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1. Prioritising primary care respiratory research needs: results from the 2020 International Primary Care Respiratory Group (IPCRG) global e-Delphi exercise

Author

Abdel-Aal, Arwa, Lisspers, Karin, Williams, Siân, Adab, Peymané, Adams, Rachel, Agarwal, Dhiraj, Barnard, Amanda, Bouloukaki, Izolde, van Boven, Job F. M., Chavannes, Niels, Dickens, Andrew P., van Gemert, Frederik, Escarrer, Mercedes, Haroon, Shamil, Kayongo, Alex, Kirenga, Bruce, Kocks, Janwillem W. H., Kotz, Daniel, Newby, Chris, McNulty, Cliodna, Metting, Esther, Moral, Luis, Papadakis, Sophia, Pinnock, Hilary, Price, David, Ryan, Dermot, Singh, Sally J., Correia de Sousa, Jaime, Ställberg, Björn, Szefler, Stanley J., Taylor, Stephanie J. C., Tsiligianni, Ioanna, Turner, Alice, Weller, David, Yusuf, Osman, Tabyshova, Aizhamal K., and Jordan, Rachel E.

Published
2022
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8. No time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan and Vietnam on how to manage asthma in children - A FRESH AIR implementation study

Author

Kjærgaard, Jesper, Nissen, Thomas Nørrelykke, Isaeva, Elvira, Quynh, Nguyen Nhat, Reventlow, Susanne, Lund, Stine, Sooronbaev, Talant, Le An, Pham, Østergaard, Marianne Stubbe, Stout, Jim, Poulsen, Anja, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, van Boven, Job F.M., Brakema, Evelyn A., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Chavannes, Niels H., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, van Gemert, Frederik A., Hedrick, Ben, Hong, Le Huynh Thi Cam, Hopkinson, Nick, Jones, Rupert, de Jong, Corina, van Kampen, Sanne, Katagira, Winceslaus, Kirenga, Bruce, van der Kleij, Rianne Mjj, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Luan, Nguyen Huy, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, and Pinnock, Hilary

Subjects
medicine.medical_specialty, Contextual factors, Health Personnel, Physical examination, 1110 Nursing, Health informatics, Pediatrics, Health administration, 1117 Public Health and Health Services, Time for consultation, 03 medical and health sciences, 0302 clinical medicine, Health care, Medicine, Humans, Training, 030212 general & internal medicine, Child, Kyrgyzstan, Asthma, Low- and middle-income countries, Under-five, medicine.diagnostic_test, Primary Health Care, business.industry, Health Policy, Public health, Nursing research, lcsh:Public aspects of medicine, Quality of care, FRESH AIR collaborators, lcsh:RA1-1270, medicine.disease, 3. Good health, Knowledge, 030228 respiratory system, Vietnam, Family medicine, Health Policy & Services, business, 0807 Library and Information Studies, Research Article
Abstract

Background Training is a common and cost-effective way of trying to improve quality of care in low- and middle-income countries but studies of contextual factors for the successful translation of increased knowledge into clinical change are lacking, especially in primary care. The purpose of this study was to assess the impact of contextual factors on the effect of training rural healthcare workers in Kyrgyzstan and Vietnam on their knowledge and clinical performance in managing pediatric patients with respiratory symptoms. Methods Primary care health workers in Kyrgyzstan and Vietnam underwent a one-day training session on asthma in children under five. The effect of training was measured on knowledge and clinical performance using a validated questionnaire, and by direct clinical observations. Results Eighty-one healthcare workers participated in the training. Their knowledge increased by 1.1 Cohen’s d (CI: 0.7 to 1.4) in Kyrgyzstan where baseline performance was lower and 1.5 Cohen’s d (CI: 0.5 to 2.5) in Vietnam. Consultations were performed by different types of health care workers in Kyrgyzstan and there was a 79.1% (CI 73.9 to 84.3%) increase in consultations where at least one core symptom of respiratory illness was asked. Only medical doctors participated in Vietnam, where the increase was 25.0% (CI 15.1 to 34.9%). Clinical examination improved significantly after training in Kyrgyzstan. In Vietnam, the number of actions performed generally declined. The most pronounced difference in contextual factors was consultation time, which was median 15 min in Kyrgyzstan and 2 min in Vietnam. Discussion and conclusion The effects on knowledge of training primary care health workers in lower middle-income countries in diagnosis and management of asthma in children under five only translated into changes in clinical performance where consultation time allowed for changes to clinical practice, emphasizing the importance of considering contextual factors in order to succeed in behavioral change after training.

