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Non-communicable diseases (NCDs) are emerging rapidly. This manuscript reports on a pilot survey of NCDs at a primary healthcare level in a marginalised migrant population on the Thailand-Myanmar border in the face of declining rates of malaria. A retrospective audit of routine clinic (2004-2016) and NCD patient survey data (2014-2016) was conducted. The length of follow-up was assessed by Kaplan-Meier analysis. From July 2014 to July 2016, 238 migrant patients were on the NCD register. Hypertension (n = 80) and diabetes mellitus (n = 51) were the most common diagnoses. After the first consultation, 41% (95% confidence interval = 35-47%) were lost to follow-up by 30 days. NCD retention rates were low: 50% of registered patients were lost to follow-up by 80 (95% CI = 49-132) days. After this survey, a novel low-cost insurance scheme for the migrant community has been launched in this area. Development of new schemes involving patients, healthcare providers and funding support are required for improved and sustainable NCD care for marginalised populations.

Original publication

DOI

10.1177/0049475518786853

Type

Journal article

Journal

Trop Doct

Publication Date

01/01/2018

Keywords

Low-resource settings, migrant, non-communicable diseases, primary healthcare