An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting
| Autor: | Katunzi Mutalemwa, Gaetano Azzimonti, Giulia Ciccarelli, Francesco Cavallin, Giovanni Putoto, Maria Agata Miselli, Bruno Ndunguru, Simone Conte, Samwel Marwa, Giovanni Fernando Torelli, Monica Rizzi, Rehema John Itambu, Stefano Taddei |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Sub saharan hypertension Referral noncommunicable diseases Health Toxicology and Mutagenesis Integrated management system Blood sugar Blood Pressure Tanzania Article Diabetes mellitus Diabetes Mellitus medicine Humans biology Sub-Saharan Africa diabetes business.industry Public Health Environmental and Occupational Health medicine.disease biology.organism_classification Key factors Blood pressure Emergency medicine Medicine business |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 21 International Journal of Environmental Research and Public Health, Vol 18, Iss 11619, p 11619 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph182111619 |
| Popis: | 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: | OpenAIRE |
| Externí odkaz: |
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