Published
2020

9. Previous tuberculosis disease as a risk factor for chronic obstructive pulmonary disease: a cross-sectional analysis of multicountry, population-based studies

Author

Kamenar, Katarina, primary, Hossen, Shakir, additional, Gupte, Akshay N, additional, Siddharthan, Trishul, additional, Pollard, Suzanne, additional, Chowdhury, Muhammad, additional, Rubinstein, Adolfo L, additional, Irazola, Vilma E, additional, Gutierrez, Laura, additional, Miranda, J Jaime, additional, Bernabe-Ortiz, Antonio, additional, Alam, Dewan, additional, Kirenga, Bruce, additional, Jones, Rupert C, additional, van Gemert, Frederik, additional, Wise, Robert A, additional, and Checkley, William, additional

Published
2021
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11. Prioritising respiratory research needs in primary care: results from the International Primary Care Respiratory Group (IPCRG) global e-Delphi exercise

Author

Abdel-Aal, Arwa, primary, Jordan, Rachel, additional, Barnard, Amanda, additional, Bouloukaki, Izolde, additional, Van Boven, Job Fm, additional, Chavannes, Niels, additional, Dickens, Andrew P, additional, Van Gemert, Frederik, additional, Escarrer, Mercedes, additional, Haroon, Shamil, additional, Kayongo, Alex, additional, Kirenga, Bruce, additional, Price, David, additional, Adab, Peymané, additional, Adam, Rachel Adam, additional, Kocks, Janwillem, additional, Kotz, Daniel, additional, Lisspers, Karin, additional, Newby, Chris, additional, Mcnulty, Cliodna, additional, Metting, Esther, additional, Moral, Luis, additional, Papadakis, Sophia, additional, Pinnock, Hilary, additional, Ryan, Dermot, additional, Singh, Sally, additional, De Sousa, Jaime Correia, additional, Ställberg, Björn, additional, Szefler, Stanley J., additional, Taylor, Steph, additional, Tsiligianni, Ioanna, additional, Turner, Alice, additional, Weller, David, additional, Agarwal, Dhiraj, additional, Tabyshova, Aizhamal K., additional, Yusef, Osman M, additional, and Williams, Siân, additional

Published
2021
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12. Previous tuberculosis disease as a risk factor for chronic obstructive pulmonary disease: a cross-sectional analysis of multicountry, population-based studies.

Author

Kamenar, Katarina, Hossen, Shakir, Gupte, Akshay N., Siddharthan, Trishul, Pollard, Suzanne, Chowdhury, Muhammad, Rubinstein, Adolfo L., Irazola, Vilma E., Gutierrez, Laura, Miranda, J. Jaime, Bernabe-Ortiz, Antonio, Alam, Dewan, Kirenga, Bruce, Jones, Rupert C., van Gemert, Frederik, Wise, Robert A., and Checkley, William

Subjects
CHRONIC obstructive pulmonary disease, DISEASE risk factors, NON-communicable diseases, TUBERCULOSIS, COUGH, CROSS-sectional method
Published
2022
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13. Let's stop dumping cookstoves in local communities. It's time to get implementation right

