wow-inequalities/02-data/intermediate/wos_sample/acfefb4ef2b929450e36f0ea54c2036f-kamvura-tiny-tinash/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Non-communicable diseases (NCDs) contribute significantly to
the global disease burden, with low-and middle-income (LMICs) countries
disproportionately affected. A significant knowledge gap in NCDs
exacerbates the high burden, worsened by perennial health system
challenges, including human and financial resources constraints. Primary
health care workers play a crucial role in offering health care to most
people in LMICs, and their views on the barriers to the provision of
quality care for NCDs are critical. This study explored perceived
barriers to providing NCDs care in primary health care facilities in
Zimbabwe. Methods In-depth, individual semi-structured interviews were
conducted with general nurses in primary care facilities until data
saturation was reached. We focused on diabetes, hypertension, and
depression, the three most common conditions in primary care in
Zimbabwe. We used thematic content analysis based on an interview guide
developed following a situational analysis of NCDs care in Zimbabwe and
views from patients with lived experiences. Results Saturation was
reached after interviewing 10 participants from five busy urban clinics.
For all three NCDs, we identified four cross-cutting barriers, a) poor
access to medication and functional equipment such as blood pressure
machines, urinalysis strips; b) high cost of private care; c)poor
working conditions; and d) poor awareness from both patients and the
community which often resulted in the use of alternative potentially
harmful remedies. Participants indicated that empowering communities
could be an effective and low-cost approach to positive lifestyle
changes and health-seeking behaviours. Participants indicated that the
Friendship bench, a task-shifting programme working with trained
community grandmothers, could provide a platform to introduce NCDs care
at the community level. Also, creating community awareness and
initiating screening at a community level through community health
workers (CHWs) could reduce the workload on the clinic nursing staff.
Conclusion Our findings reflect those from other LMICs, with poor work
conditions and resources shortages being salient barriers to optimal
NCDs care at the facility level. Zimbabwe''s primary health care system
faces several challenges that call for exploring ways to alleviate
worker fatigue through strengthened community-led care for NCDs.
Empowering communities could improve awareness and positive lifestyle
changes, thus optimising NCD care. Further, there is a need to optimise
NCD care in urban Zimbabwe through a holistic and multisectoral approach
to improve working conditions, basic clinical supplies and essential
drugs, which are the significant challenges facing the country''s health
care sector. The Friendship Bench could be an ideal entry point for
providing an integrated NCD care package for diabetes, hypertension and
depression.'
affiliation: 'Kamvura, TT (Corresponding Author), Univ Zimbabwe, Fac Med \& Hlth Sci,
Res Support Ctr, Friendship Bench, Harare, Zimbabwe.
Kamvura, Tiny Tinashe; Chiriseri, Ephraim; Turner, Jean; Verhey, Ruth; Chibanda,
Dixon, Univ Zimbabwe, Fac Med \& Hlth Sci, Res Support Ctr, Friendship Bench, Harare,
Zimbabwe.
Dambi, Jermaine M., Univ Zimbabwe, Fac Med \& Hlth Sci, Rehabil Sci Unit, Friendship
Bench, Harare, Zimbabwe.'
article-number: '64'
author: Kamvura, Tiny Tinashe and Dambi, Jermaine M. and Chiriseri, Ephraim and Turner,
Jean and Verhey, Ruth and Chibanda, Dixon
author-email: tiny.kamvura@friendshipbench.io
author_list:
- family: Kamvura
given: Tiny Tinashe
- family: Dambi
given: Jermaine M.
- family: Chiriseri
given: Ephraim
- family: Turner
given: Jean
- family: Verhey
given: Ruth
- family: Chibanda
given: Dixon
da: '2023-09-28'
doi: 10.1186/s12912-022-00841-1
files: []
issn: 1472-6955
journal: BMC NURSING
keywords: Barriers; Non-communicable diseases; Nurses; Primary care; Zimbabwe
keywords-plus: 'MIDDLE-INCOME COUNTRIES; SUB-SAHARAN AFRICA; BLOOD-PRESSURE; GLOBAL
BURDEN; HIV; INTERVENTION; DEPRESSION'
language: English
month: MAR 18
number: '1'
number-of-cited-references: '58'
orcid-numbers: 'dambi, jermaine/0000-0002-2446-7903
'
papis_id: 2b62cd05ee60f3e2b6ad4b6c0e74e876
ref: Kamvura2022barriersprovision
researcherid-numbers: 'dambi, jermaine/U-2284-2017
Kamvura, Tiny Tinashe/GON-7454-2022'
times-cited: '6'
title: 'Barriers to the provision of non-communicable disease care in Zimbabwe: a
qualitative study of primary health care nurses'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000770613100001
usage-count-last-180-days: '1'
usage-count-since-2013: '4'
volume: '21'
web-of-science-categories: Nursing
year: '2022'