Control Of Non-communicable Diseases Research Articles

Evaluating a multifaceted implementation strategy and package of evidence-based interventions based on WHO PEN for people living with HIV and cardiometabolic conditions in Lusaka, Zambia: protocol for the TASKPEN hybrid effectiveness-implementation stepped wedge cluster randomized trial

BackgroundDespite increasing morbidity and mortality from non-communicable diseases (NCD) globally, health systems in low- and middle-income countries (LMICs) have limited capacity to address these chronic conditions, particularly in sub-Saharan Africa (SSA). There is an urgent need, therefore, to respond to NCDs in SSA, beginning by applying lessons learned from the first global response to any chronic disease—HIV—to tackle the leading cardiometabolic killers of people living with HIV (PLHIV). We have developed a feasible and acceptable package of evidence-based interventions and a multi-faceted implementation strategy, known as “TASKPEN,” that has been adapted to the Zambian setting to address hypertension, diabetes, and dyslipidemia. The TASKPEN multifaceted implementation strategy focuses on reorganizing service delivery for integrated HIV-NCD care and features task-shifting, practice facilitation, and leveraging HIV platforms for NCD care. We propose a hybrid type II effectiveness-implementation stepped-wedge cluster randomized trial to evaluate the effects of TASKPEN on clinical and implementation outcomes, including dual control of HIV and cardiometabolic NCDs, as well as quality of life, intervention reach, and cost-effectiveness.MethodsThe trial will be conducted in 12 urban health facilities in Lusaka, Zambia over a 30-month period. Clinical outcomes will be assessed via surveys with PLHIV accessing routine HIV services, and a prospective cohort of PLHIV with cardiometabolic comorbidities nested within the larger trial. We will also collect data using mixed methods, including in-depth interviews, questionnaires, focus group discussions, and structured observations, and estimate cost-effectiveness through time-and-motion studies and other costing methods, to understand implementation outcomes according to Proctor’s Outcomes for Implementation Research, the Consolidated Framework for Implementation Research, and selected dimensions of RE-AIM.DiscussionFindings from this study will be used to make discrete, actionable, and context-specific recommendations in Zambia and the region for integrating cardiometabolic NCD care into national HIV treatment programs. While the TASKPEN study focuses on cardiometabolic NCDs in PLHIV, the multifaceted implementation strategy studied will be relevant to other NCDs and to people without HIV. It is expected that the trial will generate new insights that enable delivery of high-quality integrated HIV-NCD care, which may improve cardiovascular morbidity and viral suppression for PLHIV in SSA. This study was registered at ClinicalTrials.gov (NCT05950919).

A policy package for socio-cultural factors of promoting healthy diet in Iran.

Non-communicable diseases (NCDs) cause 74% of global deaths annually, for which poor diet is the leading risk factor. Diet improvement could prevent 20% of global deaths. This paper presents a policy package for socio-cultural factors, strategies, and policies to promote a healthy diet in Iran. This is a qualitative health policy analysis. We conducted 30 semi-structured, in-depth, and face-to-face interviews with purposefully identified key informants, i.e., experts, policy-makers, and high-level managers, during 2018-19 in Iran. All interviews were digitally recorded and transcribed verbatim. The MAXQDA 11 software was used to facilitate data analysis. We developed several recommendations for different stakeholders, including improving cultural habits, promoting the use of fruit and vegetables, establishing healthy taste from early childhood, enhancing people's health literacy, developing health-promoting schools, and implementing a healthy buffet. In line with target 3.4 of the Sustainable Development Goals (SDG) and the World Health Organization (WHO) recommendations for the prevention and control of NCDs, since 2015, Iran has developed its national action plan, including several nutritional interventions to achieve the target of reducing 30% of premature death due to NCDs and related risk factors by 2030. Our evidence-based recommendations can assist the government and other stakeholders, as we envisage, boost their activities to combat unhealthy diets, the biggest risk factor of NCDs in Iran, and perhaps beyond. The online version contains supplementary material available at 10.1007/s40200-024-01449-9.

