What question did this study set out to answer?

To evaluate an adapted community health volunteer telephone model designed to maintain non-communicable disease care and detect COVID-19 cases among Syrian refugees during pandemic-related clinic closures.

March 1, 2021The Lancet Global HealthOpen Access

Adaptation of a community health volunteer strategy for the management of hypertension and diabetes and detection of COVID-19 disease: a progamme for Syrian refugees in northern Jordan

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To evaluate an adapted community health volunteer telephone model designed to maintain non-communicable disease care and detect COVID-19 cases among Syrian refugees during pandemic-related clinic closures.
Conducted a prospective cohort analysis of 1140 Syrian refugees with hypertension, diabetes, or both, enrolled from clinics in Ramtha and Mafraq, Jordan.
Trained Jordanian and Syrian community health volunteers delivered monthly phone consultations to provide self-management education, confirm drug supplies, track medication adherence, and screen for urgent complications and COVID-19 symptoms.
Of 1140 enrolled patients, 1119 (98%) were reached by at least one call and 953 (85%) completed three calls, with self-reported 5-day and 30-day medication adherence consistently exceeding 90%.
Among 3143 total consultations, 159 (5%) required escalation for urgent clinical needs and 69 (2%) presented suspected COVID-19 symptoms, including two individuals meeting criteria for SARS-CoV-2 diagnostic testing.
By month 3, incidence rates per 1000 individuals remained low at 19.9 for urgent complications, 68.2 for medication stockouts, and 12.6 for COVID-19 symptoms.

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Implication

Cohort study demonstrates high medication adherence and rapid complication triage in Syrian refugees, indicating community volunteers can sustain chronic care during crises.

Cite This Study

Ratnayake et al. (2021) studied this question.

synapsesocial.com/papers/6a17be4c56b3e2ada412aae7 https://doi.org/10.1016/s2214-109x(21)00122-4

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Implication

Cohort study demonstrates high medication adherence and rapid complication triage in Syrian refugees, indicating community volunteers can sustain chronic care during crises.

Adaptation of a community health volunteer strategy for the management of hypertension and diabetes and detection of COVID-19 disease: a progamme for Syrian refugees in northern Jordan

Key Points

Discussion

Implication

Cite This Study

Adaptation of a community health volunteer strategy for the management of hypertension and diabetes and detection of COVID-19 disease: a progamme for Syrian refugees in northern Jordan

Key Points

Discussion

Implication

Cite This Study

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