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Primary Health Care Model for Non-Communicable Diseases Management During Covid-19 Pandemic in the Islamic Republic of Iran Publisher



Akrami F1 ; Riaziisfahani S2 ; Hazaveh AM3 ; Motlagh AG4 ; Najmi M3 ; Afkar M5 ; Moghisi A3 ; Ranjbar M6 ; Hamelmann C7 ; Raeisi A8 ; Ostovar A2, 9
Authors
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Authors Affiliations
  1. 1. Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. National Institute for Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Non-Communicable Diseases Department, National Cancer Control Secretariat, Ministry of Health and Medical Education, Tehran, Iran
  5. 5. Tehran Medical Sciences Islamic Azad University, Tehran, Iran
  6. 6. National Professional Officer, NCDs and Mental Health Unit Head, WHO, Iran
  7. 7. WHO Representative in I.R.I, WHO, Iran
  8. 8. Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  9. 9. Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2022


Abstract

Background: Given the importance of appropriate response to prevent and manage Non-Communicable Diseases (NCDs), this study aimed to analyze the state of NCDs services at the level of the PHC system during the COVID-19 pandemic and to determine the main strategies. Methods: In this qualitative study, first, the circulars and guides in Iran's PHC system from the beginning of the pandemic to the end of September 2020 were retrieved manually and by searching the internal websites of the Ministry of Health. All documents about decision-making or governance and coordination mechanisms for the provision of NCDs services were enrolled and analyzed. In the second phase, the status of service delivery for major NCDs was presented in a model, and finally, SWOT analysis was used to analyze the situation and determine the main strategies. Results: 25 out of 199 circulars and guides were eligible and analyzed. In the crisis phase, most risk assessment, screening, and diagnosis services for NCDs have been suspended, and follow-up and care of patients with major NCDs were done by telephone. In the reopening phase, the general strategies and strategies to increase capacity and provide delayed care were adopted, and the PHC model of the provision of essential services for the major NCDs was developed in low-risk, intermediate and high-risk pandemic conditions. Finally, 16 main strategies were determined with the approach of integrating and focusing on essential services, considering vulnerable groups and the use of E-health technologies. Conclusion: The results indicate on interruption of NCDs services in the crisis phase while adopting strategies for responding to the pandemic. Revision of the COVID-19 guides with a particular focus on NCDs is recommended © Iran University of Medical Sciences
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