Author

Brakema, Evelyn A., Van der Kleij, Rianne Mjj, Vermond, Debbie, Van Gemert, Frederik A., Kirenga, Bruce, Chavannes, Niels H., An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, Van Boven, Job F. M., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, Hedrick, Ben, Thi Cam Hong, Le Huynh, Hopkinson, Nick, Isaeva, Elvira, Jones, Rupert, De Jong, Corina, Van Kampen, Sanne, Katagira, Winceslaus, Kjaergaard, Jesper, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, Pinnock, Hilary, Pooler, Jillian, Poot, Charlotte C., Postma, Maarten J., Poulsen, Anja, Powell, Pippa, Quynh, Nguyen Nhat, Reventlow, Susanne, Sifaki-Pistolla, Dimitra, Singh, Sally, Sooronbaev, Talant, Correia de Sousa, Jaime, Stout, James, Stubbe ostergaard, Marianne, Tabyshova, Aizhamal, Tsiligianni, Ioanna, Tuan, Tran Diep, Tumwine, James, Van, Le Thanh, Vinh, Nguyen Nhu, Walusimbi, Simon, Warren, Louise, Williams, Sian, Brakema, Evelyn A., Van der Kleij, Rianne Mjj, Vermond, Debbie, Van Gemert, Frederik A., Kirenga, Bruce, Chavannes, Niels H., An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, Van Boven, Job F. M., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, Hedrick, Ben, Thi Cam Hong, Le Huynh, Hopkinson, Nick, Isaeva, Elvira, Jones, Rupert, De Jong, Corina, Van Kampen, Sanne, Katagira, Winceslaus, Kjaergaard, Jesper, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, Pinnock, Hilary, Pooler, Jillian, Poot, Charlotte C., Postma, Maarten J., Poulsen, Anja, Powell, Pippa, Quynh, Nguyen Nhat, Reventlow, Susanne, Sifaki-Pistolla, Dimitra, Singh, Sally, Sooronbaev, Talant, Correia de Sousa, Jaime, Stout, James, Stubbe ostergaard, Marianne, Tabyshova, Aizhamal, Tsiligianni, Ioanna, Tuan, Tran Diep, Tumwine, James, Van, Le Thanh, Vinh, Nguyen Nhu, Walusimbi, Simon, Warren, Louise, and Williams, Sian

Published
2020

14. Prevalence and impact of chronic obstructive pulmonary disease in a rural district of Uganda:FRESH AIR methodology for sub-Saharan Africa

Author

van Gemert, Frederik, van Gemert, Frederik, van Gemert, Frederik, and van Gemert, Frederik

Abstract

Prevalence and impact of chronic obstructive pulmonary disease in a rural district of Uganda: FRESH AIR methodology for sub-Saharan Africa Worldwide, tobacco smoking is the most common encountered risk factor for chronic obstructive pulmonary disease (COPD). However, in many low and middle-income countries, household air pollution due to biomass fuel use for domestic cooking and heating is another important risk factor for the development of COPD. Unfortunately, most people in sub-Saharan Africa are unaware of the health damaging effects of biomass smoke. In the rural district of Masindi in Uganda, the word ‘COPD’ is entirely unknown. The general lack of knowledge on COPD has created different beliefs and attitudes towards respiratory symptoms. Furthermore, the majority of the communities cooks indoors using wood in an open fire without any ventilation. In addition, many (young) men smoke tobacco. We performed a, by World Health Organization recommended, observational study in 600 randomly selected participants above the age of 30 years in Masindi district, helped by well-trained local healthcare workers. The study shows a prevalence of spirometry-based COPD of 16.2%; 39% of adults with COPD are aged between 30-39 years, meaning that COPD strikes the population much earlier than in developed countries. There is growing evidence that the detrimental effects of biomass smoke start in early childhood. The study shows an urgent need for reducing tobacco smoking and exposure to biomass smoke by clean cooking solutions for the communities. Prevention and intervention programmes must involve everybody and start as early as possible.