Prevalence of and factors associated with chronic kidney disease among patients infected with human immunodeficiency virus attending care and treatment centers at tertiary hospitals in dodoma, Tanzania

BackgroundThe burden and risk of developing chronic kidney disease (CKD) among patients with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) is higher than in the general population. This study aimed to determine prevalence of and associated factors with CKD among adults infected with human immunodeficiency virus at tertiary hospitals in Dodoma, Tanzania. Methodology: A cross-sectional study was carried out between November 2022 to April 2023. Patients’ demographic data, and clinical measurements were obtained on the day of the visit. Laboratory investigations were performed as standard of care. Descriptive and inferential analyses were performed, and variables associated with CKD were identified by multivariable logistic regression. ResultsA total of 223 patients were enrolled, with a median age of 47 (IQR 38–56) years, and 72.2 % were female. The CKD prevalence was 23.3 % whereby 18.4 % had CKD stage 3a, 4.5 % had CKD stage 3 b, and 0.4 % had CKD stage 4. CKD was observed largely among patients with obesity (34.15 %), anemia (29.41 %), hypertension (45.00 %), and diabetes mellitus (50.00 %). Variables with higher odds for CKD after adjusted analysis were hypertension (OR 3.03, 95 %% CI 1.29–7.11, P = 0.0109), diabetes mellitus (OR 4.50, 95 % CI 1.35–15.03, P = 0.0144), obesity (OR 3.07, 95 % CI 1.11–8.47, P = 0.0301), anaemia (OR 2.42, 95 % CI 1.12–5.26, P = 0.0252) and for each one-unit increase in age (years), there was statistically significant increase in the odds of having CKD by 1.084 folds (OR = 1.084, 95 % CI 1.039–1.131, p = 0.0002). ConclusionThe prevalence of CKD among patients with HIV/AIDS is high. Age, obesity, anaemia, hypertension, and diabetes mellitus were strongly associated with CKD suggesting a need for integrating initiatives for non-communicable disease control in this population.

Knowledge of gendered needs among the planners and policy makers for prevention of NCDs in Bangladesh: a qualitative exploration

BackgroundGlobally, non-communicable diseases (NCDs) are increasingly the primary cause of mortality and morbidity among women. Like many developing countries, Bangladesh also faces a growing burden of NCDs. The “Multisectoral Action Plan for Prevention and Control of Non-communicable Diseases, 2018–2025” signifies Bangladesh’s commitment to comprehensively combating the rising burden of NCDs. This study investigates the perceptions of those involved in developing the action plan and if/how a gender lens was incorporated into its implementation.MethodsIn-depth interviews were conducted with 25 key individuals involved in a high-level committee to develop and implement Bangladesh’s multisectoral action plan to address the burden of NCDs. Data were collected between July and November 2021, and thematic analysis was conducted.ResultsThe findings revealed that interviewees believed the multisectoral action plan adopted a population-wide approach without considering gender-specific needs. This study presents the explanations for this inattention under five themes: (1) A population-level approach to NCD prevention; (2) Understanding women’s health beyond reproductive health; (3) Absence of gender-specific programs; (4) Lack of consideration of gender constraints on physical activity; and (5) Lack of collaborative efforts to address NCDs beyond the health ministry.ConclusionIn conclusion, governments in countries like Bangladesh can develop more effective strategies to reduce the disease burden of NCDs among women by recognizing and addressing the gendered nature of preventive health. This can be achieved by promoting gender-responsive research, programs, and policy initiatives that consider women’s specific health concerns, ultimately leading to better health outcomes for all.

Sosialisasi Pencegahan dan Pengendalian Penyakit Tidak Menular

<em>Background: The increase in the prevalence of non-communicable diseases has become a serious threat, especially in the development of public health. Non-Communicable Diseases (NCD) in Indonesia are predicted to experience a significant increase in 2030. Its chronic nature and attacking productive age, causes NCDs to not only be a health problem, but also affect the resilience of the national economy if not controlled properly, correctly and continuously. The purpose of this community service is to increase public knowledge and awareness in preventing and controlling non-communicable diseases such as hypertension, stroke, heart disease and diabetes mellitus. Method: This activity is in the form of providing counseling in the Rawa Buntu Village Hall regarding non-communicable diseases & their prevention, PTM Nutrition, BMI counting (body mass index) exercises, and blood pressure checks to determine hypertension status and early detection of participants. Results: The results of blood pressure measurements showed that 25% had hypertension. While the BMI category is 41% with obesity BMI status and 22% with overweight BMI status. The mean posttest and pretest scores showed an increase in students' understanding of the prevention and control of non-communicable diseases after being given counseling or material explanations. Conclusion: One of the effective and efficient PTM controls is empowering and increasing community participation. Therefore, one way to reduce the prevalence of NCDs is to make individuals and families aware of reducing the prevalence rate, there is a need for further education at least at the family level regarding non-communicable diseases.</em>

