Table 5.

Summary of four innovations on NCD secondary prevention in ASEAN^a

Innovation 1. Visual Inspection with Acetic Acid (VIA), Female Cancer Programme, Indonesia
Focus	Cervical cancer
Innovation	Working within the constraints of low-resource settings, health care providers are compelled to innovate and seek practical solutions for cervical cancer screening
Aim	Introduction of cervical screening to the provinces in Indonesia
Strategy	Introducing creative low-cost cervical cancer screening treatment to the provinces in Indonesia as well as the significance of socialisation and education of the women and husbands on the need for cervical screening and early treatment
Key finding	Apart from the solutions, a can-do attitude, inventiveness, and true community spirit are needed to make a programme successful
Innovation 2. Earlier Presentation of Cancer Patients for Definitive Diagnosis and Treatment, Department of Radiotherapy, Oncology, & Palliative Care, Sarawak General Hospital, Malaysia
Focus	Breast and nasopharyngeal cancer
Innovation	Creative means of utilising the medical assistants (MAs) and nurses in the rural clinics to diagnose the patients are adopted for better outcomes
Aim	Education of community nurses and MAs in the rural areas on early symptoms of cancer (breast, cervical, and nasopharyngeal)
Strategy	Training the MAs and nurses facilitating referral system from the rural area to the hospital
Key finding	Localisation of health education materials helps the rural villagers to understand and connect
Innovation 3. Community-Based Hypertension Management, Vietnam National Heart Institute
Focus	Hypertension
Innovation	Strategic utilisation of human capital to ensure the success of the programme
Aim	Introduction of community-based hypertension management programme in Vietnam
Strategy	Engaging in an community-based lifestyle study
Key finding	The success of the program is contributed by 1) successful engagement of the whole community, 2) support from committed local authorities and medical expertise, and 3) training of committed health care workers
Innovation 4. Tele-Health Interventions to Chronic Patients, Eastern Health Alliance, Singapore
Focus	Diabetes
Innovation	Development of an alternative care delivery methods for chronic patients post discharge using tele-health system used by the Eastern Health Alliance for its Health Management Unit
Aim	Introduce innovative ways to keep the aging population healthy and prevent them from hospital admission
Strategy	Identifying discharged chronic patients through the Relationship Management Program; the system monitors the health of the patient and alerts the health care provider if the patient's test results showed worsening condition, visiting for consult or missing a medical appointment will be monitored as well
Key finding	Alternative methods are needed to explore care delivery for patients while also being aware of the patient's needs during their illness journey

^aComplete case studies can be found at: www.healthspace.asia.