Evidence map›Paper›PMID 36576492›Full record

ArticleInternational health2023

Rapidly adapted community health strategies to prevent treatment interruption and improve COVID-19 detection for Syrian refugees and the host population with hypertension and diabetes in Jordan.

Ruwan Ratnayake, Fatma Rawashdeh, Raeda AbuAlRub, Nahla Al-Ali, Muhammad Fawad, Mohammad Bani Hani, Saleem Zoubi, Ravi Goyal, Khaldoun Al-Amire, Refqi Mahmoud and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

12 authors at 5 institutions in 3 countries.

Ruwan RatnayakeInternational Rescue Committee, Jordan Office, Amman, 11183, Jordan.ORCID 0000-0003-4978-6668
Fatma RawashdehInternational Rescue Committee, Jordan Office, Amman, 11183, Jordan.
Raeda AbuAlRubDepartment of Community and Mental Health Nursing, Jordan University of Science and Technology, Irbid, Ar-Ramtha, 22110, Jordan.
Nahla Al-AliDepartment of Community and Mental Health Nursing, Jordan University of Science and Technology, Irbid, Ar-Ramtha, 22110, Jordan.
Muhammad FawadInternational Rescue Committee, Jordan Office, Amman, 11183, Jordan.
Mohammad Bani HaniInternational Rescue Committee, Jordan Office, Amman, 11183, Jordan.
Saleem ZoubiInternational Rescue Committee, Jordan Office, Amman, 11183, Jordan.
Ravi GoyalDivision of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, California, 92093, USA.
Khaldoun Al-AmireInternational Rescue Committee, Jordan Office, Amman, 11183, Jordan.
Refqi MahmoudDivision of Cardiovascular Disease, Jordanian Ministry of Health, Amman, Jordan.
Rowaida AlMaaitahDepartment of Community and Mental Health Nursing, Jordan University of Science and Technology, Irbid, Ar-Ramtha, 22110, Jordan.
Parveen K ParmarKeck School of Medicine, University of Southern California, Los Angeles, California, 90033, USA.
Jordan University of Science and Technology · JOMinistry of Health · JOUniversity of California System · USUniversity of London · GBUniversity of Southern California · US

Funding

Department of HealthWellcome Trust
6 · The paper itself

Abstract

backgroundWe evaluated community health volunteer (CHV) strategies to prevent non-communicable disease (NCD) care disruption and promote coronavirus disease 2019 (COVID-19) detection among Syrian refugees and vulnerable Jordanians, as the pandemic started.

methodsAlongside medication delivery, CHVs called patients monthly to assess stockouts and adherence, provide self-management and psychosocial support, and screen and refer for complications and COVID-19 testing. Cohort analysis was undertaken of stockouts, adherence, complications and suspected COVID-19. Multivariable models of disease control assessed predictors and non-inferiority of the strategy pre-/post-initiation. Cost-efficiency and patient/staff interviews assessed implementation.

resultsOverall, 1119 patients were monitored over 8 mo. The mean monthly proportion of stockouts was 4.9%. The monthly proportion non-adherent (past 5/30 d) remained below 5%; 204 (18.1%) patients had complications, with 63 requiring secondary care. Mean systolic blood pressure and random blood glucose remained stable. For hypertensive disease control, age 41-65 y (OR 0.46, 95% CI 0.2 to 0.78) and with diabetes (OR 0.73, 95% CI 0.54 to 0.98) had decreased odds, and with baseline control had increased odds (OR 3.08, 95% CI 2.31 to 4.13). Cumulative suspected COVID-19 incidence (2.3/1000 population) was suggestive of ongoing transmission. While cost-efficient (108 US${\$}$/patient/year), funding secondary care was challenging.

conclusionsDuring multiple crises, CHVs prevented care disruption and reinforced COVID-19 detection.

Indexed as

COVID-19Diabetes MellitusHypertensionRefugeesAdultAgedCOVID-19 TestingHumansJordanMiddle AgedPublic HealthSyriacohort analysiscommunity health workersCOVID-19diabetes mellitusdisplaced personshealth services accessibilityhumanitarian assistancehypertensionJordannon-communicable diseasesrefugeesSyria

Identifiers

PMID36576492
PMCPMC10629964
OpenAlexW4313237968

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.