Implementing Asthma Management Guidelines in Public Primary Care Clinics in Malaysia

Ai Theng Cheong, Ping Yein Lee, Sazlina Shariff Ghazali, Hani Salim, Norita Hussein, Rizawati Ramli, Hilary Pinnock, Su May Liew, Nik Sherina Nik Hanafi, ahmad ihsan abu bakar, Azainorsuzila Mohd Ahad, Yong-Kek Pang, Karuthan Chinna, Ee Ming Khoo

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Implementing asthma guideline recommendations is challenging in low- and middle-income countries. We aimed to explore healthcare provider (HCP) perspectives on the provision of recommended care. Twenty-six HCPs from six public primary care clinics in a semi-urban district of Malaysia were purposively sampled based on roles and experience. Focus group discussions were guided by a semi-structured interview guide and analysed thematically. HCPs had access to guidelines and training but highlighted multiple infrastructure-related challenges to implementing recommended care. Diagnosis and review of asthma control were hampered by limited access to spirometry and limited asthma control test (ACT) use, respectively. Treatment decisions were limited by poor availability of inhaled combination therapy (ICS/LABA) and free spacer devices. Imposed Ministry of Health programmes involving other non-communicable diseases were prioritised over asthma. Ministerial policies need practical resources and organisational support if quality improvement programmes are to facilitate better management of asthma in public primary care clinics.
Original languageEnglish
Article number47
Journalnpj Primary Care Respiratory Medicine
Publication statusPublished - 29 Nov 2021


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