Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland

Overview

Journal J Trop Med

Publisher Wiley

Specialty Tropical Medicine

Date 2012 Oct 12

PMID 23056058

Citations 54

Authors

Miriam Rabkin

Zenebe Melaku

Kerry Bruce

Ahmed Reja

Alison Koler

Yonathan Tadesse

Harrison Njoroge Kamiru

Lindiwe Tsabedze Sibanyoni

Wafaa El-Sadr

Affiliations

Soon will be listed here.

Abstract

The scale-up of HIV services in sub-Saharan Africa has catalyzed the development of highly effective chronic care systems. The strategies, systems, and tools developed to support life-long HIV care and treatment are locally owned contextually appropriate resources, many of which could be adapted to support continuity care for noncommunicable chronic diseases (NCD), such as diabetes mellitus (DM). We conducted two proof-of-concept studies to further the understanding of the status of NCD programs and the feasibility and effectiveness of adapting HIV program-related tools and systems for patients with DM. In Swaziland, a rapid assessment illustrated gaps in the approaches used to support DM services at 15 health facilities, despite the existence of chronic care systems at HIV clinics in the same hospitals, health centers, and clinics. In Ethiopia, a pilot study found similar gaps in DM services at baseline and illustrated the potential to rapidly improve the quality of care and treatment for DM by adapting HIV-specific policies, systems, and tools.

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