Indian Thyroid society expert consensus on salt Iodisation

ABSTRACT Iodine, an essential micronutrient, is crucial for the production of thyroid hormones - triiodothyronine(T3) and thyroxine(T4). Thyroid hormones regulate the optimum mental development, physical growth and development, regulation of body metabolism, heat generation, and maintenance of body temperaturein an individual. Geological processes like flooding, soil erosion, deforestation, and rivers changing course, deplete the surface soil of iodine, as it is present in the top layers of soil and easily soluble in water. As a result, the population residing in the area with iodinedeficient soil, becomes susceptible to a spectrum of functional and developmental abnormalities due to dietary deficiency of iodine. Universal Salt Iodization (USI) for prevention of IDDs in India is a public health success story. The adoption of the salt iodization strategy serves as a textbook example of the journey of an intervention through the iterative loop of research to policy to programme. Salt iodization has proved to be a safe, accessible, available, affordable, and cost-effective strategy to address the burden of IDDs in India. India has been at the forefront of the efforts to control IDDs globally. India is on its way to achieving the target of > 90 percent household coverage of adequately iodized salt. Revised Food Safety and Standards (Fortification of Foods) Regulations released in 2019 introduced an upper limit for iodine concentration in salt, the adequate iodine level required at the production and consumer level, including the distribution channel at 15 – 30 ppm. Universal Salt Iodisation (USI) is India's public health success story. There is a need to consolidate progress so far and focus on strategy to reach the “last mile”. Sustainable elimination of Iodine Deficiency Disorders (IDDs) with Universal Salt Iodisation (USI) being the primary strategy needs to also factor in harmonisation with salt reduction strategy for control of non-communicable diseases.

A proposed dietary policy package for the health sector in Iran

BackgroundInsufficient physical inactivity and an unhealthy diet are significant health risk factors globally. Dietary risk factors were responsible for approximately 16.5% of all deaths in Iran in 2019. This paper aimed to propose a dietary policy package for the health sector to reduce the risk of an unhealthy diet, which might effectively help prevent and control non-communicable diseases (NCDs) in Iran.MethodsIn this qualitative study, we conducted semi-structured, face-to-face, and in-depth interviews with 30 purposefully selected experts, including policymakers, high-level managers, and relevant stakeholders, during 2018–2019 in Iran. All interviews were digitally recorded, transcribed verbatim, and thematically analyzed, facilitated by MAXQDA 11 software.ResultsWe developed several dietary recommendations for different stakeholders. These include traffic light labeling reforms, i.e., the need to make the signs large and readable enough through utilizing advanced technology, cooperation with other sectors, promoting healthy symbols and supporting food products with them, food basket reforms, updating dietary standards, adopting appropriate mechanisms to report violations of harmful products laws, scaling up mechanisms to monitor restaurants and processed foods, and creating an environment for ranking restaurants and other relevant places to support a healthy diet, for instance through tax exemption, extra subsidies for healthy products, Non-Government Organizations (NGOs) alliances, and using influential figures.ConclusionIran’s health sector has developed a practical roadmap for the prevention and control of NCDs through promoting healthy nutrition. In line with the sustainable development goal (SDG) 3.4 pathway to reduce premature mortality due to NCDs by 30% by 2030 in Iran, we advocate for the Ministry of Health and Medical Education (MoHME) to adopt appropriate evidence-informed interventions for improving public health literacy and reducing consumption of unhealthy food.

