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Dynamics of non-communicable disease prevention, diagnosis and control in Lebanon, a fragile setting

Authors :
Nadine Zablith
Karin Diaconu
Farah Naja
Maria El Koussa
Giulia Loffreda
Ibrahim Bou-Orm
Shadi Saleh
Source :
Conflict and Health, Vol 15, Iss 1, Pp 1-13 (2021)
Publication Year :
2021
Publisher :
BMC, 2021.

Abstract

Abstract Background Non-communicable diseases (NCD) present an increasing global health challenge, particularly for settings affected by fragility where access to care may be disrupted, and where high-quality continuous care delivery is difficult to achieve. This study documents the complex dynamics of NCD prevention and management in the fragile setting of rural Beqaa, Lebanon. Methods Participatory system dynamics methods were used, including 30 semi-structured interviews and three Group Model Building (GMB) workshops. Participants included health care providers offering NCD care, and Lebanese host- and Syrian refugees community members affected by NCDs. Results Participants across all groups articulated a shared complex understanding of both the structural and direct determinants behind NCD onset. Lebanese and Syrian community members further identified several barriers to health seeking, including restrictions in health coverage, limited availability of services in the Beqaa and perceptions of poor-quality care. Health providers and community members described a health system overtly focused on disease control and overwhelmed by delivery of care to people living with NCD across both communities. Conclusion Participants across all groups agreed on the need for health promotion and primary prevention activities and identified priority interventions in these areas.

Details

Language :
English
ISSN :
17521505
Volume :
15
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Conflict and Health
Publication Type :
Academic Journal
Accession number :
edsdoj.3d31e1e9ee24ebfad16188ab6d47d18
Document Type :
article
Full Text :
https://doi.org/10.1186/s13031-020-00337-2