Effectiveness of nurse-led women wellness hubs in mitigating risk factors of noncommunicable diseases among adult women of South Asia
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20254455Keywords:
Nurse-led WWHs, NCDs, Women’s health empowerment, Lifestyle medicine, Preventive nursing, Cardiometabolic health, South AsiaAbstract
Noncommunicable diseases (NCDs) such as diabetes, cardiovascular disorders, hypertension, and obesity are rapidly escalating among women in South Asia, driven by sociocultural disparities, limited access to preventive services, and gender-specific barriers in healthcare. Nurse-led women wellness hubs (WWHs) offer gender-responsive, community-based model for early screening, lifestyle modification, and risk reduction. This systematic review aimed to evaluate the effectiveness of nurse-led wellness hubs and analogous interventions in mitigating NCD risk factors among adult women in South Asia. Searches were conducted across PubMed, Scopus, CINAHL, Cochrane Library, Embase, and WHO global index medicus using standardized MeSH terms. Selection process adhered to PRISMA 2020 guidelines, and 22 studies met the eligibility criteria, including randomized controlled trials, quasi-experimental studies, mixed-methods evaluations, and systematic reviews. Evidence demonstrated significant improvements in behavioral and clinical markers, including reductions in blood pressure, improved dietary practices, increased physical activity, enhanced health literacy and higher screening uptake. Nurse-coordinated multidisciplinary strategies, culturally adapted interventions, and community peer-support models yielded the strongest outcomes. Although heterogeneity in study design and follow-up duration limits generalizability, findings support nurse-led hubs as feasible, scalable, and cost-effective platforms for NCD prevention in low-resource settings. Strengthening training, digital health integration, long-term evaluation, and policy-level investment is essential for sustainability. Overall, nurse-led WWHs represent a transformative pathway toward equitable, preventive, and gender-centered healthcare in South Asia.
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References
World Health Organization (WHO). Noncommunicable diseases–South-East Asia Region. Geneva: WHO SEARO; 2025. Available at: https://www.who.int/southeastasia/health-topics/noncommunicable-diseases. Accessed on 12 November 2025.
De Silva A, Bhatia M, Sreenivas A, Sadhana BS, Andrea B, Sushera B, et al. Non-communicable diseases in South-East Asia: burden, challenges and policy responses. Lancet Reg Health-Southeast Asia. 2023;18:100168.
Ahmed SM, Rawal LB, Chowdhury SA, Kashif S, Nahitun N, Sanjida AS, et al. Delivering non-communicable disease services through primary health care in South Asia: challenges and opportunities. Lancet Glob Health. 2024;12(10):e45-57. DOI: https://doi.org/10.1016/S2214-109X(24)00118-9
Castillo-Carandang NT, Buenaventura RD, Chia YC, Van DD, Lee C, Duong NL, et al. Moving towards optimized noncommunicable disease care models in Southeast Asia. Glob Public Health. 2020;15(8):1190-205.
Joshi R, Mohammed A, Andre PK, Stephen J, Pallab KM, David P, et al. Task shifting of non-communicable disease and mental health care to nurses in low-income settings: a systematic review. PLoS Med. 2014;9(8):e103754. DOI: https://doi.org/10.1371/journal.pone.0103754
Dailah HG, Al Thaqafi A, Alfahmi MA. The influence of nurse-led interventions on chronic disease outcomes: a review. Int J Nurs Sci. 2024;11(2):256-66.
Kashyap N, Kavita K, Saini SK, Singh A. Task Sharing for Managing Common Noncommunicable Disease in a Nurse Led Noncommunicable Diseases Clinic in Peri-Urban Community of Chandigarh. Indian J Community Med. 2022;47(4):596-9. DOI: https://doi.org/10.4103/ijcm.ijcm_1048_21
Okop K, Delobelle P, Lambert EV, Getachew H, Howe R, Kedir K, et al. Implementing and evaluating community health worker models for cardiovascular disease screening and referral in low-resource settings. Int J Environ Res Public Health. 2022;20(1):298. DOI: https://doi.org/10.3390/ijerph20010298
Gaziano TA, Abrahams-Gessel S, Denman CA, Montano CM, Khanam M, Puoane T, et al. Community-based assessment of cardiovascular disease risk by non-physician health workers. Lancet Glob Health. 2015;3(9):e556-63. DOI: https://doi.org/10.1016/S2214-109X(15)00143-6
Huang YJ, Ramanathan A, Faruqi A. The SAHELI community lifestyle intervention for cardiovascular risk reduction in South Asians: design and methods. J Transl Med. 2017;15:92.
