An Integrated Behavioral Health to Non-communicable Disease in Cambodia

O’Donnell, Ronald R.; Rolfes, Jennifer; Houston, Charisma; Mei, Pristine; Koy, Virya; Kim, Savuon; Costello, Jennifer; Carroll, Satra; Nguyen, Hoang Duy; Wu, Shiyou

doi:10.47755/jnps.1000105

Cited by 2 publications

(3 citation statements)

References 3 publications

(5 reference statements)

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“…The adequate provision of integrated care for non-communicable diseases remains a challenge for the Cambodian health system. 60 There are apparent gaps in the knowledge of healthcare providers about causes of and treatments for otitis media and a lack of co-ordination of care between providers within the health system. Currently, healthcare providers are unable to impart the information or the management required for appropriate diagnosis and intervention in a timely manner.…”

Section: Discussionmentioning

confidence: 99%

“…This study showed a significant burden of ear disease in Cambodia, made greater by the delay in receiving timely and effective treatment, that exceeds current workforce and infrastructural capacity. The adequate provision of integrated care for non-communicable diseases remains a challenge for the Cambodian health system 60 . There are apparent gaps in the knowledge of healthcare providers about causes of and treatments for otitis media and a lack of co-ordination of care between providers within the health system.…”

Section: Discussionmentioning

confidence: 99%

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Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Waterworth

Watters²,

Sokdavy³

et al. 2022

J. Laryngol. Otol.

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Objective Chronic suppurative otitis media is a major global disease disproportionately affecting low- and middle-income countries, but few studies have explored access to care for those with ear and hearing disorders. Method In a tertiary hospital in Cambodia providing specialist ear services, a mixed method study was undertaken. This study had three arms: (1) quantitative analysis of patients undergoing ear surgery, (2) a questionnaire survey and (3) semi-structured in-depth interviews. Results Patients presented with advanced middle-ear disease and associated hearing loss at rates that are amongst the highest per capita levels globally. Patients reported several structural, financial and socio-cultural barriers to treatment. This study showed a significant burden of ear disease in Cambodia, which reflects a delay in receiving timely and effective treatment. Conclusion This study highlights the opportunity to integrate effective ear and hearing care into primary care service provision, strengthening the package of activities delivered at government facilities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Waterworth

Watters²,

Sokdavy³

et al. 2022

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

“…Now is an opportune time to look at the national strategy to build on the successes of the ministry of health in its notable response to the increasing burden of non-communicable diseases through targeted, integrated care. 54 The Cambodian health system is strategically well placed to consider formal pathways to bring ear and hearing care under the national healthcare policy and strengthen the capacity of healthcare facilities and hospitals to better cater to the country's hearing healthcare needs. 3 , 4 Patients would benefit from the social health protection mechanisms already in place without reallocating funding arrangements.…”

Section: Discussionmentioning

confidence: 99%

Access to ear and hearing care services in Cambodia: a qualitative enquiry into experiences of key informants

et al. 2022

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Objective In Cambodia, little is known about the state of ear and hearing care, or the roles providers or key stakeholders play in delivering services. Method This was an exploratory study using semi-structured qualitative interviews and a questionnaire addressed to key stakeholders to explore their perceptions and experiences in providing services to people suffering from ear disease or hearing loss in Cambodia. Results Several challenges were described including a lack of hearing services to meet the demand, especially outside Phnom Penh in primary care and aural rehabilitation. Supply-side challenges include a shortage of trained professionals, facilities and resources, poor co-ordination between providers, unclear referral pathways, and long wait times. Conclusion Now is an opportune time to build on the positive trend in providing integrated care for non-communicable diseases in Cambodia, through the integration of effective ear and hearing care into primary care and strengthening the package of activities delivered at government facilities.

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An Integrated Behavioral Health to Non-communicable Disease in Cambodia

Cited by 2 publications

References 3 publications

Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Access to ear and hearing care services in Cambodia: a qualitative enquiry into experiences of key informants

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