Models of care for patients with hypertension and diabetes in humanitarian crises: a systematic review

Abstract Care for non-communicable diseases, including hypertension and diabetes (HTN/DM), is recognized as a growing challenge in humanitarian crises, particularly low- middle-income countries (LMICs) where most crises occur. There little evidence to support actors governments designing efficient, effective, context-adapted models of care HTN/DM such settings. This article aimed systematically review the on targeting people with affected by LMICs. A search MEDLINE, Embase, Global Health, Indexus Medicus, Web Science, EconLit bibliographic databases grey literature sources was performed. Studies were selected that described We descriptively analysed compared using conceptual framework evaluated study quality Mixed Methods Appraisal Tool. report our findings according PRISMA guidelines. The yielded 10 645 citations, which 45 eligible this review. Quantitative methods commonly used (n = 34), four qualitative, three mixed methods, descriptive reviews specific also included. Most studies detailed primary facility-based services HTN/DM, focusing health system inputs. More limited references made community-based services. Health workforce treatment protocols components, whereas few patient centredness, care, financing governance, broader policy, sociocultural contexts. programme evaluations or effectiveness studies, only one reported costs. low quality. concluded an increasing body describing patients demonstrated development but showed impact. Our could be further research NCD care.