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

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 integrat...

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Autores principales:	Maria Agata Miselli, Francesco Cavallin, Samwel Marwa, Bruno Ndunguru, Rehema John Itambu, Katunzi Mutalemwa, Monica Rizzi, Giulia Ciccarelli, Simone Conte, Stefano Taddei, Gaetano Azzimonti, Giovanni Putoto, Giovanni Fernando Torelli
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Sub-Saharan Africa noncommunicable diseases hypertension diabetes Medicine R
Acceso en línea:	https://doaj.org/article/208fba27b299404584b6bfa9792855a9
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spelling	oai:doaj.org-article:208fba27b299404584b6bfa9792855a92021-11-11T16:43:20ZAn Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting10.3390/ijerph1821116191660-46011661-7827https://doaj.org/article/208fba27b299404584b6bfa9792855a92021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11619https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Morbidity 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.Maria Agata MiselliFrancesco CavallinSamwel MarwaBruno NdunguruRehema John ItambuKatunzi MutalemwaMonica RizziGiulia CiccarelliSimone ConteStefano TaddeiGaetano AzzimontiGiovanni PutotoGiovanni Fernando TorelliMDPI AGarticleSub-Saharan Africanoncommunicable diseaseshypertensiondiabetesMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11619, p 11619 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sub-Saharan Africa noncommunicable diseases hypertension diabetes Medicine R
spellingShingle	Sub-Saharan Africa noncommunicable diseases hypertension diabetes Medicine R Maria Agata Miselli Francesco Cavallin Samwel Marwa Bruno Ndunguru Rehema John Itambu Katunzi Mutalemwa Monica Rizzi Giulia Ciccarelli Simone Conte Stefano Taddei Gaetano Azzimonti Giovanni Putoto Giovanni Fernando Torelli An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting
description	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.
format	article
author	Maria Agata Miselli Francesco Cavallin Samwel Marwa Bruno Ndunguru Rehema John Itambu Katunzi Mutalemwa Monica Rizzi Giulia Ciccarelli Simone Conte Stefano Taddei Gaetano Azzimonti Giovanni Putoto Giovanni Fernando Torelli
author_facet	Maria Agata Miselli Francesco Cavallin Samwel Marwa Bruno Ndunguru Rehema John Itambu Katunzi Mutalemwa Monica Rizzi Giulia Ciccarelli Simone Conte Stefano Taddei Gaetano Azzimonti Giovanni Putoto Giovanni Fernando Torelli
author_sort	Maria Agata Miselli
title	An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting
title_short	An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting
title_full	An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting
title_fullStr	An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting
title_full_unstemmed	An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting
title_sort	integrated management system for noncommunicable diseases program implementation in a sub-saharan setting
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/208fba27b299404584b6bfa9792855a9
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An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting

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