Public Health Policy, Non-Communicable Diseases (NCDs) and Food or Substance Control: A Halalan- Tayyiban Perspective

Non-Communicable Diseases (NCDs) such as diabetes, cancer, and heart disease are among the top public health threats facing the world today. Meanwhile, alarming rate of NCDs, other health and mental problems strongly linked to sugar and tobacco consumptions in Muslim majority countries is on high record. This paper considers this NCDs prevalence in these countries as ironical in view of wholesome, ethical and healthy Halalan-Tayyiban dietary life styles stipulated for Muslims. Hence, it becomes crucial to: review the existing Public Health Policies (PHP) targeted at control of NCDs; further explore the links between food or substance consumption and NCDs; and offer Halalan-Tayyiban perspectives. This paper aims to highlight the existing public health approaches and policies aimed at controlling NCDs and their risk factors; identify the gaps and concerns in these policies; highlight and draw more attentions to alarming rate of NCDs and related public health threats especially in Muslim countries; and offer Halalan-Tayyiban perspectives after a critical review of the concept. As an integrated literature review study, the paper explores relevant literatures and studies on different aspects of the subject. In order to be moderately restrictive, papers and studies written or published between 2010 and 2023 were selected. Relevant keywords were searched in notable online databases like Scopus, Web of Science, Google Scholars, Academia.edu etc. Some gaps have been identified in the existing PHP targeted at control of NCDs and its risks factors. These gaps include needs for public health policies to be more comprehensive and culturally relevant, faith-based, populations tailored, and integrated with Social Determinant of Health (SDH) amongst others. Also, to control the alarming rates of NCDs and related risk factors which are ironically identified in Muslim majority countries: this paper explore the two inextricably linked concepts of Halal and Tayyib; and established that their convergences can inform an effective Halalan-Tayyiban based PHP approach. Hence, a Halalan-Tayyiban perspective, approach and recommendations are offered for various stakeholders in public health policies especially in Muslim majority countries.

Process evaluation of a complex, multilevel, multicomponent scheme for the prevention and control of non-communicable diseases in Tamil Nadu, India: A mixed-methods protocol

BackgroundNon-communicable diseases (NCDs) are the leading cause of morbidity and mortality in India, necessitating development of multilevel and multicomponent interventions. Makkalai Thedi Maruthuvam (MTM) is a complex multilevel, multicomponent intervention developed and implemented by the south Indian State of Tamil Nadu. The scheme aims to deliver services for preventing and controlling diabetes, and hypertension at doorstep. This paper describes the protocol for planning and conducting the process evaluation of the MTM scheme. Methods and analysisThe process evaluation uses mixed methods (secondary data analysis, key informant interviews, in-depth interviews, conceptual content analysis of documents, facility-based survey and non-participant observation) to evaluate the implementation of the MTM scheme. The broad evaluation questions addressed the fidelity, contexts, mechanisms of impact and challenges encountered by the scheme using the Consolidated Framework for Implementation Research (CFIR) framework. The specific evaluation questions addressed selected inputs and processes identified as critical to implementation by the stakeholders. The CFIR framework will guide the thematic analysis of the qualitative interviews to explore the adaptations and deviations introduced during implementation in various contexts. The quantitative data on the indicators developed for the specific evaluation questions will be cleaned and descriptively analysed.

Prevalence of Diabetes Distress among Adults with Diabetes Mellitus in a Rural Area of West Bengal: A Cross-sectional Study

Introduction: Diabetes distress is the emotional burden of diabetics and it may have a devastating impact on the health and well-being of people with diabetes. This study aims to estimate the prevalence of diabetes distress among adults with diabetes mellitus registered in the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) register in a rural area of West Bengal and to identify its distribution across different sociodemographic and treatment-related variables. Materials and Methods: This community-based descriptive, cross-sectional study was conducted in Barrackpore II block of North 24 Parganas district between July 2023 and September 2023. The study population consisted of diabetics registered under the NP-NCD register. The minimum required sample size of 155 was selected through a multistage sampling technique. Socioeconomic and sociodemographic data were collected using standardized questionnaire. Problem Areas in Diabetes questionnaire was used for assessing diabetes distress. Medication Adherence Report Scale questionnaire was used to check for medication adherence. Data were collected by house-to-house visits. Data were analyzed using jamovi (v2.4.8). Results: Out of the 142 participants, 52 (36.6%) had diabetes distress. Odds of diabetes distress were higher among <50 years of age (6.25 [2.41, 16.18]), females (3.66 [1.46, 9.21]), individuals with poor adherence to medications (8.40 [3.26, 21.59]), and individuals procuring medicines from private shops (3.47 [1.00, 12.00]). Conclusion: Diabetes distress is a public health problem among adults living with diabetes, which may have negative impacts on their quality of life and health outcomes. Further research is needed to explore the possible mitigating measures for the same.