Published
2017

15. Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution:a FRESH AIR study

Author

van Gemert, Frederik, de Jong, Corina, Kirenga, Bruce, Musinguzi, Patrick, Buteme, Shamim, Sooronbaev, Talant, Tabyshova, Aizhamal, Emilov, Berik, Mademilov, Maamed, Pham Le An, Nguyen Nhat Quynh, Tran Ngoc Dang, Le Huynh Thi Cam Hong, Chartier, Ryan, Brakema, Evelyn A., van Boven, Job F. M., Kocks, Janwillem, Nantanda, Rebecca, Katagira, Winceslaus, Ndeezi, Grace, Tumwine, James, Walusimbi, Simon, Akylbekov, Azamat, Pham Duong Uyen Binh, Tran Diep Tuan, Le Thi Tuyet Lan, Tran Thanh Duv Linh, Loan, Kim Xuan, Le Thanh Van, Nguyen Nhu Vinh, Chavannes, Niels H., van der Kleij, Rianne M. J. J., Poot, Charlotte, Anastasaki, Marilena, Bertsias, Antonios, Chatzea, Vasiliki E., Lionis, Christos, Papadakis, Sophia, Sifaki-Pistolla, Dimitra, Tsiligianni, Ioanna, Singh, Sally, Burges, Dennis, Hedrick, Ben, Stout, James, Warren, Louise, Ferarrio, Irene, Powell, Pippa, Barton, Andy, Cartwright, Lucy, van Kampen, Sanne, Jones, Rupert, Pooler, Jillian, Poulsen, Anja, Kjærgaard, Jesper, Hopkinson, Nick, Cragg, Liza, Pinnock, Hilary, Williams, Sian, McEwen, Andy, Reventlow, Susanne, Stubbe-Ostergaard, Marianne, Postma, Maarten J., de Sousa, Jaime Correia, van Gemert, Frederik, de Jong, Corina, Kirenga, Bruce, Musinguzi, Patrick, Buteme, Shamim, Sooronbaev, Talant, Tabyshova, Aizhamal, Emilov, Berik, Mademilov, Maamed, Pham Le An, Nguyen Nhat Quynh, Tran Ngoc Dang, Le Huynh Thi Cam Hong, Chartier, Ryan, Brakema, Evelyn A., van Boven, Job F. M., Kocks, Janwillem, Nantanda, Rebecca, Katagira, Winceslaus, Ndeezi, Grace, Tumwine, James, Walusimbi, Simon, Akylbekov, Azamat, Pham Duong Uyen Binh, Tran Diep Tuan, Le Thi Tuyet Lan, Tran Thanh Duv Linh, Loan, Kim Xuan, Le Thanh Van, Nguyen Nhu Vinh, Chavannes, Niels H., van der Kleij, Rianne M. J. J., Poot, Charlotte, Anastasaki, Marilena, Bertsias, Antonios, Chatzea, Vasiliki E., Lionis, Christos, Papadakis, Sophia, Sifaki-Pistolla, Dimitra, Tsiligianni, Ioanna, Singh, Sally, Burges, Dennis, Hedrick, Ben, Stout, James, Warren, Louise, Ferarrio, Irene, Powell, Pippa, Barton, Andy, Cartwright, Lucy, van Kampen, Sanne, Jones, Rupert, Pooler, Jillian, Poulsen, Anja, Kjærgaard, Jesper, Hopkinson, Nick, Cragg, Liza, Pinnock, Hilary, Williams, Sian, McEwen, Andy, Reventlow, Susanne, Stubbe-Ostergaard, Marianne, Postma, Maarten J., and de Sousa, Jaime Correia

Published
2019

16. Development and implementation of an awareness programme addressing household air pollution and tobacco smoke: a FRESH AIR project

Author

van Gemert, Frederik, primary, Brakema, Evelyn, additional, Van Der Kleij, Rianne, additional, Williams, Sian, additional, Jones, Rupert, additional, Kirenga, Bruce, additional, Buteme, Shamim, additional, Sooronbaev, Talant, additional, Tabyshova, Aizhamal, additional, Mademilov, Maamed, additional, Pham Le, An, additional, Nguyen Nhat, Quynh, additional, and De Jong, Corina, additional

Published
2019
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17. Effects of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study

