Package of essential noncommunicable disease (PEN) interventions in primary health-care settings of Bhutan: a performance assessment study

@article{Wangchuk2014PackageOE,
  title={Package of essential noncommunicable disease (PEN) interventions in primary health-care settings of Bhutan: a performance assessment study},
  author={D Wangchuk and Navkiran Kaur Virdi and Renu Madanlal Garg and Shanthi Mendis and Nani Nair and Dorji Wangchuk and Rajesh Kumar},
  journal={WHO South-East Asia Journal of Public Health},
  year={2014},
  volume={3},
  pages={154 - 160}
}
Background: A World Health Organization (WHO) package of essential noncommunicable (PEN) disease interventions was piloted in two districts of Bhutan by non-physician health workers. They conducted risk assessment among patients aged over 40 years who visited the outpatient department of health institutions. Blood glucose was also measured among those who were overweight/ obese (body mass index ≥23 kg/m2) or had a high waist circumference (>80 cm in women and >90 cm in men). Appropriate… 
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Package of essential noncommunicable disease (PEN) interventions in primary health-care settings in the Democratic People's Republic of Korea: A feasibility study
The prevention and control of noncommunicable diseases (NCDs) is a priority for the Democratic People's Republic of Korea. Mortality due to NCDs in people aged over 30 years was 1239 per 100 000 in…
Implementation of World Health Organization Package of Essential Noncommunicable Disease Interventions for Cardiovascular Risk Management in Gaza/Palestine: A Retrospective Record Review Study
TLDR
NCDs in Palestine are a major health problem and Sustainability of WHO PEN interventions is recommended with insurance to support the needs of NCD patients and home visits, due to health care system gaps at primary care level.
Lessons for addressing noncommunicable diseases within a primary health-care system from the Ballabgarh project, India
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Opportunistic screening appears to be feasible and a cost-effective strategy for risk screening in India and it is possible to integrate NCD prevention and control into primary health care in India.
Preparedness of primary and secondary health facilities in India to address major noncommunicable diseases: results of a National Noncommunicable Disease Monitoring Survey (NNMS)
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Both private and public primary care facilities and public secondary facilities are currently not adequately prepared to comprehensively address the burden of NCDs in India.
Experiences from the pilot implementation of the Package of Essential Non-communicable Disease Interventions (PEN) in Myanmar, 2017-18: A mixed methods study
TLDR
High loss to follow up, poor recording of CVD risk score, lack of essential medicines and equipments were the key challenges identified that need to be addressed before further expansion of PEN project to other townships.
Is diabetes and hypertension screening worthwhile in resource-limited settings? An economic evaluation based on a pilot of a Package of Essential Non-communicable disease interventions in Bhutan.
TLDR
A model-based economic evaluation was performed on the World Health Organization's Package of Essential Non-communicable disease interventions for primary health care in Bhutan, indicating that the current screening option represents good value for money compared to 'no screening'.
An approach to diabetes prevention and management: The Bhutan experience
TLDR
The WHO PEN has now been successfully integrated into the primary health-care system nationwide and it is planned that diabetes clinics will be upgraded to NCD clinics.
Baseline prevalence of high blood pressure and its predictors in a rural adult population of Bangladesh: Outcome from the application of WHO PEN interventions
TLDR
One‐ fourth of the rural adult population of Bangladesh detected one‐fourth of the Rural adult population had pre‐HTN and HTN respectively, and the common significant predictors of those were the age, family history of HTN, physical inactivity, generalized obesity, and diabetes.
An integrated intervention for chronic care management in rural Nepal: protocol of a type 2 hybrid effectiveness-implementation study
TLDR
This is the first population-level, hybrid effectiveness-implementation study of an integrated chronic care management intervention in Nepal, and the results of this pragmatic study will offer insights into policy and programmatic design for noncommunicable disease care management in the future.
Designing and implementing an integrated non-communicable disease primary care intervention in rural Nepal
TLDR
Mixed effectiveness results suggest that while this intervention may be valuable, it may not be sufficient to impact outcomes, and further implementation research is urgently needed to determine how to optimise non-communicable disease interventions.
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References

SHOWING 1-10 OF 17 REFERENCES
Cardiovascular disease risk management in a primary health care setting of north India.
TLDR
Adapted WHO CVD risk management package can be implemented through primary care system and knowledge of health workers regarding risk factors and symptoms of CVDs increased from 47% to 92.5%, and their performance in detection of risks was comparable to the investigator.
Implementation of World Health Organization Package of Essential Noncommunicable Disease Interventions (WHO PEN) for Primary Health Care in Low‐Resource Settings: A Policy Statement From the World Hypertension League
TLDR
From the Medicine, Beijing Hypertension League Institute, Haidian District, Beijing, China; Departments of Medicine, Physiology and Pharmacology and Community Health Sciences, O’Brien Institute for Public Health and Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
COMMUNITY EDUCATION FOR CARDIOVASCULAR HEALTH
Changes in premature deaths in Finland: successful long-term prevention of cardiovascular diseases.
TLDR
The results show that a major reduction in CVD mortality among the working-age population can take place in association with active reduction of major risk factors, with a favourable impact on cancer and all-causes mortality.
Community education for cardiovascular disease prevention: risk factor changes in the Minnesota Heart Health Program.
TLDR
These findings suggest that even an intense program may not be able to generate enough additional exposure to risk reduction messages and activities in a large enough fraction of the population to accelerate the remarkably favorable secular trends in health promotion activities and in most coronary heart disease risk factors present in the study communities.
Multiple risk factor intervention trial. Risk factor changes and mortality results. Multiple Risk Factor Intervention Trial Research Group.
  • Medicine, Psychology
    JAMA
  • 1982
TLDR
Over an average follow-up period of seven years, risk factor levels declined in both groups, but to a greater degree for the SI men, and measures to reduce cigarette smoking and to lower blood cholesterol levels may have reduced CHD mortality within subgroups of the SI cohort.
Effects of diet and physical activity interventions on weight loss and cardiometabolic risk factors in severely obese adults: a randomized trial.
TLDR
Among patients with severe obesity, a lifestyle intervention involving diet combined with initial or delayed initiation of physical activity resulted in clinically significant weight loss and favorable changes in cardiometabolic risk factors.
Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City Project.
TLDR
After 30 to 64 months of education, significant net reductions in community averages favoring treatment occurred in plasma cholesterol level, blood pressure, resting pulse rate, and smoking rate of the cohort sample, which resulted in important decreases in composite total mortality risk scores and coronary heart disease risk scores.
Interventions to prevent weight gain: a systematic review of psychological models and behaviour change methods
TLDR
Interventions to prevent weight gain exhibited various degrees of effectiveness, and future interventions might be more effective if they were explicitly based on methods of behaviour change that have been shown to work in other contexts.
Accuracy of blood pressure measurement and anthropometry among volunteer observers in a large community survey.
...
1
2
...