Hindawi Publishing Corporation
International Journal of Hypertension
Volume 2012, Article ID 584041, 7 pages
doi:10.1155/2012/584041
Research Article
Gaps in Capacity in Primary Care in Low-Resource
Settings for Implementation of Essential Noncommunicable
Disease Interventions
S. Mendis,
1
Igbal Al Bashir,
2
Lanka Dissanayake,
3
Cherian Varghese,
4
Ibtihal Fadhil,
5
Esha Marhe,
6
Boureima Sambo,
7
Firdosi Mehta,
3
Hind Elsayad,
8
Idrisa Sow,
9
Maltie Algoe,
10
Herbert Tennakoon,
11
Lai Die Truong,
12
Le Thi Tuyet Lan,
13
Dismond Huiuinato,
14
Neelamni Hewageegana,
15
Naiema A. W. Fahal,
16
Goitom Mebrhatu,
17
Gado Tshering,
18
and Oleg Chestnov
19
1
Chronic Disease Prevention and Management, World Health Organization, Geneva, Switzerland
2
Public Health Institute, Ministry of Health, Khartoum, Sudan
3
World Health Organization, Colombo, Sri Lanka
4
WPRO, World Health Organization, Manila, Philippines
5
EMRO, World Health Organization, Cairo, Egypt
6
PAHO-WHO, Paramaribo, Suriname
7
AFRO, World Health Organization, Brazzaville, Democratic Republic of Congo
8
Ministry of Health, Damascus, Syria
9
World Health Organization, Asmara, Eritrea
10
Ministry of Health, Paramaribo, Suriname
11
World Health Organization, Thimphu, Bhutan
12
World Health Organization, Hanoi, Vietnam
13
General Hospital, Ho Chi Minh City, Vietnam
14
Ministry of Health, Cotonou, Benin
15
Ministry of Health, Colombo, Sri Lanka
16
NCD Directorate, Ministry of Health, Khartoum, Sudan
17
Ministry of Health, Asmara, Eritrea
18
Ministry of Health, Thimphu, Bhutan
19
World Health Organization, Geneva, Switzerland
Correspondence should be addressed to S. Mendis, mendiss@who.int
Received 20 September 2012; Revised 23 October 2012; Accepted 24 October 2012
Academic Editor: Eoin O’Brien
Copyright © 2012 S. Mendis et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention
and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-
sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname,
Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources,
equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems. Results and
Conclusions. Major deficits were identified in health financing, access to basic technologies and medicines, medical information
systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable
diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC
is fundamental for equitable prevention and control of NCDs.