Models of care for noncommunicable diseases in primary care
Key elements and design in low- and middle-income countries – a scoping review
Bibliographic Data
| ID | 19530708 |
|---|---|
| Authors | Mai Eltigany (World Health Organization, corresponding author), Laura Drown (0000-0002-5322-6834, Brigham and Women's Hospital), Oyetayo Akala (World Health Organization), Silvia Ussai (0000-0002-8044-7173, World Health Organization), Gene Bukhman (0000-0003-4500-7903, Brigham and Women's Hospital), Alarcos Cieza (0000-0002-5045-4890, World Health Organization), Alma J Adler (0000-0002-6700-3279, Brigham and Women's Hospital) |
| Year | 2025 |
| Volume | 18 |
| Issue | 1 |
| Pages | 2543604-2543604 |
| Publication date | 2025-12-31 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2025.2543604 |
| PMID | 40875014 |
| OpenAlex | W4413779528 |
| Language | EN |
| Citations received | 1 |
| References cited | 57 |
Noncommunicable diseases (NCDs) pose a global health challenge, with primary health care's (PHC) potential to address them underutilized. While efforts to design and implement effective NCDs care models in low- and middle-income countries (LMICs) are increasing, conclusive recommendations are lacking. This scoping review maps literature on NCDs care models in LMICs, examining elements, theoretical foundations, and outcomes to inform the development of context-specific models. Following Arksey and O'Malley's framework, we searched PubMed, Embase, and Web of Science for articles on NCD care models in LMIC primary care. Two authors independently screened and extracted data using a 40-element framework. Identified models were categorized as implemented or theoretically proposed, analyzed by subcategory, and elements identified and compared. The search and snowballing yielded 1,011 articles. 54 met inclusion criteria, covering 44 models (25 implemented, 19 proposed). Implemented models' design was largely informed by service delivery gaps analyses. The most frequently included elements in them were education and training of the health workforce, combined self-management and patient education, guidelines/protocol-based approach, information systems, screening, team-based care, combined nurse-led and task shifting/sharing, essential medicines, essential diagnostics, community-level care, standardized referral pathways, and mentoring and supervision. Comparison of frequently included elements in implemented and proposed models showed strong alignment between them and with the recommended interventions in WHO-NCDs technical packages for primary care. This underscores these elements' relevance in addressing NCD service delivery challenges in LMICs and guiding the reorientation of PHC models to better integrate NCD services. However, further evidence is needed to support implementation
Developing country · Development economics · Economic growth · Economics · Environmental health · Family medicine · Global health · Health care · Low and middle income countries · Primary care · Primary health care · Chronic Disease Management Strategies · Computer Science · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Gerontology
Models of lifelong care for children and adolescents with chronic conditions in low-income and middle-income countries
Innovating to increase access to diabetes care in Kenya
Introducing a model of cardiovascular prevention in Nairobi's slums by integrating a public health and private-sector approach
Impact evaluation of a community-based intervention for prevention of cardiovascular diseases in the slums of Nairobi
Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases
Designing a comprehensive Non-Communicable Diseases (NCD) programme for hypertension and diabetes at primary health care level
Team-based primary health care for non-communicable diseases
Implementation and clinical effectiveness of a community-based non-communicable disease treatment programme in rural Mexico
A qualitative study of the determinants of HIV guidelines implementation in two south-eastern districts of Tanzania
Perceptions on diabetes care provision among health providers in rural Tanzania
Redesigning Primary Care to Tackle the Global Epidemic of Noncommunicable Disease
The Brazilian Family Health Program and Secondary Stroke and Myocardial Infarction Prevention
Scoping studies
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |