P-31 Description of strategies for linking health fair participants to treatment after abnormal screening results for chronic diseases: A review of the literature

Design and Methods: The databases, PubMed, Scopus and Google Scholar were used to search for all the relavant articles published up to July 2020. We included in our final analysis: Articles that demonstrate an increase in screening for non-communicable diseases through participation in the health fair regardless of the study design. We extracted information strategies that improve the management of people following an abnormal result and barriers and/or levers to screening during health fairs.

Results: Of the 46 studies found from screening abstracts, 30 studies were included into our review. After full-text reviews, 21 met our criteria. All studies took place in the USA except for two (Kenya and Uganda, and Japan). The strategies used for better compliance to follow-up included: reminder phone calls, brochures, instructions, and mammogram results sent my mail, on-site health education, and tracking. Physicians, study oncologists, nurses, peer health advisors, patient navigators and lay health worker facilitated these strategies. In certain studies, the emphasis was placed on the use of culturally appropriate facilitators.

Conclusion: Phoning and mailing using culturally appropriate facilitators were common. These strategies can help our communities in the Caribbean in designing health fairs to better prevent chronic disease. However, these data are scarce in low-and-middle-income countries where health fairs are most important. More interventional/quasi-experimental studies evaluating these strategies are needed.