Intersectional stigma and the non-communicable disease syndemic in the context of HIV: protocol for a multisite, observational study in the USA

IntroductionThe increasing burden of non-communicable diseases, such as hypertension, diabetes and dyslipidaemia, presents key challenges to achieving optimal HIV care outcomes among ageing people living with HIV. These diseases are...

The role of community pharmacists and pharmacies in physical activity promotion: an interdisciplinary e-Delphi study

BackgroundPhysical activity has a key role in the prevention and control of noncommunicable diseases. Community pharmacists are an accessible source to provide brief advice to people on how to be more physically active. Nonetheless, there is a limited understanding of stakeholders' perspectives on their role in promoting physical activity, to inform policy and practice. The present study addresses this gap.AimTo determine consensus from different health professionals on the role of pharmacists and pharmacies in brief physical activity counselling in Portugal.MethodThis cross-sectional study used a two-round e-Delphi panel. The questionnaire was organised into four domains of physical activity promotion and comprised 37 items. Interdisciplinary experts rated their level of agreement using a 5-point Likert scale. Consensus was set at the outset as 75% or more of participants scoring 4 or 5 (consensus “in”) or 1 or 2 (consensus “out”).ResultsForty-two health professionals involved in promoting physical activity in the ambulatory setting in Portugal were selected through purposive quota sampling. Eighteen out of 37 items were consensual in the first round and five more achieved consensus after the second round (62.2%). Physical activity promotion was seen as the role of all healthcare workforce and pharmacies were considered as suitable spaces for service provision, regardless of remuneration.ConclusionThis study endorses a set of roles for physical activity promotion in community pharmacy from an interdisciplinary perspective. Consensually established perspectives can inform policy making and practice, streamlining the coordination of pharmacies with the national health service.

Building Capacity and Advancing Regulatory Measures to Improve Food Environments in the Region of the Americas.

Noncommunicable diseases (NCDs) are the main cause of death globally (70%) and in the Region of the Americas (80%), and poor diets are a leading driver of NCDs. In response, the Pan American Health Organization (PAHO)/World Health Organization (WHO) introduced a set of evidence-based regulatory measures to help countries improve diets through the reduced consumption of processed and ultra-processed foods. This paper aims to describe the needs of and propose actions for key actors to advance these measures. A workshop was designed to assess member states' regulatory capacity. A thematic analysis was conducted to analyze regional needs, successes and challenges. Thereafter, the Government Capacity-Building Framework for the prevention and control of NCDs was used to examine findings. The findings were organized in two sets: (i) PAHO/WHO actions to support member states and (ii) key actors' actions to advance regulatory policies. The results show notable regulatory progress across the Region of the Americas. However, progress differs between countries, with opportunities to strengthen measures in most countries, mainly in conflict of interest management. The results identified important actions to strengthen the regulatory capacity of PAHO/WHO member states. To maximize momentum for these actions, timelines must be identified, and political commitment can be boosted by applying human rights-based and food system-wide approaches.

Promotion and control of chronic non-communicable diseases in older adults: A Bibliographical Review

Promotion and control of chronic non-communicable diseases in older adults: A Bibliographical Review

Gender and non-communicable diseases in Mexico: a political mapping and stakeholder analysis

