Publication: Challenges to primary healthcare services in the management of non-communicable diseases in marginalised populations on the Thailand–Myanmar border: a pilot survey
Issued Date
2018-10-01
Resource Type
ISSN
17581133
00494755
00494755
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2-s2.0-85050180389
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Mahidol University
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SCOPUS
Bibliographic Citation
Tropical Doctor. Vol.48, No.4 (2018), 273-277
Suggested Citation
Makoto Saito, Arunrot Keereevijit, Thi Dar San, Yin Yin Thein, Mary Ellen Gilder, Rose McGready Challenges to primary healthcare services in the management of non-communicable diseases in marginalised populations on the Thailand–Myanmar border: a pilot survey. Tropical Doctor. Vol.48, No.4 (2018), 273-277. doi:10.1177/0049475518786853 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46292
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Title
Challenges to primary healthcare services in the management of non-communicable diseases in marginalised populations on the Thailand–Myanmar border: a pilot survey
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Abstract
© The Author(s) 2018. Non-communicable diseases (NCDs) are emerging rapidly. This manuscript reports on a pilot survey of NCDs at a primary healthcare level in a marginalised migrant population on the Thailand–Myanmar border in the face of declining rates of malaria. A retrospective audit of routine clinic (2004–2016) and NCD patient survey data (2014–2016) was conducted. The length of follow-up was assessed by Kaplan–Meier analysis. From July 2014 to July 2016, 238 migrant patients were on the NCD register. Hypertension (n = 80) and diabetes mellitus (n = 51) were the most common diagnoses. After the first consultation, 41% (95% confidence interval = 35–47%) were lost to follow-up by 30 days. NCD retention rates were low: 50% of registered patients were lost to follow-up by 80 (95% CI = 49–132) days. After this survey, a novel low-cost insurance scheme for the migrant community has been launched in this area. Development of new schemes involving patients, healthcare providers and funding support are required for improved and sustainable NCD care for marginalised populations.