International Journal of Public Health (Jul 2023)

Addressing Non-Communicable Diseases in Primary Healthcare in Kyrgyzstan: A Study on Population’ Knowledge and Behavioral Changes

  • Elvira Muratalieva,
  • Mehrigiul Ablezova,
  • Tolkun Djamangulova,
  • Tobias Hoffarth,
  • Katarzyna Kissimova-Skarbek,
  • Silke Graeser,
  • Mathieu Nendaz,
  • David Beran

DOI
https://doi.org/10.3389/ijph.2023.1605381
Journal volume & issue
Vol. 68

Abstract

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Objective: Non-communicable diseases (NCDs) in Kyrgyzstan are responsible for 83% of all deaths. This study aimed to assess the effectiveness of WHO “Package of Essential Interventions on NCDs” (PEN) on health education and counselling at primary healthcare in Kyrgyzstan.Methods: Interventions consisted of information diffusion in primary care facilities and in communities by trained volunteers. The study aimed to assess the evolution of population’s knowledge and behaviour through a questionnaire applying a quasi-experimental approach. The sample size was 2,000 at baseline and after 4 years in intervention and control oblasts.Results: Population’s knowledge and behaviour improved in intervention areas compared to control areas. Knowledge on NCD-related risks increased from 61% to 87%. Behaviour improved with physical activity increasing from 23% to 32%; smokers reduced from 22% to 20%; alcohol consumption reduced from 23% to 16%; daily walking (minimum 30’) improved from 40% to 71%.Conclusion: This study suggests that the PEN-protocol is effective in improving healthy behaviour, thus potentially contributing to prevent NCDs. This example from Kyrgyzstan provides a practical example for promoting PEN-protocol adaptation in other countries.

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