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The Effect of the Covid-19 Pandemic on Non-Communicable Disease Prevention and Management Services in the Primary Health Care System of Iran Publisher



Afkar M1 ; Asl PR2 ; Hezaveh AM3 ; Akrami F4, 5 ; Riaziisfahani S6 ; Peykari N7 ; Payab M8 ; Moghisi A1 ; Yousefi E5 ; Ranjbar M9 ; Nejad MS10 ; Hamelmann C11 ; Slama S12 ; Tabrizi JS2, 13 Show All Authors
Authors
  1. Afkar M1
  2. Asl PR2
  3. Hezaveh AM3
  4. Akrami F4, 5
  5. Riaziisfahani S6
  6. Peykari N7
  7. Payab M8
  8. Moghisi A1
  9. Yousefi E5
  10. Ranjbar M9
  11. Nejad MS10
  12. Hamelmann C11
  13. Slama S12
  14. Tabrizi JS2, 13
  15. Larijani B14, 15
  16. Raeisi A16, 17
  17. Ostovar A5
Show Affiliations
Authors Affiliations
  1. 1. Department of Community Medicine, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  2. 2. Network Management Center, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
  3. 3. Deputy Director of the Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
  6. 6. National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Ministry of Health and Medical Education, Tehran, Iran
  8. 8. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. National Professional Officer, NCDs and Mental Health Unit Head, WHO, Iran
  10. 10. Temporary WHO Advisor, NCDs and Mental Health Unit, WHO, Iran
  11. 11. WHO Representative in I.R.Iran, WHO, Iran
  12. 12. Regional Adviser Noncommunicable Diseases Prevention (NCP), UHC/NCDs, WHO EMRO, Iran
  13. 13. Department of Health Policy and Management, School of Management and Medical Informatics Health Services, Tabriz University of Medical Sciences, Tabriz, Iran
  14. 14. Department of Internal Medicine, School of Medicine, Endocrinology and Metabolism Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  15. 15. Deputy Chairman of the Iranian Non-communicable Diseases Committee (INCDC), Tehran, Iran
  16. 16. Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  17. 17. Deputy Minister of Health of the Ministry of Health and Medical Education, Tehran, Iran

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


Abstract

Background: The COVID-19 pandemic has caused significant disruptions in the provision of non-communicable disease (NCDs) prevention and control services in many countries, and there is a concern that it would lead to long-term complications of the diseases. The aim of this study is to assess the changes in the provisions of selected NCD services before and after the COVID-19 epidemic in Iran’s primary healthcare system. Methods: In this descriptive-analytical retrospective study, the number of eight NCD services provided during the first 10 months of the COVID-19 pandemic from Feb 2020 to Dec 2020 were compared with the same period in the previous year using the data from the Iranian integrated electronic health record system (SIB) and also the association between the number of deaths due to COVID-19 and a sample of NCD services were assessed using cross-correlation analysis. The statistical analysis was performed in Stata Software v.14. Results: The NCD services have decreased by an average of 18.89% compared to the same period in the previous year; this decline was much more severe at the beginning of the epidemic period (up to 75% in some services) and was greater in physician-provided services than in non-physician services. Also, examining the course of the selected services during this period, a gradual compensation was evident after the initial reduction. Conclusion: The general trend of the selected services of prevention and control of NCDs in the PHC system of Iran within 10 months after the onset of COVID-19 showed a sharp decline and subsequent gradual compensation. Although the process of compensation in some services may be considered somewhat reassuring, in the case of some essential services, more effort and attention to the implementation of programs or compensatory policies seem necessary © Iran University of Medical Sciences
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