Aims: This paper reviewed the outcomes, cost-effectiveness and challenges of implementation of WHO PEN protocol in LMICs.
Methods: MEDLINE databases, the Cochrane Central Register of Controlled Trials and Google Scholar were searched and content analysis of the included studies was done.
Results: A total of 14 articles were included. Lack of essential medicines and manpower, poor recording and mis-calculation of CVD risk score, suboptimal recording of patient information and loss-to-follow-up were the key challenges reported in various PEN implementation settings.
Conclusion: The study has highlighted concerns and recommendations which need to be addressed before scale up.
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| http://dx.doi.org/10.1016/j.dsx.2021.102266 | DOI Listing |
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