Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Thu, Nov 21, 2024
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Volume 36, Issue 1 (1-2022)
Med J Islam Repub Iran 2022 |
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Afkar M, Rezanejad Asl P, Mahdavi Hezaveh A, Akrami F, Riazi-Isfahani S, Peykari N, et al et al . The Effect of the COVID-19 Pandemic on Non-Communicable Disease Prevention and Management Services in the Primary Health Care System of Iran. Med J Islam Repub Iran 2022; 36 (1) :1357-1365
URL: http://mjiri.iums.ac.ir/article-1-7882-en.html
URL: http://mjiri.iums.ac.ir/article-1-7882-en.html
Mehdi Afkar 
, Parisa Rezanejad Asl , Alireza Mahdavi Hezaveh , Forouzan Akrami , Sahand Riazi-Isfahani , Niloofar Peykari , Moloud Payab , Alireza Moghisi , Elham Yousefi , Mansour Ranjbar , Marzeyeh Soleymani Nejad , Christoph Hamelmann , Slim Slama , Jafar Sadegh Tabrizi , Bagher Larijani , Alireza Raeisi , Afshin Ostovar
, Parisa Rezanejad Asl , Alireza Mahdavi Hezaveh , Forouzan Akrami , Sahand Riazi-Isfahani , Niloofar Peykari , Moloud Payab , Alireza Moghisi , Elham Yousefi , Mansour Ranjbar , Marzeyeh Soleymani Nejad , Christoph Hamelmann , Slim Slama , Jafar Sadegh Tabrizi , Bagher Larijani , Alireza Raeisi , Afshin Ostovar
Abstract: (926 Views)
Background: The COVID-19 pandemic has caused significant disruptions in the provision of non-communicable disease (NCDs) prevention and control services in many countries, and there is a concern that it would lead to long-term complications of the diseases. The aim of this study is to assess the changes in the provisions of selected NCD services before and after the COVID-19 epidemic in Iran’s primary healthcare system.
Methods: In this descriptive-analytical retrospective study, the number of eight NCD services provided during the first 10 months of the COVID-19 pandemic from Feb 2020 to Dec 2020 were compared with the same period in the previous year using the data from the Iranian integrated electronic health record system (SIB) and also the association between the number of deaths due to COVID-19 and a sample of NCD services were assessed using cross-correlation analysis. The statistical analysis was performed in Stata Software v.14.
Results: The NCD services have decreased by an average of 18.89% compared to the same period in the previous year; this decline was much more severe at the beginning of the epidemic period (up to 75% in some services) and was greater in physician-provided services than in non-physician services. Also, examining the course of the selected services during this period, a gradual compensation was evident after the initial reduction.
Conclusion: The general trend of the selected services of prevention and control of NCDs in the PHC system of Iran within 10 months after the onset of COVID-19 showed a sharp decline and subsequent gradual compensation. Although the process of compensation in some services may be considered somewhat reassuring, in the case of some essential services, more effort and attention to the implementation of programs or compensatory policies seem necessary.
Methods: In this descriptive-analytical retrospective study, the number of eight NCD services provided during the first 10 months of the COVID-19 pandemic from Feb 2020 to Dec 2020 were compared with the same period in the previous year using the data from the Iranian integrated electronic health record system (SIB) and also the association between the number of deaths due to COVID-19 and a sample of NCD services were assessed using cross-correlation analysis. The statistical analysis was performed in Stata Software v.14.
Results: The NCD services have decreased by an average of 18.89% compared to the same period in the previous year; this decline was much more severe at the beginning of the epidemic period (up to 75% in some services) and was greater in physician-provided services than in non-physician services. Also, examining the course of the selected services during this period, a gradual compensation was evident after the initial reduction.
Conclusion: The general trend of the selected services of prevention and control of NCDs in the PHC system of Iran within 10 months after the onset of COVID-19 showed a sharp decline and subsequent gradual compensation. Although the process of compensation in some services may be considered somewhat reassuring, in the case of some essential services, more effort and attention to the implementation of programs or compensatory policies seem necessary.
Keywords: COVID-19 pandemic, Non-communicable diseases, Essential services, Primary health care, Iran
Type of Study: Original Research |
Subject:
COVID 19
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