Altymysheva Mekhri Shoismatuloeva Pham Thi Quynh Nga Daria Berlina Ketevan Chkhatarashvili Flaminia Ortenzi Josephine Exley Luke N Allen Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam International Journal of Noncommunicable Diseases antenatal care child health guidelines integrated care maternal newborn noncommunicable diseases policy pregnancy reproductive |
| title | Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam |
| title_full | Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam |
| title_fullStr | Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam |
| title_full_unstemmed | Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam |
| title_short | Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam |
| title_sort | health system readiness to deliver integrated noncommunicable disease and antenatal care in kyrgyzstan tajikistan and vietnam |
| topic | antenatal care child health guidelines integrated care maternal newborn noncommunicable diseases policy pregnancy reproductive |
| url | https://journals.lww.com/10.4103/jncd.jncd_74_24 |
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