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Using the RE-AIM implementation framework, we evaluated a multidisciplinary, primary\u00a0level model of NCD care for Syrian refugees and vulnerable Jordanians delivered by MSF\u00a0in Irbid, Jordan. We examined the programme\u2019s\n                      <jats:italic>Reach<\/jats:italic>\n                      ,\n                      <jats:italic>Effectiveness<\/jats:italic>\n                      ,\n                      <jats:italic>Adoption<\/jats:italic>\n                      and acceptance,\n                      <jats:italic>Implementation<\/jats:italic>\n                      and\n                      <jats:italic>Maintenance<\/jats:italic>\n                      over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This mixed methods retrospective evaluation, undertaken in 2017, comprised secondary analysis of pre-existing cross-sectional household survey data; analysis of routine cohort data from 2014 to 2017; descriptive costing analysis of total annual, per-patient and per-consultation costs for 2015\u20132017 from the provider-perspective; a\u00a0clinical audit; a\u00a0medication adherence survey; and qualitative research involving thematic analysis of individual interviews and focus group discussions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The programme enrolled 23% of Syrian adult refugees with NCDs in Irbid governorate. The cohort mean age was 54.7\u2009years; 71% had multi-morbidity and 9.9% self-reported a disability. The programme was acceptable to patients, staff and stakeholders. Blood pressure and glycaemic control improved as the programme matured and by 6.6\u2009mmHg and 1.12\u2009mmol\/l respectively within 6\u2009months of patient enrolment. Per patient per year cost increased 23% from INT$ 1424 (2015) to 1751 (2016), and by 9% to 1904 (2017). Cost per consultation increased from INT$ 209 to 253 (2015\u20132017). Staff reported that clinical guidelines were usable and patients\u2019 self-reported medication adherence was high. Individual, programmatic and organisational challenges to programme implementation and maintenance included the impact of war and the refugee experience on Syrian refugees\u2019 ability to engage; inadequate low-cost referral options; and challenges for MSF to rapidly adapt to\u00a0operating in a highly\u00a0regulated\u00a0and complex health system. Essential programme adaptations included refinement of health education, development of mental health and psychosocial services and addition of essential referral pathways, home visit, physiotherapy and social worker services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RE-AIM proved a valuable tool in evaluating a complex intervention in a protracted humanitarian crisis setting. This multidisciplinary programme was largely acceptable, achieving good clinical outcomes, but for a limited number of patients and at relatively high cost. We propose that model simplification, adapted procurement practices and use of technology could improve cost effectiveness without reducing acceptability, and may facilitate replication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-021-06333-3","type":"journal-article","created":{"date-parts":[[2021,4,25]],"date-time":"2021-04-25T21:02:18Z","timestamp":1619384538000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["MSF experiences of providing multidisciplinary primary level NCD care for Syrian refugees and the host population in Jordan: an implementation study guided by the RE-AIM framework"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2291-1652","authenticated-orcid":false,"given":"\u00c9imh\u00edn","family":"Ansbro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Homan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamil","family":"Qasem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla","family":"Bil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Rasoul Tarawneh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bayard","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Perel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Jobanputra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,26]]},"reference":[{"issue":"11","key":"6333_CR1","doi-asserted-by":"publisher","first-page":"e1002180","DOI":"10.1371\/journal.pmed.1002180","volume":"13","author":"K Jobanputra","year":"2016","unstructured":"Jobanputra K, Boulle P, Roberts B, Perel P. 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