Table 2.
summary of survey findings- NCD status in Kenya
| Total respondents n=236 | ||||||
|---|---|---|---|---|---|---|
| Survey Question | Response | Clinical worker n=98 | Non-clinical worker n=138 | P-value | Chi2 | |
| NCD Status in Kenya | ||||||
| 1 | Rate NCD care in your country | good +excellent | 20(24) | 40(41) | <0.001 | 22.91 |
| 2 | Are you aware of an integrated HIV/TB/family planning and NCD plan in Kenya? | no | 36(63) | 43(46) | 0.002 | 12.36 |
| 3 | Would you agree/disagree that the traditional delineation of Infectious and NCD care should be eliminated to provide the holistic care that seems imperative in countering damaging outcomes during infectious epidemics? | agree | 31(100) | 23(100) | NA | NA |
| 4 | Has children's care in your institution been compromised in any way? | yes | 14(40) | 10(59) | 0.118 | 4.28 |
| 5 | What priority was NCD care accorded in your country prior to the COVID-19 pandemic? | minimal | NA | 39(59) | NA | NA |
| 6 | Did this priority change considering the heightened risk of severe disease among patients with pre-existing conditions? | yes | NA | 28(52) | NA | NA |
| COVID-19 health system response in Kenya | ||||||
| 7 | What was the amount of beds created for the surge response? | not many | 20(43) | 22(56) | 0.007 | 9.75 |
| 8 | Were patients who otherwise would receive a cubicle/isolated space in a department/ward, now being placed in shared space/ward beds? | yes | 33(56) | NA | NA | NA |
| 9 | Were there COVID-19-dedicated hospitals in your city/region/country? | yes | NA | 21(75) | NA | NA |
| 10 | Were multidisciplinary teams created intentionally for working in COVID-19 wards? (ie; redistribution of specializations to internal medicine, respiratory medicine, ICU for the care of COVID-19 patients) | yes | 35(71) | 55(81) | <0.001 | 18.98 |
| 11 | Were health professionals briefed on infection protection control and parallel public health measures? | yes | 54(100) | 79(100) | NA | NA |
| 12 | Was the dedicated personnel often rotated so as not to tire them? | yes | 37(69) | 60(79) | 0.178 | 1.81 |
| 13 | Did the dedicated personnel have any training focusing on COVID-19? | yes | 50(100) | 67(100) | NA | NA |
| 14 | Did you have the feeling that there was some confusion about how to treat a COVID-19 patient: e.g. frequent changes in drug indications and dosages, protocols? | yes | 45(100) | 52(79) | <0.001 | 10.92 |
| 15 | If there was a redistribution of doctors and nurses unfamiliar with high intensity internal medicine care, were they placed on COVID-19 patient wards regularly (long enough to learn protocols and manage well)? | yes | 11(23) | 36(42) | 0.03 | 6.96 |
| 16 | Do you worry that NCD patients who have not been followed up adequately due to the crisis (and not clinically afflicted by COVID-19) will have worsened outcomes when it comes to their NCD pathology due to this compromised care? | yes | 38(100) | 65(100) | NA | NA |
Note: frequency(percentage); p-value from chi2; missing p-value and chi2 due to no comparison group or expected value <5