BackgroundMexico and other low- and middle-income countries (LMICs) present a growing burden of non-communicable diseases (NCDs), with gender-differentiated risk factors and access to prevention, diagnosis and care. However, the political agenda in LMICs as it relates to health and gender is primarily focused on sexual and reproductive health rights and preventing violence against women. This research article analyses public policies related to gender and NCDs, identifying political challenges in the current response to women’s health needs, and opportunities to promote interventions that recognize the role of gender in NCDs and NCD care in Mexico.MethodsWe carried out a political mapping and stakeholder analysis during July–October of 2022, based on structured desk research and interviews with eighteen key stakeholders related to healthcare, gender and NCDs in Mexico. We used the PolicyMaker V5 software to identify obstacles and opportunities to promote interventions that recognize the role of gender in NCDs and NCD care, from the perspective of the political stakeholders interviewed.ResultsWe found as a political obstacle that policies and stakeholders addressing NCDs do not take a gender perspective, while policies and stakeholders addressing gender equality do not adequately consider NCDs. The gendered social and economic aspects of the NCD burden are not widely understood, and the multi-sectoral approach needed to address these aspects is lacking. Economic obstacles show that budget cuts exacerbated by the pandemic are a significant obstacle to social protection mechanisms to support those caring for people living with NCDs.ConclusionsMoving towards an effective, equity-promoting health and social protection system requires the government to adopt an intersectoral, gender-based approach to the prevention and control of NCDs and the burden of NCD care. Despite significant resource constraints, policy innovation may be possible given the willingness among some stakeholders to collaborate, particularly in the labour and legal sectors. However, care will be needed to ensure the implementation of new policies has a positive impact on both gender equity and health outcomes. Research on successful approaches in other contexts can help to identify relevant learnings for Mexico.

The reported impact of non-communicable disease investment cases in 13 countries

Non-communicable diseases (NCDs) are a leading health and development challenge worldwide. Since 2015, WHO and the United Nations Development Programme have provided support to governments to develop national NCD investment...

IJCM_172A: Risk Scoring of Type 2 Diabetes Mellitus and Coverage of Screening Services through Primary Health Care System among Adults in a Block of Murshidabad District, West Bengal

Background: Type 2 diabetes is a major public health challenge. Indian Diabetes Risk Score (IDRS), a simple and cost-effective tool consisting of two modifiable (waist circumference, physical activity) and two non-modifiable risk factors (age, parental history) for diabetes, can be easily applied in mass screening programmes. Opportunistic screening for diabetes among individuals aged = 30 years is being done under the programme for Prevention and Control of Non-communicable Diseases. Objective: To assess the risk of type 2 diabetes mellitus using IDRS, coverage of screening services for diabetes through the primary health care delivery system and to identify their correlates. Methodology: : A descriptive, cross-sectional study was conducted in a block of Murshidabad district, West Bengal during September to November 2023 among permanent residents aged = 30 years on a calculated sample of 300 selected through multi-stage sampling. Required data were collected by interviewing the study subjects using pre-designed, pre-tested schedule including IDRS, reviewing medical records and measuring waist circumference. Analysis was done using SPSS-20. Results: Among 300 participants, 40.7% had high risk; 54% and 5.3% had moderate and low risk of diabetes respectively according to IDRS. In multivariable analysis, age =35 years (AOR 18.10, 95% CI 5.07-64.66), female gender (AOR 2.36, 95% CI 1.40-4.00) and being in joint family (AOR 3.53, 95% CI 1.77-7.04) were significant correlates for high-risk category according to IDRS. Only 67% were screened for diabetes within last six months, of which 89% were through primary health care delivery system. Screening status varied significantly by age group (OR 3.81, 95% CI 1.98-7.35) and IDRS risk categories (OR 1.72, 95% CI 1.06-2.80). Conclusion: Alarmingly substantial proportion of people in the area are at high/moderate risk of diabetes coupled with low opportunistic screening coverage, which highlights the need for intensive behaviour change communication and stronger service delivery.

IJCM_134A: Community Engagement Strategies for Prevention and Control of Non-communicable Diseases in Primary Healthcare Settings: A review of evidences from Low- and Middle-income countries

