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Challenges and opportunities in employing digital health to address self-management needs of people with NCDs in India
BMJ Innovations Pub Date : 2023-01-01 , DOI: 10.1136/bmjinnov-2020-000620
Nachiket Gudi 1 , Uday N Yadav 2 , Oommen John 3 , Ruth Webster 4
Affiliation  

The WHO declared COVID-19 as a Public Health Emergency of International Concern on 30 January 2020.1 On 22 March 2020, the Government of India imposed the ‘Janata Curfew’ to enforce rapid physical distancing measures and prepare the health system to reduce the spread of COVID-19. This lockdown was repeated three times until 17 May 2020, adversely affecting large sectors of people due to lack of access to health services and staff for usual medical care.2 Evidence shows that people living with non-communicable diseases (PLWNCDs) in India are presenting less to health facilities and also there are denial of healthcare services under the nation’s lockdown.3 4 PLWNCDs were not able to see their physicians in a regular consultation, and access to lab services was limited as many of these labs were converted to COVID-19 testing centres. Access to regular counselling sessions and healthy lifestyle behaviours were affected as PLWNCDs were forced to limit their activity.3 They were also unable to secure healthy foods and had limited access to preventive or health promotion services owing to strict lockdown. A WHO survey from 2020 highlighted the disruption of NCD services for diabetes, cancer treatment and cardiovascular emergencies thereby urging countries to promote innovations to address an emerging tsunami of NCDs.5 The ongoing pandemic has had well-documented economic, sociocultural and systemic impacts which have been well debated in the press and academic literature, but there is also growing concern of the effect on health for PLWNCDs and is termed as the syndemic effect of COVID-19.6 With an increasing burden of NCDs in resource-constraint settings, self-management of PLWNCDs has been gaining attention. The COVID-19 pandemic and its consequent impacts on healthcare service availability are unlikely to resolve soon. This is true for high-income countries (HICs) and even …

中文翻译:

利用数字健康解决印度非传染性疾病患者自我管理需求的挑战和机遇

世卫组织于 2020 年 1 月 30 日宣布 COVID-19 为国际关注的突发公共卫生事件。1 2020 年 3 月 22 日,印度政府实施“Janata 宵禁”以实施快速的身体疏远措施,并让卫生系统做好准备以减少 COVID 的传播-19。这种封锁在 2020 年 5 月 17 日之前重复了三次,由于无法获得医疗服务和无法提供常规医疗服务的工作人员,对大部分人造成了不利影响。2 有证据表明,印度患有非传染性疾病 (PLWNCD) 的人正在就诊医疗设施减少,并且在国家封锁下也拒绝提供医疗服务。3 4 名 PLWNCD 无法定期看医生,并且由于其中许多实验室已转换为 COVID-19,因此获得实验室服务的机会有限测试中心。由于 PLWNCD 被迫限制活动,因此获得定期咨询和健康生活方式行为受到影响。3 由于严格的封锁,他们也无法获得健康食品,并且获得预防或健康促进服务的机会有限。世卫组织 2020 年的一项调查强调了糖尿病、癌症治疗和心血管急症方面的非传染性疾病服务中断,从而敦促各国促进创新,以应对新出现的非传染性疾病海啸。 5 持续的大流行已经产生了有据可查的经济、社会文化和系统性影响,这些影响已经已在媒体和学术文献中进行了充分辩论,但人们也越来越关注 PLWNCD 对健康的影响,这被称为 COVID-19.6 的综合效应。PLWNCDs 的自我管理越来越受到关注。COVID-19 大流行及其对医疗保健服务可用性的后续影响不太可能很快得到解决。对于高收入国家 (HIC) 甚至……都是如此。
更新日期:2022-12-27
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