Evidence map›Paper›PMID 33430916›Full record

ArticleConflict and health2021

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

Nadine Zablith, Karin Diaconu, Farah Naja, Maria El Koussa, Giulia Loffreda, Ibrahim Bou-Orm, Shadi Saleh

Open access · goldAbstract read
In one paragraph

Article in Conflict and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Nadine ZablithNIHR Global Health Research Unit on Health in Situations of Fragility, Musselburgh, UK.
Karin DiaconuNIHR Global Health Research Unit on Health in Situations of Fragility, Musselburgh, UK. KDiaconu@qmu.ac.uk.ORCID http://orcid.org/0000-0002-5810-9725
Farah NajaNutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut, Lebanon.
Maria El KoussaNIHR Global Health Research Unit on Health in Situations of Fragility, Musselburgh, UK.
Giulia LoffredaNIHR Global Health Research Unit on Health in Situations of Fragility, Musselburgh, UK.
Ibrahim Bou-OrmNIHR Global Health Research Unit on Health in Situations of Fragility, Musselburgh, UK.
Shadi SalehNIHR Global Health Research Unit on Health in Situations of Fragility, Musselburgh, UK.
American University of Beirut · LBQueen Margaret University · GB

Funding

National Institute for Health Research 16/136/100
6 · The paper itself

Abstract

backgroundNon-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.

methodsParticipatory 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.

resultsParticipants 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.

conclusionParticipants across all groups agreed on the need for health promotion and primary prevention activities and identified priority interventions in these areas.

Indexed as

FragilityNon-communicable diseasesPreventionSystem dynamics

Identifiers

PMID33430916
PMCPMC7802297
OpenAlexW3119626207

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.