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- W4302774748 abstract "Abstract Background Non-communicable diseases programmes need to use social science for improving the quality and safety during implementation. Emphasising only the epidemiological parameters undermine the quality of healthcare provision. Implementation research at the health care delivery level of the India Hypertension Control Initiative was studied and the strategies and best practices were documented. Methods Cross sectional survey conducted among 295 Healthcare Providers from different strata in 42 public health institutions of Thrissur district, Kerala. Using Donabedian quality of care model, structure and process indicators were studied. The personnel include, medical officers, nursing officers, dieticians, pharmacists, junior health staffs, and field level works at different levels of primary care were observed. Results There were inadequacies in human and material resources. Lack of recommended skills, inadequacy in training (66%) were directly associated with the quality of services delivered. Opportunistic screening (26%), defaulter retrieval (55%), and organized referral system were inadequate. Task sharing and monitoring were followed in all the institutions. While better patient care was widely recognized as strength, interrupted drug supply was a limitation. The initiative added more workload for the health workers. Conclusion The assessment made based on the structural and process indicators, there found to be newer process features added to the system without increasing structural factors such as manpower hindered the quality of services provided. The inherent inadequacies in health system further deteriorated the quality." @default.
- W4302774748 created "2022-10-07" @default.
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- W4302774748 date "2022-10-06" @default.
- W4302774748 modified "2023-09-27" @default.
- W4302774748 title "Sustaining the quality of Hypertension Control Initiative: Study of primary health intervention in Kerala" @default.
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- W4302774748 doi "https://doi.org/10.21203/rs.3.rs-2107320/v1" @default.
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