Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low- and middle-income countries:a scoping review
type: Article
item type: journalArticle
is part of: BMC Public Health
authors: Person
  surname: Correia
  given name: J. C.
authors: Person
  surname: Lachat
  given name: S.
authors: Person
  surname: Lagger
  given name: G.
authors: Person
  surname: Chappuis
  given name: F.
authors: Person
  surname: Golay
  given name: A.
authors: Person
  surname: Beran
  given name: D.
authors: Person
  surname: Project
  given name: Cohesion
subject: Community Health Services/*statistics & numerical data
subject: Developing Countries/*statistics & numerical data
subject: Diabetes Mellitus/*prevention & control
subject: Humans
subject: Hypertension/*prevention & control
subject: Primary Health Care/*statistics & numerical data
subject: Randomized Controlled Trials as Topic
subject: diabetes
subject: hypertension
subject: low- and middle-income countries
subject: non-communicable diseases
subject: primary health care
abstract: BACKGROUND: Hypertension (HTN) and diabetes mellitus (DM) are highly prevalent in low- and middle-income countries (LMIC) and a leading cause of morbidity and mortality. Recent evidence on effectiveness of primary care interventions has attracted renewed calls for their implementation. This review aims to synthesize evidence pertaining to primary care interventions on these two diseases, evaluated and tested in LMICs. METHODS: Two reviewers conducted an electronic search of three databases (Pubmed, EMBASE and Web of Science) and screened for eligible articles. Interventions covering health promotion, prevention, treatment, or rehabilitation activities at the PHC or community level were included. Studies published in English, French, Portuguese and Spanish, from January 2007 to January 2017, were included. Key extraction variables included the 12 criteria identified by the Template for Intervention Description and Replication (TIDieR) checklist and guide. The Innovative Care for Chronic Conditions Framework (ICCCF) was used to guide analysis and reporting of results. RESULTS: 198 articles were analyzed. The strategies focused on healthcare service organization (76.5%), community level (9.7 %), creating a positive policy environment (3.6%) and strategies covering multiple domains (10.2%). Studies included related to the following topics: description or testing of interventions (n=81; 41.3%), implementation or evaluation projects (n=42; 21.4%), quality improvement initiatives (n=15; 7.7%), screening and prevention efforts (n=26; 13.2%), management of HTN or DM (n=13; 6.6%), integrated health services (n=10; 5.1%), knowledge and attitude surveys (n=5; 2.5%), cost-effective lab tests (n=2; 1%) and policy making efforts (n=2; 1%). Most studies reported interventions by non-specialists (n=86; 43.4%) and multidisciplinary teams (n=49; 25.5%). CONCLUSION: Only 198 articles were found over a 10 year period which demonstrates the limited published research on highly prevalent …
date: 2019-11-23
pages: 1542
coverage: 31752801

BMC Public Health
type: Journal
volume: 19
number: 1
identifier: DOI 10.1186/s12889-019-7842-6
identifier: ISSN 1471-2458 (Electronic) 1471-2458 (Linking)