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. 2022 Dec 23:36:167.
doi: 10.47176/mjiri.36.167. eCollection 2022.

Primary Health Care Model for Non-Communicable Diseases Management during COVID-19 Pandemic in the Islamic Republic of Iran

Forouzan Akrami  1 , Sahand Riazi-Isfahani  2 , Alireza Mahdavi Hazaveh  3 , Ali Ghanbari Motlagh  4 , Mehdi Najmi  3 , Mehdi Afkar  5 , Alireza Moghisi  3 , Mansour Ranjbar  6 , Christoph Hamelmann  7 , Alireza Raeisi  8 , Afshin Ostovar  9   2
Affiliations

Primary Health Care Model for Non-Communicable Diseases Management during COVID-19 Pandemic in the Islamic Republic of Iran

Forouzan Akrami et al. Med J Islam Repub Iran. .

Abstract

Background: Given the importance of appropriate response to prevent and manage Non-Communicable Diseases (NCDs), this study aimed to analyze the state of NCDs services at the level of the PHC system during the COVID-19 pandemic and to determine the main strategies.

Methods: In this qualitative study, first, the circulars and guides in Iran's PHC system from the beginning of the pandemic to the end of September 2020 were retrieved manually and by searching the internal websites of the Ministry of Health. All documents about decision-making or governance and coordination mechanisms for the provision of NCDs services were enrolled and analyzed. In the second phase, the status of service delivery for major NCDs was presented in a model, and finally, SWOT analysis was used to analyze the situation and determine the main strategies.

Results: 25 out of 199 circulars and guides were eligible and analyzed. In the crisis phase, most risk assessment, screening, and diagnosis services for NCDs have been suspended, and follow-up and care of patients with major NCDs were done by telephone. In the reopening phase, the general strategies and strategies to increase capacity and provide delayed care were adopted, and the PHC model of the provision of essential services for the major NCDs was developed in low-risk, intermediate and high-risk pandemic conditions. Finally, 16 main strategies were determined with the approach of integrating and focusing on essential services, considering vulnerable groups and the use of E-health technologies.

Conclusion: The results indicate on interruption of NCDs services in the crisis phase while adopting strategies for responding to the pandemic. Revision of the COVID-19 guides with a particular focus on NCDs is recommended.

Keywords: COVID-19; Essential Services; Non-Communicable Diseases; PHC.

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Conflict of interest statement

The authors declare that they have no competing interests.

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