Improving Services for Chronic Non-communicable Diseases in Samoa

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dc.creatorFraser-Hurt, Nicole
dc.creatorNaseri, Leausa Take
dc.creatorThomsen, Robert
dc.creatorMatalavea, Athena
dc.creatorIeremia-Faasili, Victoria
dc.creatorReupena, Muagatutia Sefuiva
dc.creatorHawley, Nicola L.
dc.creatorPomer, Alysa
dc.creatorRivara, Anna C.
dc.creatorObure, Dayo Carol
dc.creatorZhang, Zhang
dc.date2021-07-28T18:55:04Z
dc.date2021-07-28T18:55:04Z
dc.date2021-07-26
dc.date.accessioned2026-07-01T00:37:20Z
dc.descriptionSamoa needs to intensify the response to the growing non-communicable disease burden. This study aimed to assess bottlenecks in the care continuum and identify possible solutions. The mixed-methods study used the cascade framework as an analysis tool and hypertension as a tracer condition for chronic non-communicable diseases. Household survey data were integrated with medical record data of hypertension patients and results from focus group discussions with patients and healthcare providers. Hypertension prevalence was 38.1% but only 4.7% of hypertensive individuals had controlled blood pressure. There were large gaps in the care continuum especially at screening and referral due to multiple socio-cultural, economic and service delivery constraints. In Samoa, care for chronic non-communicable diseases is not effectively addressing patient needs. This calls for better health communication, demand creation, treatment support, nutritional interventions and health service redesign, with a focus on primary healthcare and effective patient and community engagement.
dc.formatapplication/pdf
dc.identifierAustralian and New Zealand Journal of Public Health
dc.identifierhttps://hdl.handle.net/10986/36033
dc.identifierhttps://doi.org/10.1596/36033
dc.identifier.urihttp://hdl.handle.net/123456789/407571
dc.publisherJohn Wiley and Sons, Inc.
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rightsWorld Bank
dc.subjectHYPERTENSION
dc.subjectDIABETES
dc.subjectOBESITY
dc.subjectNONCOMMUNICABLE DISEASE
dc.subjectPRIMARY HEALTH CARE
dc.subjectCASCADE
dc.subjectIMPLEMENTATION RESEARCH
dc.titleImproving Services for Chronic Non-communicable Diseases in Samoa
dc.titleAn Implementation Research Study Using the Care Cascade Framework
dc.typeJournal Article
dc.typeArticle de journal
dc.typeArtículo de revista

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