Paper details
| Paper authors | Tanmoy Sarker |
| In panel on | Health Systems Resilience in response to mass displacement, conflict, and disasters |
| Paper presenter(s) will be presenting | In-Person & Online |
Abstract
Background:
The high prevalence of non-communicable diseases within the Rohingya population, who are already grappling with numerous health challenges, is posing a considerable burden on the healthcare system. An adept healthcare workforce is essential in addressing the substantial disease burden and reinforcing the resilience of the healthcare system.
Method:
Provided 4 days training on the WHO Package of Essential Non-communicable Diseases (PEN) Intervention to 454 primary healthcare providers in Cox's Bazar district, Bangladesh from November, 2021 to December, 2022. The trainees included medical officers, nurses, sub-assistant community medical officers, medical assistants, and community health workers from both Rohingya camps and government health facilities. Total 6 rounds of supportive supervision visit of all the UHC and one round in one community clinic from each Upazila were done.
Results:
Out of the highest possible score of 30, the mean score of doctors was 16.49 in pre-test and 27.84 in post-test. The nurses and midwives scored 14.45 in the pre-test and 25.49 in the post-test and the paramedics scored 15.58 in pre-test and 26.71 in the post-test. The difference between the mean score in post-test and the pre-test was 11.18. The average score of OSPE out of 65 were 56.97, 49.04, 53.14 for doctors, nurses and paramedics. As per compiled data from the community clinics of all eight sub-districts of Cox’s Bazar, for the period of January 2021 to May 2022, a total of 83926 persons were screened for hypertension and 13108 were detected as hypertensive and a total of 46425 were screened for diabetes and 10846 were detected as diabetic.
Conclusion:
A substantial increase of knowledge regarding NCD prevention, control and management has been discerned. Ensuring the sustainability of these advancements and fortifying the healthcare system requires periodic refresher training, supportive supervision and monitoring.
