Browsing by Person "Senesi, Reynold G. B."

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Adapting and implementing training, guidelines and treatment cards to improve primary care-based hypertension and diabetes management in a fragile context: Results of a feasibility study in Sierra Leone
(BMC, 2020-07-29) Zou, Guanyang; Witter, Sophie; Caperon, Lizzie; Walley, John; Cheedella, Kiran; Senesi, Reynold G. B.; Wurie, Haja
Background: Sierra Leone, a fragile country, is facing an increasingly significant burden of non-communicable diseases (NCDs). Facilitated by an international partnership, a project was developed to adapt and pilot desktop guidelines and other clinical support tools to strengthen primary care-based hypertension and diabetes diagnosis and management in Bombali district, Sierra Leone between 2018 and 2019. This study assesses the feasibility of the project through analysis of the processes of intervention adaptation and development, delivery of training and implementation of a care improvement package and preliminary outcomes of the intervention.
Opportunities and challenges for delivering non-communicable disease management and services in fragile and post-conflict settings: Perceptions of policy-makers and health providers in Sierra Leone
(BMC, 2020-01-06) Witter, Sophie; Zou, Guanyang; Diaconu, Karin; Senesi, Reynold G. B.; Idriss, Ayesha; Walley, John; Wurie, Haja
Background: The growing burden of non-communicable diseases in low- and middle-income countries presents substantive challenges for health systems. This is also the case in fragile, post-conflict and post-Ebola Sierra Leone, where NCDs represent an increasingly significant disease burden (around 30% of adult men and women have raised blood pressure). To date, documentation of health system challenges and opportunities for NCD prevention and control is limited in such settings. This paper aims to identify opportunities and challenges in provision of NCD prevention and care and highlight lessons for Sierra Leone and other fragile states in the battle against the growing NCD epidemic.
Rural-urban health seeking behaviours for non-communicable diseases in Sierra Leone
(BMJ, 2020-03-02) Idriss, Ayesha; Diaconu, Karin; Zou, Guanyang; Senesi, Reynold G. B.; Wurie, Haja; Witter, Sophie
Introduction Non-communicable diseases (NCDs) are the leading cause of mortality globally. In Africa, they are expected to increase by 25% by 2030. However, very little is known about community perceptions of risk factors and factors influencing health-seeking behaviour, especially in fragile settings. Understanding these is critical to effectively address this epidemic, especially in low-resource settings.