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Optimizing on Primary Health Care in Developing Countries: Communicable and Non-Communicable Disease Control with the support of Health Technology

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By;

MAZLINDA MUSA

MNSc (UM),BNSc (Hons)(UKM), RN

Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah

Optimizing on Primary Health Care in Developing Countries:

Communicable and Non-

Communicable Disease Control with the support of Health

Technology

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Source: https://

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Introduction

Primary Health Care (PHC) is a cornerstone of healthcare systems worldwide, but its

significance is particularly pronounced in

developing countries (WHO,2023) where access to healthcare is often limited.

In these regions, communicable and non-

communicable diseases pose significant health challenges.

However, with the advent of health

technology, there is a remarkable opportunity to optimize PHC for disease control

(Dehnavieh et al., 2015; Ghassemi &

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The Significance of Primary Health Care:

PHC represents the first point of contact between individuals and the healthcare system.

It serves as the foundation for promoting health,

preventing diseases, and providing essential healthcare services.

In developing countries, where resources are constrained, PHC becomes even more critical (WHO,2023).

It ensures equitable access to healthcare services, making it a key driver for achieving Universal Health Coverage.

It covers the full continuum of essential health services, from health promotion to prevention, treatment, rehabilitation and palliative care.

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Challenges in Developing Countries:

• Developing countries face unique healthcare challenges.

Communicable diseases like malaria, tuberculosis, and HIV/AIDS continue to burden healthcare systems (Enkhmaa et al., 2021). .

• Simultaneously, non-communicable diseases (NCDs) such as

cardiovascular diseases, diabetes, and cancer are on the rise due to changing lifestyles and diets (WHO,2023).

• Overburdened healthcare systems, lack of infrastructure, and limited healthcare workforce exacerbate these challenges (Volmink J., et.

al.,2005; Nkiruka, O.,2016)

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Role of Health Technology in Communicable Disease Control

Telemedicine and Remote

Monitoring

Vaccination Programs:

Digital platforms aid

Epidemiological Surveillance

Health technology plays a pivotal role in optimizing PHC for

communicable disease control in developing countries.

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Role of Health Technology in

Communicable Disease Control:

• Telemedicine and Remote Monitoring:

Telemedicine solutions allow healthcare providers to reach remote areas,

providing timely diagnosis and treatment (Enkhmaa et al., 2021).

• Remote monitoring of patients with diseases like tuberculosis or HIV ensures better

adherence to treatment plans.

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Role of Health Technology in

Communicable Disease Control:

• Epidemiological Surveillance:

Digital tools enable real-time disease surveillance, helping

authorities track and respond to disease outbreaks more effectively.

(Ribeiro,A.F., 2023).

• Mobile apps and data analytics assist in contact tracing during pandemics

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Role of Health Technology in

Communicable Disease Control:

Vaccination Programs:

• Digital platforms aid in managing vaccination campaigns, ensuring

efficient vaccine distribution and monitoring coverage rates (Mirjana,

R.S.,2021)

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Role of Health Technology in communicable Non-

Disease Control

mHealth Applications:

Mobile health applications

Electronic Health Records

(EHRs) Health

Information Systems

Health technology also offers significant benefits for the prevention and management of non-communicable diseases in developing countries.

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Role of Health Technology in Non- communicable Disease Control:

• mHealth Applications: Mobile health applications help individuals monitor their health, track chronic conditions, and receive educational information on NCD prevention and management.

• mHealth serves as a promising tool to improve the healthcare delivery for non- communicable diseases (Maoyi Tian et.

al.,2020)

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Role of Health Technology in Non- communicable Disease Control:

• Electronic Health Records (EHRs):

EHR systems facilitate better management of patient data,

allowing healthcare providers to

track NCD risk factors, monitor

treatment adherence, and tailor

interventions (Entzeridou, E., 2018)

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Role of Health Technology in Non-communicable Disease Control:

• Health Information Systems:

Robust health information systems enable policymakers to assess the NCD burden, plan interventions, and

allocate resources effectively

(Yiyu Zhan et. al.,2023)

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Challenges and Considerations:

While health technology holds immense promise, several challenges and considerations must be addressed:

Data Privacy and Security: Protecting sensitive patient data is crucial to prevent breaches and unauthorized access.

Interoperability: Ensuring different healthcare systems and devices can communicate and share data seamlessly.

Regulatory Compliance: Navigating complex healthcare regulations and obtaining necessary approvals for new technologies.

