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Implementation research on noncommunicable disease prevention and control interventions in low- and middle-income countries: A systematic review.

Celestin HategekaPrince Asumadu AduAllissa A DeslogeRobert MartenRuitai ShaoMaoyi TianTing WeiMargaret E Kruk
Published in: PLoS medicine (2022)
Despite growth in implementation research on NCDs in LMICs, we found major gaps in the science. Future studies should prioritize implementation at scale, target higher levels health systems (meso and macro levels), and test sustainability of NCD programs. They should employ designs with stronger internal validity, be more conceptually driven, and use mixed methods to understand mechanisms. To maximize impact of the research under limited resources, adding implementation science outcomes to effectiveness research and regional collaborations are promising.
Keyphrases
  • primary care
  • healthcare
  • quality improvement
  • public health
  • randomized controlled trial
  • systematic review
  • type diabetes
  • study protocol
  • clinical trial
  • metabolic syndrome
  • insulin resistance
  • current status