International Rescue Committee Health Unit, New York, New York, USA.
World Health Organization, Cairo, Egypt.
BMJ Glob Health. 2022 Jul;7(Suppl 5). doi: 10.1136/bmjgh-2021-006621.
Emergency health kits are a vital way of providing essential medicines and supplies to health clinics during humanitarian crises. The WHO non-communicable diseases (NDCs) kit was developed 5 years ago, recognising the increasing challenge of providing continuity of care and secondary prevention of NCDs and exacerbations, in such settings. Monitoring and evaluation of emergency health kits is an important process to ensure the contents are fit for purpose and to assess usability and utility. However, there are also challenges and limitations in collecting the relevant data to do so.This Practice paper provides a summary of the key methodologies, findings and limitations of NCD kit assessments conducted in Libya and Yemen. Methodologies included a combination of semistructured interviews, surveys with healthcare workers, NCD knowledge tests and quantifying the remaining contents.The kit was able to support the vital delivery of NCD patient care in some complex humanitarian settings and was appreciated by health facilities. However, there were also some challenges affecting kit use. Some kit contents were found to be in greater or lesser quantities than required, and medicine brands and country of origin affected acceptability. Supply chains were affected by the humanitarian situations, with some kits being held up for months prior to arrival. Furthermore, healthcare staff had received limited NCD training and were unable to dispense certain medicines, such as psychotropics, at the primary care level. Further granularity of kit modules, predeployment facility assessments, increased NCD training opportunities and a monitoring system could improve the utility of the kits.
紧急卫生包是向人道主义危机期间的卫生诊所提供基本药品和用品的重要方式。世界卫生组织（WHO）的非传染性疾病（NCD）包是 5 年前开发的，认识到在这种情况下提供连续护理和二级预防 NCD 及恶化的挑战日益增加。对紧急卫生包的监测和评估是一个重要过程，以确保其内容符合目的，并评估可用性和实用性。然而，收集相关数据也存在挑战和限制。本实践文件总结了在利比亚和也门进行的 NCD 包评估的关键方法、发现和局限性。方法包括半结构化访谈、医护人员调查、NCD 知识测试和剩余内容的量化。该工具包能够支持在一些复杂的人道主义环境中提供重要的 NCD 患者护理，并受到卫生机构的赞赏。然而，使用工具包也存在一些挑战。发现一些工具包的内容比所需的多或少，药品品牌和原产国影响可接受性。供应链受到人道主义局势的影响，一些工具包在抵达前被搁置数月。此外，医护人员接受的 NCD 培训有限，无法在初级保健水平上发放某些药物，如精神药物。进一步细化工具包模块、预部署设施评估、增加 NCD 培训机会和监测系统可以提高工具包的实用性。
