Title
Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review
Date Issued
27 June 2022
Access level
open access
Resource Type
journal article
Author(s)
Favas C.
Ansbro É.
Eweka E.
Agarwal G.
Tsiligianni I.
Vedanthan R.
Webster R.
Perel P.
Murphy A.
Geneva University Hospitals University of Geneva
Publisher(s)
Frontiers Media S.A.
Abstract
Objectives: The COVID-19 pandemic has disrupted health care for non-communicable diseases (NCDs) and necessitated strategies to minimize contact with facilities. We aimed to examine factors influencing implementation of remote (non-facility-based) delivery approaches for people with hypertension and/or diabetes in low- and middle-income countries (LMICs), to inform NCD care delivery during health service disruption, including humanitarian crises. Methods: Our narrative review used a hermeneutic and purposive approach, including primary studies conducted in LMICs, which assessed implementation factors influencing remote NCD care delivery. Results were analyzed using the Consolidated Framework for Implementation Research. Results: Twenty-eight included studies revealed the strong influence of both internal organizational and broader contextual factors, such as community health worker policies or technological environment. Addressing patients’ specific characteristics, needs and resources was important for implementation success. Conclusion: This review highlighted the multiple, complex, interdependent factors influencing implementation of remote NCD care in LMICs. Our findings may inform actors designing NCD care delivery in contexts where facility-based access is challenging. Implementation research is needed to evaluate context-adapted e-Health, community-based, and simplified clinical management strategies to facilitate remote NCD care.
Volume
43
Language
English
OCDE Knowledge area
Políticas de salud, Servicios de salud Enfermedades infecciosas
Scopus EID
2-s2.0-85133901763
Source
Public Health Reviews
ISSN of the container
03010422
Sponsor(s)
This work was supported by Novo Nordisk. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Sources of information: Directorio de Producción Científica Scopus