Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.

Favas, C; Ansbro, É; Eweka, E; Agarwal, G; Lazo Porras, M; Tsiligianni, I; Vedanthan, R; Webster, R; Perel, P; Murphy, A

Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.

Favas, C Ansbro, É Eweka, E Agarwal, G Lazo Porras, M Tsiligianni, I Vedanthan, R Webster, R

Perel, P Murphy, A

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Publisher:: Frontiers
Publication Type:: Journal Article
Citation:: Public Health Rev, 2022, 43, pp. 1604583
Issue Date:: 2022

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Field	Value	Language
dc.contributor.author	Favas, C
dc.contributor.author	Ansbro, É
dc.contributor.author	Eweka, E
dc.contributor.author	Agarwal, G
dc.contributor.author	Lazo Porras, M
dc.contributor.author	Tsiligianni, I
dc.contributor.author	Vedanthan, R
dc.contributor.author	Webster, R https://orcid.org/0000-0002-7444-3037
dc.contributor.author	Perel, P
dc.contributor.author	Murphy, A
dc.date.accessioned	2023-07-01T22:39:56Z
dc.date.available	2022-05-25
dc.date.available	2023-07-01T22:39:56Z
dc.date.issued	2022
dc.identifier.citation	Public Health Rev, 2022, 43, pp. 1604583
dc.identifier.issn	0301-0422
dc.identifier.issn	2107-6952
dc.identifier.uri	http://hdl.handle.net/10453/171077
dc.description.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.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Frontiers
dc.relation.ispartof	Public Health Rev
dc.relation.isbasedon	10.3389/phrs.2022.1604583
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	General & Internal Medicine
dc.title	Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.
dc.type	Journal Article
utslib.citation.volume	43
utslib.location.activity	Switzerland
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation
utslib.copyright.status	open_access	*
dc.date.updated	2023-07-01T22:39:52Z
pubs.publication-status	Published online
pubs.volume	43

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.

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http://hdl.handle.net/10453/171077