Author

van Gemert, Frederik, primary, De Jong, Corina, additional, Kirenga, Bruce, additional, Musinguzi, Patrick, additional, Buteme, Shamim, additional, Sooronbaev, Talant, additional, Tabyshova, Aizhamal, additional, Emilov, Berik, additional, Mademilov, Maamed, additional, Pham Le, An, additional, Nguyen Nhat, Quynh, additional, Tran Ngoc, Dang, additional, Le Huynh Thi Cam, Hong, additional, Chartier, Ryan, additional, and Van Boven, Job, additional

Published
2019
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18. Exploring low-resource contexts to prepare for lung interventions – a mixed-method FRESH AIR study

Author

Brakema, Evelyn, primary, Van Der Kleij, Rianne, additional, Poot, Charlotte, additional, Van Gemert, Frederik, additional, Kirenga, Bruce, additional, Le An, Pham, additional, Lionis, Christos, additional, Sooronbaev, Talant, additional, Numans, Mattijs, additional, Chavannes, Niels, additional, Crone, Matty, additional, and Reis, Ria, additional

Published
2019
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20. Prevalence and impact of chronic obstructive pulmonary disease in a rural district of Uganda: FRESH AIR methodology for sub-Saharan Africa

Author

van Gemert, Frederik, van der Molen, Thys, Chavannes, Niels H., and de Jong, Corina

Abstract

Prevalence and impact of chronic obstructive pulmonary disease in a rural district of Uganda: FRESH AIR methodology for sub-Saharan Africa Worldwide, tobacco smoking is the most common encountered risk factor for chronic obstructive pulmonary disease (COPD). However, in many low and middle-income countries, household air pollution due to biomass fuel use for domestic cooking and heating is another important risk factor for the development of COPD. Unfortunately, most people in sub-Saharan Africa are unaware of the health damaging effects of biomass smoke. In the rural district of Masindi in Uganda, the word ‘COPD’ is entirely unknown. The general lack of knowledge on COPD has created different beliefs and attitudes towards respiratory symptoms. Furthermore, the majority of the communities cooks indoors using wood in an open fire without any ventilation. In addition, many (young) men smoke tobacco. We performed a, by World Health Organization recommended, observational study in 600 randomly selected participants above the age of 30 years in Masindi district, helped by well-trained local healthcare workers. The study shows a prevalence of spirometry-based COPD of 16.2%; 39% of adults with COPD are aged between 30-39 years, meaning that COPD strikes the population much earlier than in developed countries. There is growing evidence that the detrimental effects of biomass smoke start in early childhood. The study shows an urgent need for reducing tobacco smoking and exposure to biomass smoke by clean cooking solutions for the communities. Prevention and intervention programmes must involve everybody and start as early as possible.

Published
2017

25. Let's stop dumping cookstoves in local communities. It's time to get implementation right.

Author

Brakema, Evelyn A, van der Kleij, Rianne Mjj, Vermond, Debbie, van Gemert, Frederik A, Kirenga, Bruce, Chavannes, Niels H, FRESH AIR collaborators, An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, van Boven, Job F M, Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E, Cragg, Liza, Dang, Tran Ngoc, and Dautov, Ilyas

Abstract

We most welcome the comment by Thakur, van Schayck and Boudewijns[1] on our article on the effects and acceptability of implementing improved cookstoves.[2] Adoption rates of improved cookstoves by local communities are often strikingly low. Furthermore, funders, non-governmental organisations, and development institutions such as the World Bank should exclusively grant support for proposals and project plans with adequate implementation strategies that address the implementation factors in the tool. However, until clean fuels such as electricity are affordable and available for everyone (or until long-term research into well-implemented stoves proves us differently), we should strive for improved, evidence-based implementation of improved cookstoves, to ultimately improve environmental and health outcomes. 13 Quansah R. Effectiveness of interventions to reduce household air pollution and/or improve health in homes using solid fuel in low-and-middle income countries: a systematic review and meta-analysis. [Extracted from the article]