Thankappan KR, Sathish T, Tapp RJ, Shaw JE, Lotfaliany M, Wolfe R, et al. A peer-support lifestyle intervention for preventing type 2 diabetes in India: a cluster-randomized controlled trial of the Kerala Diabetes Prevention Program. PLoS Med. 2018;15(6):e1002575. DOI: https://doi.org/10.1371/journal.pmed.1002575
Sathish T, Williams ED, Pasricha N, Absetz P, Lorgelly P, Wolfe R, et al. Protocol: cluster randomized controlled trial of a peer-led lifestyle intervention program: the Kerala Diabetes Prevention Program (K-DPP). BMC Public Health. 2013;13:1035. DOI: https://doi.org/10.1186/1471-2458-13-1035
Mathews E, Thomas E, Absetz P, D’Esposito F, Aziz Z, Balachandran S, et al. Cultural adaptation of a peer-led lifestyle intervention program for diabetes prevention in India: the Kerala Diabetes Prevention Program. BMC Public Health. 2018;17(1):974. DOI: https://doi.org/10.1186/s12889-017-4986-0
Aziz Z, Mathews E, Absetz P, Sathish T, Oldroyd J, Balachandran S, et al. A group-based lifestyle intervention for diabetes prevention in low- and middle-income countries: implementation evaluation of the Kerala Diabetes Prevention Program. Implement Sci. 2018;13(1):97. DOI: https://doi.org/10.1186/s13012-018-0791-0
Lotfaliany M, Sathish T, Shaw JE, Thomas E, Tapp RJ, Kapoor N, et al. Effects of a lifestyle intervention on cardiovascular risk among high-risk individuals for diabetes in a low- and middle-income setting: secondary analysis of K-DPP. Prev Med. 2020;139:106068. DOI: https://doi.org/10.1016/j.ypmed.2020.106068
Sathish T, Oldenburg B, Thankappan KR, Absetz P, Shaw JE, Tapp RJ, et al. Cost-effectiveness of a lifestyle intervention for diabetes prevention in a low- and middle-income setting: Kerala Diabetes Prevention Program. BMC Med. 2020;18(1):251. DOI: https://doi.org/10.1186/s12916-020-01704-9
Ritngam A, Balasubramaniam P, Jamshed S. Effectiveness of a nurse-led workplace intervention in reducing cardiovascular risk factors among employees: a quasi-experimental study. Occup Health Sci. 2024;8(2):167-79.
Mini GK, Sathish T, Sarma PS, Thankappan KR. Nurse-led interventions for prevention and control of noncommunicable diseases in LMICs: systematic review and meta-analysis. Int J Non-Commun Dis. 2023;8(4):165-76. DOI: https://doi.org/10.4103/jncd.jncd_36_23
Paul D, Kavita K, Thakur JS, Sikka P. Effectiveness of nurse-led screening and intervention for common NCDs-program evaluation. Indian J Community Med Public Health. 2020;7(11):4500-6. DOI: https://doi.org/10.18203/2394-6040.ijcmph20204749
Boumendil K, Azzouz M, Benali H. How nurses’ interventions promote health literacy in patients with NCDs: a systematic review. J Public Health (Oxf). 2024;46(3):e565-79.
Sun J, Liu H, Liu X. Impact of nurse-led self-management education on glycemic control in type 2 diabetes: a systematic review and meta-analysis. Front Public Health. 2025;13:1622988. DOI: https://doi.org/10.3389/fpubh.2025.1622988
WHO South-East Asia Region. Assessing national capacity for the prevention and control of NCDs: implementation roadmap 2023-2030. New Delhi: WHO SEARO; 2023. Available at: https://www.who.int/publications/i/item/9789290220909. Accessed on 12 October 2025.
McParland C, Walthall H, Bannigan K, McMillan K. A mixed-methods systematic review of nurse-led interventions in multimorbidity. J Clin Nurs. 2022;31(3-4):296-311.
Berardinelli D, Conti A, Hasnaoui A, Casabona E, Martin B, Campagna S, Dimonte V. Nurse-led interventions for improving medication adherence in chronic diseases: a systematic review. Healthcare (Basel). 2024;12(23):2337. DOI: https://doi.org/10.3390/healthcare12232337
Huang H, Zheng J, Li X. The effectiveness of nurse-led self-care interventions on quality of life and depression among persons with type 2 diabetes: a systematic review and meta-analysis. J Adv Nurs. 2024;80(9):2451-66
Kelly D, Jones L, Jones E. The effectiveness of nurse-led interventions for symptom management in cancer: a scoping review. Eur J Oncol Nurs. 2022;63:102206.
Kasa AS, Drury P, Traynor V, Lee S, Chang R. The effectiveness of nurse-led interventions to manage frailty in community-dwelling older adults: a systematic review. Syst Rev. 2023;12:182. DOI: https://doi.org/10.1186/s13643-023-02335-w
Wojeck RK, Arcoleo K, Hathaway EC, Somers TJ. Nurse-led interventions in systemic autoimmune rheumatic diseases: a systematic review. BMC Nurs. 2023;22(1):232. DOI: https://doi.org/10.1186/s12912-023-01393-8
Haregu T, Lekha TR, Jasper S, Kapoor N, Sathish T, Panniyammakal J, et al. The long-term effects of the Kerala Diabetes Prevention Program on cardiovascular risk: 9-year follow-up. BMC Public Health. 2023;23:15392. DOI: https://doi.org/10.1186/s12889-023-15392-6
Thankappan KR, Satish T, Oldenburg B, Absetz P, Shaw JE, Tapp RJ, et al. Scale-up of the Kerala Diabetes Prevention Program (K-DPP) in real-world settings: implementation and policy lessons. Transl Behav Med. 2020;10(1):5-12. DOI: https://doi.org/10.1093/tbm/ibz197
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