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