BMJ & University of Cape Town Knowledge Translation Unit launch PACK Adult Global

December 06, 2016

BMJ, one of the world's leading healthcare knowledge providers, and its partner the University of Cape Town Lung Institute's Knowledge Translation Unit, have launched the global edition of the Practical Approach to Care Kit (PACK) in eBook and print format - to support and empower primary healthcare workers.

The PACK Adult Global guide provides a generic 'framework' that can be customised to meet the needs of primary healthcare systems in individual countries or states.

Primary healthcare is key to achieving the United Nations-led Sustainable Development Goals and the broader goal of "health for all" by providing accessible, affordable and effective healthcare. Yet in many low and middle income countries, primary healthcare is constrained by a lack of adequately skilled and supervised health workers.

The Knowledge Translation Unit is a health systems research unit that has spent 16 years developing the PACK programme to empower health workers in primary healthcare. The PACK programme consists of 4 pillars: 1) the PACK Guide 2) the PACK training programme, 3) health systems intervention and strengthening and 4) monitoring and evaluation of the PACK implementation.

The PACK Guide is a clinical decision tool that enables healthcare practitioners to manage symptoms and diagnose conditions commonly seen in primary care including infectious diseases, non-communicable diseases, women's health, mental health and end-of-life care.

Its comprehensive scope promotes delivery of integrated primary care, rather than care through "vertical programmes".

PACK is based on WHO guidelines, strengthened with the latest global research evidence as appraised, graded, sourced and synthesised by BMJ Best Practice.

BMJ Best Practice content underpins more than 80% of PACK recommendations and its robust updating processes will facilitate an annual update of the PACK Guide.

The PACK programme has been implemented and scaled up throughout the nine provinces in South Africa. It is now used in more than 2,000 clinics across the country, by over 20,000 primary care health workers.

The Knowledge Translation Unit has conducted formal evaluation of the programme through 4 pragmatic trials and has published the outcomes of this research in 11 papers.

There has been considerable interest from countries outside of South Africa in adopting the PACK programme to strengthen primary care service delivery. PACK is designed to be localised to local clinical protocols, policy and practice, and where necessary translated.

PACK has previously been localised for Botswana and Malawi and currently pilot implementations are underway in Florianopolis, Brazil and in three states of Nigeria.

The Knowledge Translation Unit has developed a mentorship package to support the in-country localisation of PACK.

BMJ and the Knowledge Translation Unit partnered in 2015 to address this need, and to enable global use of the PACK programme in keeping with their strongly aligned strategic goals of "improving primary care, especially in underserved communities" and "enabling a Healthier World". It is to this end that we launch PACK Global Adult 2016/17.

Dr Tracy Eastman, Director of PACK Global Development at BMJ said: "The growing burden of non-communicable disease and mental illness in low and middle income countries means it is crucial that healthcare workers have access to the latest evidence based recommendations to diagnose and treat patients effectively across the full spectrum of integrated primary care needs and services. We are delighted to be able to provide the global edition of the PACK Adult guide that can be customised to help meet the specific needs of local communities, as part of the BMJ's Global Health outreach programme."

Professor Lara Fairall, Head of the KTU, commented: "The KTU team is committed to improving primary healthcare, focusing on the most underserved communities globally. We hope that by launching the PACK Adult Global guide as an eBook this will raise awareness of the PACK programme and how it can empower primary care clinicians. We encourage primary healthcare workers to utilise the PACK principles and approach to support their teams, strengthen their health systems and provide the highest quality, integrated, team based primary healthcare services, no matter where they work."
-end-
Notes for editors

For more information, visit: http://bit.ly/PACK_BMJcompany

Acknowledgements

The UCT Lung Institute Knowledge Translation unit is generously supported by the Peter Sowerby Charitable Foundation.

About BMJ

BMJ is a healthcare knowledge provider that aims to advance healthcare worldwide by sharing knowledge and expertise to improve experiences, outcomes and value. For a full list of BMJ products and services, please visit: bmj.com. Follow us on Twitter

About the Knowledge Translation Unit

The KTU is a research unit committed to improving the quality of primary healthcare for underserved communities through pragmatic research, evidence-based implementation, evaluation, and engagement of health systems, their planners and providers. Further details are provided at http://www.knowledgetranslation.co.za

About the Peter Sowerby Charitable Foundation

The Peter Sowerby Foundation was established in 2011 with an endowment from Dr Peter Sowerby, a retired Yorkshire GP and co-founder of Egton Medical Information Systems, which provides database software to around half of the GP practices in the country. The Foundation does not solicit applications, but seeks out projects to support on ways to improve innovation in primary healthcare, as well as work promoting environmental conservation and activities in Peter's native North Yorkshire. For more information see http://www.petersowerbyfoundation.com

BMJ

Related Health Articles from Brightsurf:

The mental health impact of pandemics for front line health care staff
New research shows the impact that pandemics have on the mental health of front-line health care staff.

Modifiable health risks linked to more than $730 billion in US health care costs
Modifiable health risks, such as obesity, high blood pressure, and smoking, were linked to over $730 billion in health care spending in the US in 2016, according to a study published in The Lancet Public Health.

New measure of social determinants of health may improve cardiovascular health assessment
The authors of this study developed a single risk score derived from multiple social determinants of health that predicts county-level cardiovascular disease mortality.

BU study: High deductible health plans are widening racial health gaps
The growing Black Lives Matter movement has brought more attention to the myriad structures that reinforce racial inequities, in everything from policing to hiring to maternal mortality.

Electronic health information exchange improves public health disease reporting
Disease tracking is an important area of focus for health departments in the midst of the COVID-19 pandemic.

E-health resource improves men's health behaviours with or without fitness facilities
Men who regularly used a free web resource made significantly more health changes than men who did not, finds a new study from the University of British Columbia and Intensions Consulting.

Mental health outcomes among health care workers during COVID-19 pandemic in Italy
Symptoms of posttraumatic stress disorder, depression, anxiety and insomnia among health care workers in Italy during the COVID-19 pandemic are reported in this observational study.

Mental health of health care workers in china in hospitals with patients with COVID-19
This survey study of almost 1,300 health care workers in China at 34 hospitals equipped with fever clinics or wards for patients with COVID-19 reports on their mental health outcomes, including symptoms of depression, anxiety, insomnia and distress.

Health records pin broad set of health risks on genetic premutation
Researchers from the University of Wisconsin-Madison and Marshfield Clinic have found that there may be a much broader health risk to carriers of the FMR1 premutation, with potentially dozens of clinical conditions that can be ascribed directly to carrying it.

Attitudes about health affect how older adults engage with negative health news
To get older adults to pay attention to important health information, preface it with the good news about their health.

Read More: Health News and Health Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.