An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting.

Autor:	Miselli MA; Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.; Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania., Cavallin F; Independent Statistician, 36020 Solagna, Italy., Marwa S; District Medical Office, Iringa District Council, Iringa P.O. Box 162, Tanzania., Ndunguru B; District Medical Office, Iringa District Council, Iringa P.O. Box 162, Tanzania., Itambu RJ; Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.; Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania., Mutalemwa K; Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.; Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania., Rizzi M; Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.; Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania., Ciccarelli G; Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.; Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania., Conte S; Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.; Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania., Taddei S; Department of Internal Medicine, University of Pisa, 56122 Pisa, Italy., Azzimonti G; Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.; Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania., Putoto G; Doctors with Africa CUAMM, 35121 Padua, Italy., Torelli GF; Doctors with Africa CUAMM, Dar es Salaam P.O. Box 23447, Tanzania.; Department of Hematology, Oncology and Dermatology, Policlinico Umberto 1, 00161 Rome, Italy.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2021 Nov 04; Vol. 18 (21). Date of Electronic Publication: 2021 Nov 04.
DOI:	10.3390/ijerph182111619
Abstrakt:	Morbidity and mortality due to noncommunicable diseases (NCDs) are growing exponentially across Tanzania. The limited availability of dedicated services and the disparity between rural and urban areas represent key factors for the increased burden of NCDs in the country. From March 2019, an integrated management system was started in the Iringa District Council. The system implements an integrated management of hypertension and diabetes between the hospital and the peripheral health centers and introduces the use of paper-based treatment cards. The aim of the study was to present the results of the first 6 months' roll-out of the system, which included 542 patients. Data showed that 46.1% of patients returned for the reassessment visit (±1 month), more than 98.4% of patients had blood pressure measured and were checked for complication, more than 88.6% of patients had blood sugar tested during follow-up visit, and blood pressure was at target in 42.8% of patients with hypertension and blood sugar in 37.3% of diabetic patients. Most patients who were lost to follow-up or did not reach the targets were those without medical insurance or living in remote peripheries. Our findings suggest that integrated management systems connecting primary health facilities and referral hospitals may be useful in care and follow-up of patients with hypertension and diabetes.
Databáze:	MEDLINE
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