EVIDENCE FROM LITERATURE REVIEW: IMPACT OF COVID-19 ON THE MANAGEMENT OF NON-COMMUNICABLE DISEASES (NCDS) SERVICES IN INDONESIA

Abstract

COVID-19 and NCDs have a number of associations. Clinically, studies have shown that NCDs are major risk factors for COVID-19 morbidity and mortality. Meanwhile, the COVID-19 pandemic, which affected multiple aspects of health services, also affected NCD care services. Indonesia is a country with double burden of diseases with a rising number of NCD as a health problem. The disruptions caused by COVID-19 pandemic in Indonesia can worsen the burden of NCDs. This study aims to learn the extent of disruptions in NCD care services in Indonesia due to COVID-19.  Literature study and descriptive analysis were used to approach study objectives, : Indonesian studies detailing the full extent of NCD care services disruptions by COVID-19 were scarce, however, they showed that NCDs care disruptions in Indonesia mirrored that of global reports. Disruptions were caused by closure of services, shortage of staffs, and decline of visits. During the COVID-19 pandemic, inpatient services were dominated by COVID-19 patients, as reflected by bed occupancy ratio (BOR) which often exceeded allotted amount. Another disrupted aspect of NCDs care services were public health efforts and community prevention, intervention, screening and monitoring. COVID-19 pandemic impacted various aspects of NCD care services, including in Indonesia. While the exact extent of disruptions was largely not studied, NCD burden might rise in the post-pandemic era as a result, and thus it is important for stakeholders to prioritize NCDs as a health problem in the post-pandemic era