ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 201
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Ensuring healthcare access for internally displaced
populations with non-communicable diseases:
Learnings from the Marawi siege
Dr Aileen Espina1, Aimee Mateo
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Foundation for Family Medicine Educators (famed)
Background
There is a strong global agenda to ensure continuity of care for people living with non-communicable
diseases (NCDs) during humanitarian emergencies. Yet, local evidence to validate the effectiveness of
NCD response protocols is lacking.
The study explored how a modified Philippine Package of Essential NCD interventions, or PhilPEN, can
be implemented in a humanitarian setting to facilitate the continuity of NCD care for internally displaced
people (IDP) and health systems affected by the terrorist war in Marawi City.
Methods
Using mixed methods, the study documented how NCD care services were restored in temporary
government shelters using a bundled package of interventions – stewards, health system support and
service delivery design. It was designed to address multiple factors and agents responsible for good
implementation based on their dynamic interactions. It was pilot tested and three interrelated project
outcomes – implementation, service and health – were measured and analysed at different stages of
implementation.
Results
By the end of the project, NCD services were available and accessible in all project sites. Persons
living with NCDs have been identified and enrolled in NCD registries. The community-based service
delivery platforms increased access, provided coverage and improved service utilisation more than the
usual medical mission type of service delivery platforms typical in humanitarian settings. There was
continuity of care even at the height of the global pandemic. The project has resulted in good health
outcomes and high patient satisfaction. It was turned over to the local health authorities at the end of
the project. On follow-up, the community was able to sustain the program 18 months after.
Conclusion
PhilPEN can be successfully contextualised to ensure healthcare access for IDPs living with NCDs in
humanitarian settings.
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