Published
2020
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27. The minimal clinically important difference of the control of allergic rhinitis and asthma test (CARAT): cross-cultural validation and relation with pollen counts

Author

van der Leeuw, Sander, primary, van der Molen, Thys, additional, Dekhuijzen, PN Richard, additional, Fonseca, Joao A, additional, van Gemert, Frederik A, additional, Gerth van Wijk, Roy, additional, Kocks, Janwillem WH, additional, Oosterom, Helma, additional, Riemersma, Roland A, additional, Tsiligianni, Ioanna G, additional, de Weger, Letty A, additional, Oude Elberink, Joanne NG, additional, and Flokstra-de Blok, Bertine MJ, additional

Published
2015
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31. Household Air Pollution and Respiratory Health in Rural Crete, Greece: A Cross-Sectional FRESH AIR Study.

Author

Anastasaki, Marilena, Tsiligianni, Ioanna, Sifaki-Pistolla, Dimitra, Chatzea, Vasiliki Eirini, Karelis, Andreas, Bertsias, Antonios, Chavannes, Niels H., van Gemert, Frederik, and Lionis, Christos

Subjects
INDOOR air pollution, RURAL health, WOOD stoves, AIR quality, TREATMENT effectiveness
Abstract

Breathing polluted air is a risk to respiratory conditions. During the Greek financial crisis, the use of household fireplaces/wood stoves shifted from mostly decorative to actual domestic heating, resulting in increased indoor smoke production. We aimed to evaluate household air pollution (HAP), fuel use and respiratory symptoms in rural Crete, Greece. PM2.5 and CO were measured in 32 purposively selected rural households (cross-sectional study) at periods reflecting lesser (baseline) versus extensive (follow-up) heating. Clinical outcomes were assessed using questionnaires. Mean PM2.5 were not significantly different between measurements (36.34 µg/m3 vs. 54.38 µg/m3, p = 0.60) but exceeded the WHO air quality guidelines. Mean and maximal CO levels were below the WHO cut-offs (0.56 ppm vs. 0.34 ppm, p = 0.414 and 26.1 ppm vs. 9.72 ppm, p = 0.007, respectively). In total, 90.6% of households were using wood stoves or fireplaces for heating, but half also owned clean fuel devices. The differences between devices that were owned versus those that were used were attributed to financial reasons. In both cases, the most frequent respiratory symptoms were phlegm (27.3% vs. 15.2%; p = 0.34) and cough (24.2% vs. 12.1%; p = 0.22). Our findings demonstrate the magnitude of HAP and confirm the return to harmful practices during Greece's austerity. Upon validation, these results can support strategies for fighting fuel poverty, empowering communities and strengthening local health systems. [ABSTRACT FROM AUTHOR]

Published
2021
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32. Publisher Correction: Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study.

Author

Brakema, Evelyn A., van Gemert, Frederik A., Williams, Sian, Sooronbaev, Talant, Emilov, Berik, Mademilov, Maamed, Tabyshova, Aizhamal, Le An, Pham, Quynh, Nguyen Nhat, Hong, Le Huynh Thi Cam, Dang, Tran Ngoc, van der Kleij, Rianne M. J. J., Chavannes, Niels H., de Jong, Corina, The FRESH AIR collaborators, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, and Binh, Pham Duong Uyen

Abstract

An amendment to this paper has been published and can be accessed via a link at the top of the paper. [ABSTRACT FROM AUTHOR]

Published
2020
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33. Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study.

Author

Brakema, Evelyn A., van Gemert, Frederik A., Williams, Sian, Sooronbaev, Talant, Emilov, Berik, Mademilov, Maamed, Tabyshova, Aizhamal, An, Pham Le, Quynh, Nguyen Nhat, Hong, Le Huynh Thi Cam, Dang, Tran Ngoc, van der Kleij, Rianne M. J. J., Chavannes, Niels H., de Jong, Corina, The FRESH AIR collaborators, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, and Binh, Pham Duong Uyen

Abstract

Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally. [ABSTRACT FROM AUTHOR]

Published
2020
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