Adoption and User Acceptance: Encouraging healthcare professionals and patients to embrace and use new technologies effectively.

Cost and Funding: Developing and implementing health tech can be

expensive, and securing funding can be challenging.

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Challenges and Considerations:

While health technology holds immense promise, several challenges and considerations must be addressed:

Ethical Considerations: Addressing ethical issues related to AI, privacy, and decision-making in healthcare.

Clinical Validation: Demonstrating the safety and effectiveness of health tech through rigorous clinical trials.

Limited Access: Ensuring that advanced health technologies are accessible to underserved populations.

Resistance to Change: Overcoming resistance to technology-driven changes in healthcare practices.

Maintenance and Updates: Keeping technology up-to-date and

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Conclusion:

• Optimizing PHC in developing countries for communicable and non- communicable diseases control through health technology is a

transformative strategy.

• It enhances access, improves disease surveillance, and empowers individuals to take charge of their health.

• To succeed, coordination efforts are required, including investments in infrastructure, capacity building, and data security.

• Ultimately, the integration of health technology into PHC not only enhances disease control but also paves the way for more equitable and efficient healthcare systems in developing countries.

• It represents a significant step towards achieving global health goals and improving the well-being of populations in need.

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References

Dehnavieh, R., Hekmat, S., Ghasemi, S., & Mirshekari, N. (2015). The vulnerable aspects of

application of “health technology assessment”. International Journal of Technology Assessment in Health Care, 31(3), 197-198. https://doi.org/10.1017/s0266462315000288

Enkhmaa, D., Munkhuu, B., Baatar, T., Purevsuren, J., Minjuur, E., Luuzanbadam, G., … & Enkhtur, S. (2021). Overview of telemedicine services in mongolia. Current Pediatrics Reports, 9(3), 77-82.

https://doi.org/10.1007/s40124-021-00245-w

Entzeridou, E., Markopoulou, E., Mollaki, V., (2018). Public and physician’s expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security. International Journal of Medical Informatics. 110, 98-107. https://

doi.org/10.1016/j.ijmedinf.2017.12.004

Ghassemi, S. and Dehnavieh, R. (2016). Applying the results of health technology assessment reports in developing countries, the pale face of coin. Technology and Health Care, 24(5), 781- 782. https://doi.org/10.3233/thc-161233

Gunasekera, P., Wijewardene, K., & Gunasekera, D. (1996). Learning from primary care in

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References

• Kermode, M., Herrman, H., Arole, R., White, J., Premkumar, R., & Patel, V. (2007).

Empowerment of women and mental health promotion: a qualitative study in rural maharashtra, india. BMC Public Health, 7(1).

https://doi.org/10.1186/1471-2458-7-225

• Mirjana, R.S., Mahrt, C., Niemand, S., Speck, A., Windrich, M., (2021)

Decentralized Open Platform for Vaccination—A German Example: COVID-19-

Vacc. Journal of Open Innovation: Technology, Market, and Complexity. 7, (3),186.

https://doi.org/10.3390/joitmc7030186

• Maoyi Tian, Xinyi Zhang, Jing Zhang. (2020). mHealth as a health system

strengthening tool in China,International Journal of Nursing Sciences. 7 (1), S19- S22. https://doi.org/10.1016/j.ijnss.2020.07.001

• Nkiruka, O. (2016). Primary health care in nigeria- current status and gaps in services in rural communities and possible ways to address them.. Texila

International Journal of Public Health, 4(2), 414-422.

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References

• Ribeiro,A.F., Castro,M.,C., Lotta, G., Rebeca de J. C.,, Zamudio, M., Lorena G. B., (2023). Early response to COVID-19 in Brazil: The impact of a targeted approach to suspected cases and on epidemiological surveillance efforts. IJID Regions,7, 242-251. https://doi.org/10.1016/j.ijregi.2023.04.011

• Volmink J, Dare L, Clark J., (2005). A theme issue “by, for, and about” Africa. BMJ;

330 :684 https://doi:10.1136/bmj.330.7493.684

• Widyahening, I., Tanoto, R., Rinawan, F., Setiawati, E., & Leopando, Z. (2017).

Does the establishment of universal health coverage drive the foundation of postgraduate education for primary care physicians?. Medical Journal of

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• Yiyu Zhan, S. F. Ahmad, M. Irshad, M. Al-Razgan, E. M. Awwad, Y. A. Ali, A. Y.A. B.

A. Ayassrah, (2023) Investigating the role of Cybersecurity's perceived threats in

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