@article{da322bbbff8e4cc2bad7804cbca6f20f,
title = "Barriers to and Facilitators of Asthma Care For Malaysian Hajj Pilgrims: A Qualitative Study",
abstract = "Asthma exacerbations are among the commonest reasons for hospitalizations in Malaysian pilgrims during the Hajj. We interviewed 21 stakeholders involved in the pre-Hajj health examination at 14 primary care clinics, to explore their perceptions on barriers to and facilitators of asthma care for Hajj pilgrims. The disadvantages of the short time frame and centralized organization of the pre-Hajj health examinations were viewed as compromising clinicians' level of competencies in asthma care, which could potentially be enhanced through more training, audit, and supervision by specialists. Longer time frame to permit sufficient disease control, provision of care by a dedicated asthma team, asthma registry to support continuous care, more resources of long-acting β-agonist/inhaled corticosteroid, and provision of influenza and pneumococcal vaccines at no cost were the perceived facilitators. Delivery of asthma education, especially the asthma action plan, should be tailored to the level of the pilgrim's health literacy and facilitated by educational resources, family engagement, and regular health briefing.",
keywords = "Hajj, asthma, asthma care, primary care",
author = "{RESPIRE collaborators} and Rizawati Ramli and Hanafi, {Nik Sherina} and Norita Hussein and Lee, {Ping Yein} and {Shariff Ghazali}, Sazlina and Cheong, {Ai Theng} and {Abu Bakar}, {Ahmad Ihsan} and Suhazeli Abdullah and {Abdul Samad}, Azah and Hilary Pinnock and Aziz Sheikh and Khoo, {Ee Ming}",
note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was commissioned by the UK National Institute for Health Research (NIHR) Global Health Research Unit on Respiratory Health (RESPIRE), using UK Aid from the UK Government, grant no. IF028-2018. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK Department of Health and Social Care. Funding Information: The authors thank the MOH and Hajj Fund Board which permitted the conduct of this study and National Institute for Health Research (NIHR) RESPIRE Global Health Research Unit for funding this project. Also thank you to Dr Jayakatri, Ong Woon May, and NurSyuhada Sukri for their assistance in this project. Funding Information: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: This study is written on behalf of the RESPIRE collaborators. EMK reports grant from the National Institute for Health Research Global Health Research Unit on Respiratory Health (RESPIRE) and Seqirus UK; personal fees from AstraZeneca and GlaxoSmithKline; and is board director of the International Primary Care Respiratory Group. Other authors report no conflicts of interest in this work. Publisher Copyright: {\textcopyright} 2023 APJPH.",
year = "2023",
month = feb,
day = "28",
doi = "10.1177/10105395231158684",
language = "English",
volume = "35",
pages = "179--182",
journal = "Asia-Pacific Journal of Public Health",
issn = "1010-5395",
publisher = "SAGE Publications",
number = "2-3",
}