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Article

Reorienting Primary Health Care Services for Non-Communicable Diseases: A Comparative Preparedness Assessment of Two Healthcare Networks in Malawi and Zambia

1
Heidelberg Institute of Global Health, Im Neuenheimer Feld 130.3, 69120 Heidelberg, Germany
2
Health Promotion Alliance of Kenya, Trans Nzoia County, Kitale 30200, Kenya
3
CHRESO Ministries, Lusaka 10101, Zambia
4
The Lighthouse Trust, Kamuzu Central Hospital, Lilongwe 207233, Malawi
5
School of Medicine and Clinical Sciences, Levy Mwanawasa Medical University, Lusaka 10101, Zambia
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(9), 5044; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18095044
Received: 1 March 2021 / Revised: 16 April 2021 / Accepted: 4 May 2021 / Published: 10 May 2021
(This article belongs to the Special Issue Universal Health Coverage for Multimorbidity)
Despite positive NCD policies in recent years, majority of Sub-Saharan African (SSA) health systems are inadequately prepared to deliver comprehensive first-line care for NCDs. Primary health care (PHC) settings in countries like Malawi and Zambia could be a doorway to effectively manage NCDs by moving away from delivering only episodic care to providing an integrated approach over time. As part of a collaborative health system strengthening project, we assessed and compared the preparedness and operational capacity of two target networks of public PHC settings in Lilongwe (Malawi) and Lusaka (Zambia) to integrate NCD services within routine service delivery. Data was collected and analyzed using validated health facility survey tools. These baseline assessments conducted between August 2018 and March 2019, also included interviews with 20 on-site health personnel and focal persons, who described existing barriers in delivering NCD services. In both countries, policy directives to decentralize disease-specific NCD services to the primary care level were initiated to meet increased demand but lacked operational guidance. In general, the assessed PHC sites were inadequately prepared to integrate NCDs into various service delivery domains, thus requiring further support. In spite of existing multi-faceted limitations, there was motivation among healthcare staff to provide NCD services. View Full-Text
Keywords: health systems; implementation research; mixed methods study; low-income countries; chronic disease control; human resources for health; primary care; health policy; health service delivery; Sub-Saharan Africa health systems; implementation research; mixed methods study; low-income countries; chronic disease control; human resources for health; primary care; health policy; health service delivery; Sub-Saharan Africa
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MDPI and ACS Style

Shiroya, V.; Shawa, N.; Matanje, B.; Haloka, J.; Safary, E.; Nkhweliwa, C.; Mueller, O.; Phiri, S.; Neuhann, F.; Deckert, A. Reorienting Primary Health Care Services for Non-Communicable Diseases: A Comparative Preparedness Assessment of Two Healthcare Networks in Malawi and Zambia. Int. J. Environ. Res. Public Health 2021, 18, 5044. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18095044

AMA Style

Shiroya V, Shawa N, Matanje B, Haloka J, Safary E, Nkhweliwa C, Mueller O, Phiri S, Neuhann F, Deckert A. Reorienting Primary Health Care Services for Non-Communicable Diseases: A Comparative Preparedness Assessment of Two Healthcare Networks in Malawi and Zambia. International Journal of Environmental Research and Public Health. 2021; 18(9):5044. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18095044

Chicago/Turabian Style

Shiroya, Veronica, Naonga Shawa, Beatrice Matanje, John Haloka, Elvis Safary, Chikondi Nkhweliwa, Olaf Mueller, Sam Phiri, Florian Neuhann, and Andreas Deckert. 2021. "Reorienting Primary Health Care Services for Non-Communicable Diseases: A Comparative Preparedness Assessment of Two Healthcare Networks in Malawi and Zambia" International Journal of Environmental Research and Public Health 18, no. 9: 5044. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18095044

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