The role of primary health care in assessing and preventing health risk factors of adolescents in Georgia

Mirzikashvili, Nino; Baramidze, Levan

doi:10.18332/tpc/90857

Cited by 1 publication

(1 citation statement)

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“…Prevention-centric approaches are missing in PHC in all CIS countries (Luck et al, 2014). The state system is still promoting disease management at PHC and forgetting the key role of disease prevention and early detection, which is an essential component of PHC (Dzhakeli et al, 2009;Efremov, 2011;Sharman, 2014;Mirzikashvili and Baramidze, 2017). A study on the NCD-related risk factors conducted in 27 countries, including CIS countries, confirmed that addressing the risk factors plays a key role in preventing most of NCDs (Kotseva, 2019).…”

Section: Service Deliverymentioning

confidence: 99%

Strategies to address non-communicable diseases in the Commonwealth of Independent States countries: a scoping review

Muratalieva

Nendaz

Beran

2022

Prim Health Care Res Dev

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Aim: The aim of this study is to review the literature in Commonwealth of Independent States (CIS) countries with regard to their response to non-communicable diseases (NCDs) and the implementation of the World Health Organization (WHO) Package of Essential Non-communicable (PEN) disease interventions for primary health care. Background: NCDs are estimated to account from 62% to 92% of total deaths in CIS countries. Current management of NCDs in CIS countries is focused on specialists and hospital care versus primary health care (PHC) as recommended by the WHO. Methods: This paper uses a scoping review of published and grey literature focusing on diabetes and hypertension in CIS countries. These two conditions are chosen as they represent a large burden in CIS countries and are included in the responses proposed by the WHO PEN. Findings: A total of 96 documents were identified and analysed with the results presented using the WHO Health System Building Blocks. Most of the publications identified focused on the service delivery (41) and human resources (20) components, while few addressed information and research (17), and only one publication was related to medical products. As for their disease of focus, most studies focused on hypertension (14) and much less on diabetes (3). The most studies came from Russia (18), followed by Ukraine (21) and then Kazakhstan (12). Only two countries Moldova and Kyrgyzstan have piloted the WHO PEN. Overall, the studies identified highlight the importance of the PHC system to better control and manage NCDs in CIS countries. However, these present only strategies versus concrete interventions. One of the main challenges is that NCD care at PHC in CIS countries continues to be predominantly provided by specialists in addition to focusing on treatment versus preventative services.

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