3.Panel4 Evvie Rotua

(1)

THE ROLE OF COMMUNITY

BASED PROGRAM

AGAINTS

NON-COMMUNICABLE

DISEASES

A SYSTEMATIC REVIEW Evvi Rotua,

(2)

BACKGROUND

• _{NON-COMMUNICABLE (NCDs) ALSO KNOWN AS THE}

“SILENT KILLER” IS A MAJOR HEALTH BURDEN FOR ALMOST ALL COUNTRIES IN THE WORLD.

• _{WORLD HEALTH ORGANIZATION (WHO) STATE THAT}

EACH YEAR 38 MILLION PEOPLE DIED BECAUSE OF NCDs.

• _{16 MILLION DIED AT THE AGE LESS THAN 70 YEARS}

OLD AND 82% OF THIS “PREMATURES” DEATH

(3)

BACKGROUND

• _{THE MAIN RISK FACTORS OF NCDs ARE TOBACCO}

USE, PHYSICAL INACTIVITY, THE HARMFUL USE OF ALCOHOL AND UNHEALTHY DIETS.

• _{THE BIGGEST NCDs THAT CAUSED OF DEATH ARE}

(4)

PURPOSE

• _{TO SYSTEMATICLLY REVIEW EVIDENCE ON THE}

EFFECTIVENESS OF INTERVENTION ON COMMUNITY BASED PROGRAM TO REDUCE THE NUMBER OF

(5)

METHODES

• _{THE METHODES OF THID SYSTEMATIC REVIEWS ARE REPORTED}

IN ACCORDANCE WITH THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSIS PROTOCOLS

(PRISMA-P) 2009 GUIDLINES.

• _{THIS SYSTEMATIC REVIEW CONDUCTED SEARCH OF ELCTRONIC}

(6)

INCLUSION

• _{PUBLISHED STUDIES IN}

COMMUNITY BASED

PROGRAM IN ADDITIONS MANAGING NCDs

• _{2010 - 2016}

• INTERVENTION STUDIES

• FULL TEXT

EXCLUSION

• _{PAPERS WRITTEN NOT} IN ENGLISH

• INDUSTRY REPORT • _{MARKET RESEARCH} • GREY LITERATURES • _DATABASE

MOTHEDS

(7)

METHODES

• _{CITATION FROM THE SEARCH RESULT WERE}

IMPORTED FROM DATABASE INTO ENDNOTE FOR SCREENING THE ELIGIBILITY BASED ON THE

CRITERIA.

• _{DUPLICATED RESEARCH WERE REMOVED AND THE}

REMAINING CITATION ASSESSED BY TITTLE AND ABSTRACT.

• _{THE DATA SCREENING AND EXTRACTION WERE}

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27.975 data based searching

14.348 articles were assesed for eligibility 14.348 articles were assesed for eligibility

13.627 articles excluded by published date from

2010 - 2016

13.627 articles excluded by published date from

2010 - 2016

7.075 articles excluded by peer reviewed 7.075 articles excluded

by peer reviewed

7.273 articles 7.273 articles

7.237 were excluded by document type,

abstract/tittle, subject, language, database, ect 7.237 were excluded by

document type, abstract/tittle, subject, language, database, ect

36 articles

7 articles

28 articles excluded independently 28 articles excluded

independently

(9)

(10)

Table 1

. Studies included in the review

No Author Design

Study Intervention Result Limitation

1 Albert Lee, et all RCT Ten sessions of 75

minutes after school and one session of 3-hour weekend of practical interactive anf fun activities on healthy eating and exercise, and meal plan together with parents and printed tailor-made

management advices.

Improvement on dietary habits and attitudes toward exercise among the intervention group.

Unable to determine the environment component, and the sample size might not have adequat power to detect difference behaviour from both control grup and intervention group. The studies not comparing student group receiving education.

2 Farshad Farzadfar,

et all An Observational

Study

Questioner and physical and laboratory

measurment and CHW were given trained.

The density of health care

workers associated with improved

management in NCDs prevention and management.

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3 Lungiswa P.

Tsolekile, et all A qualitative study Observation and unstructure interviews.

CHW has a role in managing

NCDs, despite so many things

that must be prepared so the CHW can work properlly.

Methodology utilised. Study object had alter behaviour when

observed by an outsider.

4 Naila Edries, et all RCT Health promotion,

exercisse, phamphlets

There is No. significant difference

between the two group. But there is imoprovement on the experimental group after

intervention. Contrary there is no significant improvement in the control group.

(12)

5 Thomas A

Gaziano, et all An observation al study

Training, pre-test and post test, and

measurement of weight, BMI, SBP and DBP by CHW and health

professionals.

CHW who have recieved

training can be effective in

detecting CVD and define who at risk with the help of health professionals.

Low level of numeracy and literacy. Potensial generaisability of

intervention.

6 Thsipfuralo Ndou,

et all A quantitative and

qualitative study

Training, interviews and focus group discussion.

Improvement in controlling

hypertension in the group that visited by CHW

Few doctor visit,

insufficient monitoring of patients outcomes by clinic staff and a poor

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7 Fatwa Sari Tetra Dewi, et all

A

quasi-experimenta l srudy

Pre-test and post test, meeting, exercise,

interviews

Knowledge increas

significant from 56%-70% in the intervention group.

Improvement of CVD awareness.

Single blind methode phsicologically effect on researchers so the intervention group had better result. Quasi-experimental design cause un equal

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DISCUSSION

• _{FROM ALL OF THIS STUDIES, 5 STUDIES USING}

COMMUNITY HEALTH WORKER AS A MEANS OF CONDUCTING REASEARCH, ONE CONDUCTED

DIRECTLY ON COMMUNITIES AND ONE ON PRIMARY SCHOOL.

• _{STUDIES USING INTERVENTION SUCH AS TRAINING,}

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DISCUSSION

• _{BASED ON AN OBSERVATIONAL STUDY, INTERVIEWS AND}

FOCUS GROUP DISCUSSION SHOW AN ENCREASING KNOWLEDGE ABOUT NCDs.

• _{LONG OF INTERVENTION DOES NOT EFFECT THE FINAL}

RESULT OF THE STUDY.

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DISCUSSION

• _{INTERVENTION IN DISEASE MANAGEMENT}

PROTOCOL AND/OR MONITORING SHOWED A STRONG EVIDENCE OF EFECTIVENESS.

• _{NEED A REGULAR REPLENISHMENT OF SUPPLIES,}

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CONCLUSSION

•_{THE PRESENCE OF COMMUNITY BASED PROGRAM CAN HELP}

PEOPLE ESPECIALLY ELDER ONE TO GET TRAETMENT, MEASUREMENT AND MEDICINE WITHOUT LEAVING THE HOUSE.

•_{HUMAN RESOURCE NEED TO BE PREPARED WELL, BY}

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CONCLUSSION

• _{COMMUNITY BASED PROGRAM CAN BE SUCCSESS}

BY MAKING A GOOD POLICY TO SUPPORT THE PROGRAM.

• _{NEED A GOOD COMMITMENT BETWEEN POLICY}

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LIMITATION

• _{MOST OF THE RESEARCH STUDY IS USING}

QUALITATIVE DESIGN STUDIES TO SEE THE EFFECTIVENESS OF THE INTERVENTION.

• _{THERE WERE NEED MORE ACCURATE STUDIES}

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