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Adaptation of care for non-communicable diseases during the Covid-19 pandemic

A global case study

Bibliographic Data

ID21879752
AuthorsLaura Miller (0000-0003-3056-5443, International Rescue Committee), Ahmad Hecham Alani (0000-0001-6318-3017, International Rescue Committee Health Unit, London UK, London, UK), Nicolas Avril (International Rescue Committee), Muksha Luxmi Jingree (International Rescue Committee), Aston B Atwiine (International Rescue Committee Health Unit, Kampala, Uganda), Khaldoun Al Amire (International Rescue Committee, Amman, Jordan), Mushtaq H Khan (0000-0002-1145-0950, International Rescue Committee, New York, New York, USA), Mushtaq Khan (0000-0002-2434-1411, International Rescue Committee), Aye Aye Moe (International Rescue Committee, Bangkok, Thailand), Beatrice Lydiah Adhiambo Nyalwal (International Rescue Committee, Kampala, Uganda), Abdirashid Adan Mohamed (International Rescue Committee), Titus Kiprono Ruto (International Rescue Committee, Nairobi, Kenya), Lilian Kiapi (0000-0002-6896-4784, International Rescue Committee Health Unit, London, UK, corresponding author)
Year2022
Volume7
IssueSuppl 5
Pagese006620
Publication date2022-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-006620
PMID35798439
OpenAlexW4284671304
LanguageEN
Citations received5

People living with non-communicable diseases (PLWNCDs) are at greater risk of severe COVID-19 illness. This case study highlights the adaptations that were made to humanitarian health programmes in five countries to reduce exposure risk for PLWNCDs during the COVID-19 pandemic. Common adaptations included facility-level administrative and engineering controls, improved triaging, change in prescribing practices, decrease in frequency of stable patient visits, shift to remote consultations and expanded scope of responsibility for existing community health workers. Despite fears of the impact on health service utilisation, PLWNCDs continued to seek services and changes in utilisation rates between the pre-COVID-19 and COVID-19 periods were attributed more to factors like population changes, COVID-19 travel restrictions, closure of other health services, and enhanced health education and community engagement. This study highlights the resilience and creativity of frontline health staff and managers, and their ability to make quick shifts in service delivery modalities in response to changes in risk for client groups in accordance with the evolving contextual reality. Other contextual changes such as infectious disease outbreaks, conflicts and natural disasters happen regularly within humanitarian settings, and specific groups are often more at risk. With more specific information about risks for different client groups, targeted approaches can be done to ensure that those most at risk of a specific threat are able to ensure access to sustained services

Business · Communicable disease · Disease · Economic growth · Environmental health · Health care · Pandemic · Population · Public health · COVID-19 and healthcare impacts · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Nursing

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    Open Access•Ahmad Habboush, Abdulkarim Ekzayez et al.•BMJ Global Health•2023

  • Lessons learned from implementing the Non-Communicable Diseases Kit in a humanitarian emergency

    Open Access•Ahmad Hecham Alani, Laura Miller et al.•BMJ Global Health•2023

  • Providing continuity of care for people living with noncommunicable diseases in humanitarian settings

    Open Access•Chaza Akik, Z El Dirani et al.•Journal of Migration and Health•2024

  • Assessment of the WHO non-communicable diseases kit for humanitarian emergencies in South Sudan

    Open Access•Ahmad Hecham Alani, L S Miller et al.•Conflict and Health•2023

  • Strategies to maintain health service provision during the Covid-19 pandemic in refugee settings in Jordan and Uganda

    Open Access•Gabrielle Prager, Heba Hayek et al.•PLOS Global Public Health•2025

Unique citing works5
Citations per year1,67
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5
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