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

An operational evaluation in Sudan

Bibliographic Data

ID21879891
AuthorsAhmad Hecham Alani (0000-0001-6318-3017, Health Technical Unit, International Rescue Committee, London, UK), Laura Miller (0000-0003-3056-5443, Health Technical Unit, International Rescue Committee, New York, New York, USA), L S Miller (0000-0001-5539-3233, International Rescue Committee), Isaac Waweru (Health Technical Unit, International Rescue Committee, Nairobi, Kenya), Aston B Atwiine (Health Technical Unit, International Rescue Committee, Kampala, Uganda), Stella Njagi (Health Technical Unit, International Rescue Committee, Nairobi, Kenya, corresponding author), Marcello Tonelli (0000-0002-0846-3187, University of Calgary), Kelly Kisarach (Health Technical Unit, International Rescue Committee, Khartoum, Sudan), Abdelrhman Mohammed (Health Technical Unit, International Rescue Committee, Khartoum, Sudan), Ronald Mugera (Health Technical Unit, International Rescue Committee, Nairobi, Kenya), Nazik Mohamed Ibrahim (NCD Directorate, Federal Ministry of Health, Khartoum, Sudan), Nathier A Ibrahim (0000-0003-0365-546X, Federal Ministry of Health), Dina Abdulhammed Mohamad (Federal Ministry of Health), Lilian Kiapi (0000-0002-6896-4784, Health Technical Unit/Technical Excellence, International Rescue Committee, London, UK)
Year2023
Volume7
IssueSuppl 5
Pagese012077
Publication date2023-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-012077
PMID37295806
OpenAlexW4380088015
LanguageEN
References cited12

Non-communicable diseases (NCDs) are a major global health concern, and their management is particularly challenging in humanitarian contexts where healthcare resources are limited. The WHO Non-Communicable Diseases Kit (WHO-NCDK) is a health system intervention targeted at the primary healthcare (PHC) level and designed to provide essential medicines and equipment for NCDs management in emergency settings, meeting the needs of 10 000 people for 3 months. This operational evaluation aimed to assess the effectiveness and utility of the WHO-NCDK in two PHC facilities in Sudan and identify key contextual factors that may influence its implementation and impact. Using a cross-sectional mixed-methods observational approach that combined quantitative and qualitative data, the evaluation found that the kit played a critical role in maintaining continuity of care when other supply chain solutions were disrupted. However, contextual factors such as local communities’ unfamiliarity with healthcare facilities, the national integration of NCDs into PHC, and the existence of monitoring and evaluation systems were identified as important considerations for enhancing the WHO-NCDK’s utility and usefulness. The evaluation suggests that the WHO-NCDK can be an effective intervention in emergency settings, provided that contextual factors such as local needs, facility capacity and healthcare worker capacity are considered before kit deployments

Environmental health · Humanitarian aid · Medical emergency · Non-communicable disease · Political science · Public health · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Health and Conflict Studies · Medicine · Nursing · Public Administration

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