Background: Community engagement is considered as one of the pillars in successful implementation program for prevention and control of Non- Communicable Diseases (NCDs). Objective: To gather evidence from the available literature concerning effective strategies for enhancing community engagement in primary healthcare for NCD prevention, which are appropriate for resource constraint settings in low- and middle-income countries. Methodology: This study followed the Preferred Reporting Items for Systematic reviews and Meta-Analysis for Scoping Reviews (PRISMA- ScR) guidelines. Original articles and reports published from January 2000 to September 2023, in English language; with the following designs- Randomized controlled trials with single or multiple arms, quasi- experimental studies, public health practices and qualitative studies, available online were included in this review. Digital databases like PubMed and Google scholar were searched to find out articles, using a pre-designed peer- reviewed search strategy by combining established search terms and free text terms. Further, hand search was made by going through the references of the retrieved articles. All publications were independently evaluated by two reviewers. Information extracted from the published articles were recorded using a pre-designed data extraction sheet in Microsoft excel. Results: Key interventions emerged from the review included group-based peer support program; family level intervention; setting based approach (Health Promoting school /institution /market /hospital); advocacy, network and counselling among People Living with NCDs etc. Evidence also suggested use of appropriate technology such as CPHC-NCD Software, generation of Ayushman Bharat-Health Account IDs (ABHA IDs) through National NCD Portal, maintenance of NCD data record and register in digital formats on National NCD Portal and spreading community dialog using mass media, digital media and social media. Conclusion: The findings of this study will guide the development and implementation of evidence-based interventions for prevention of NCDs using primary healthcare platform suitable for resource limited settings.

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia.

Non-communicable diseases (NCDs) pose special challenges in developing countries In Ethiopia, the growing NCD burden has raised a public health concern with significant social, economic, and developmental effects. Thus, the study sought to examine health communication practices in addressing the NCDs in Bahir Dar City of the Amhara Region of Ethiopia. A qualitative case study was conducted from January to April 2023. The study employed in-depth interviews, focus group discussions, and observations to gather data from health extension workers, NCD experts, and NCD focal persons about their experiences and perspectives regarding NCD prevention and control. The participants were purposively selected, and a thematic analysis technique was employed to analyze the data. The study found that several health communication strategies, such as health promotion, training and creating model households, screening, referrals, follow-ups, rehabilitation services, and activities reporting were employed. Nevertheless, there was a lack of consistent, reliable, and long-lasting and professional health communication regarding NCD prevention and management. Some of the challenges contributing to such deficient practices were overloading HEWs with various tasks, allocating many households to a single HEW, shortage of screening tools, shortage of financial and human resources, weak interdisciplinary collaboration, COVID-19, and recurrent conflicts in the city and the region. Above all, lack of health communication skills affected the health interventions. Concerning communication methods, one-to-one communication was frequently employed, while mass media and social media were rare. Generally, NCD communication, in particular, and health communication, in general, did not receive priority as other health-related activities in the city. The study found that there were poor health communication practices in preventing and controlling NCDs. Thus, professional practice of health communication about NCDs must be prioritized, and emphasis should be given to inter-sectoral collaborations. Prioritizing financial and human resources is also essential for effective NCD communication.

OPTIMALISASI APLIKASI SEHAT INDONESIAKU PTM MELALUI PENGUMPULAN DATA CERDIK PADA MASYARAKAT DI KELURAHAN DESA POPODU KECAMATAN BULANGO TIMUR PROVINSI GORONTALO

Non-communicable diseases are a major health problem in Indonesia. So that the management of the implementation of the Integrated Non-Communicable Disease Coaching post-activity is a very important part of the early detection of each NCD. The Indonesian Ministry of Health has launched the ASIK application as a strategy for early detection of NCD cases. CERDIK behavior is also effective in improving non-communicable disease prevention and control behavior in terms of cognition, attitudes, and skills. Based on interviews with the head of the health center in Bulango Timur sub-district, it is known that data collection on non-communicable diseases has not been carried out. And the use of the ASIK application has not been fully utilized. The methods used are community education through the CERDIK instrument and the substitution of science and technology with the ASIK Application. Based on data entry in the ASIK application, it is known that lack of physical activity is 16 people, lack of consumption of vegetables and fruit is 32 people, excessive oil and fat consumption is 103 people, excessive salt consumption is 90 people, consuming alcohol is 13 people, exposed to cigarette smoke is 50 people, smoking is 39 people, hyperglycemic is 2 people, pre-diabetes is 13 people, and hypercholesterol is 7 people. The results of this data are easier to use for early detection of NCD cases, even though the examination can be done through self-assessment. And also, the ASIK application can be used for reporting from community health centers and monitoring by the Health Office.