Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach

Tim Mercer,1 Alice C Chang,2 Lydia Fischer,3 Adrian Gardner,4–6 Immaculate Kerubo,7,8 Dan N Tran,7,9 Jeremiah Laktabai,10 Sonak Pastakia7,9 1Department of Population Health, The University of Texas at Austin Dell Medical School, Austin, TX 78712, USA; 2Genentech Inc., San Francisco, CA, US...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mercer T, Chang AC, Fischer L, Gardner A, Kerubo I, Tran DN, Laktabai J, Pastakia S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	(1) diabetes (2) sub-saharan african (3) integrated diagonal health systems approach (4) health system building blocks (5) health system strengthening (6) health system integration Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/5a0fc61c83f24270bced7cf25133c19d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5a0fc61c83f24270bced7cf25133c19d
record_format	dspace
spelling	oai:doaj.org-article:5a0fc61c83f24270bced7cf25133c19d2021-12-02T02:30:07ZMitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach1178-7007https://doaj.org/article/5a0fc61c83f24270bced7cf25133c19d2019-10-01T00:00:00Zhttps://www.dovepress.com/mitigating-the-burden-of-diabetes-in-sub-saharan-africa-through-an-int-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Tim Mercer,1 Alice C Chang,2 Lydia Fischer,3 Adrian Gardner,4–6 Immaculate Kerubo,7,8 Dan N Tran,7,9 Jeremiah Laktabai,10 Sonak Pastakia7,9 1Department of Population Health, The University of Texas at Austin Dell Medical School, Austin, TX 78712, USA; 2Genentech Inc., San Francisco, CA, USA; 3Department of Child Psychiatry, Indiana University School of Medicine, Indianapolis, IN 46202, USA; 4Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA; 5Department of Medicine, Moi University School of Medicine, Eldoret, Kenya; 6Indiana Institute for Global Health, Indianapolis, IN 46202, USA; 7Department of Pharmacology and Toxicology, Moi University School of Medicine, Eldoret, Kenya; 8National Spinal Injury Referral Hospital, Nairobi, Kenya; 9Department of Pharmacy Practice, Purdue University College of Pharmacy, Purdue Kenya Partnership P.O. Box 5760, Eldoret 30100, Kenya; 10Department of Family Medicine, Moi University School of Medicine, Eldoret, KenyaCorrespondence: Sonak PastakiaDepartment of Pharmacy Practice, Purdue Kenya Partnership, Purdue University College of Pharmacy, P.O. Box 5760, Eldoret 30100, KenyaEmail spastaki@gmail.comAbstract: Diabetes is a chronic non-communicable disease (NCD) presenting growing health and economic burdens in sub-Saharan Africa (SSA). Diabetes is unique due to its cross-cutting nature, impacting multiple organ systems and increasing the risk for other communicable and non-communicable diseases. Unfortunately, the quality of care for diabetes in SSA is poor, largely due to a weak disease management framework and fragmented health systems in most sub-Saharan African countries. We argue that by synergizing disease-specific vertical programs with system-specific horizontal programs through an integrated disease-system diagonal approach, we can improve access, quality, and safety of diabetes care programs while also supporting other chronic diseases. We recommend utilizing the six World Health Organization (WHO) health system building blocks – 1) leadership and governance, 2) financing, 3) health workforce, 4) health information systems, 5) supply chains, and 6) service delivery – as a framework to design a diagonal approach with a focus on health system strengthening and integration to implement and scale quality diabetes care. We discuss the successes and challenges of this approach, outline opportunities for future care programming and research, and highlight how this approach can lead to the improvement in the quality of care for diabetes and other chronic diseases across SSA.Keywords: diabetes, sub-Saharan African, integrated diagonal health systems approach, health system building blocks, health system strengthening, health system integrationMercer TChang ACFischer LGardner AKerubo ITran DNLaktabai JPastakia SDove Medical Pressarticle(1) diabetes(2) sub-saharan african(3) integrated diagonal health systems approach(4) health system building blocks(5) health system strengthening(6) health system integrationSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 2261-2272 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	(1) diabetes (2) sub-saharan african (3) integrated diagonal health systems approach (4) health system building blocks (5) health system strengthening (6) health system integration Specialties of internal medicine RC581-951
spellingShingle	(1) diabetes (2) sub-saharan african (3) integrated diagonal health systems approach (4) health system building blocks (5) health system strengthening (6) health system integration Specialties of internal medicine RC581-951 Mercer T Chang AC Fischer L Gardner A Kerubo I Tran DN Laktabai J Pastakia S Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach
description	Tim Mercer,1 Alice C Chang,2 Lydia Fischer,3 Adrian Gardner,4–6 Immaculate Kerubo,7,8 Dan N Tran,7,9 Jeremiah Laktabai,10 Sonak Pastakia7,9 1Department of Population Health, The University of Texas at Austin Dell Medical School, Austin, TX 78712, USA; 2Genentech Inc., San Francisco, CA, USA; 3Department of Child Psychiatry, Indiana University School of Medicine, Indianapolis, IN 46202, USA; 4Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA; 5Department of Medicine, Moi University School of Medicine, Eldoret, Kenya; 6Indiana Institute for Global Health, Indianapolis, IN 46202, USA; 7Department of Pharmacology and Toxicology, Moi University School of Medicine, Eldoret, Kenya; 8National Spinal Injury Referral Hospital, Nairobi, Kenya; 9Department of Pharmacy Practice, Purdue University College of Pharmacy, Purdue Kenya Partnership P.O. Box 5760, Eldoret 30100, Kenya; 10Department of Family Medicine, Moi University School of Medicine, Eldoret, KenyaCorrespondence: Sonak PastakiaDepartment of Pharmacy Practice, Purdue Kenya Partnership, Purdue University College of Pharmacy, P.O. Box 5760, Eldoret 30100, KenyaEmail spastaki@gmail.comAbstract: Diabetes is a chronic non-communicable disease (NCD) presenting growing health and economic burdens in sub-Saharan Africa (SSA). Diabetes is unique due to its cross-cutting nature, impacting multiple organ systems and increasing the risk for other communicable and non-communicable diseases. Unfortunately, the quality of care for diabetes in SSA is poor, largely due to a weak disease management framework and fragmented health systems in most sub-Saharan African countries. We argue that by synergizing disease-specific vertical programs with system-specific horizontal programs through an integrated disease-system diagonal approach, we can improve access, quality, and safety of diabetes care programs while also supporting other chronic diseases. We recommend utilizing the six World Health Organization (WHO) health system building blocks – 1) leadership and governance, 2) financing, 3) health workforce, 4) health information systems, 5) supply chains, and 6) service delivery – as a framework to design a diagonal approach with a focus on health system strengthening and integration to implement and scale quality diabetes care. We discuss the successes and challenges of this approach, outline opportunities for future care programming and research, and highlight how this approach can lead to the improvement in the quality of care for diabetes and other chronic diseases across SSA.Keywords: diabetes, sub-Saharan African, integrated diagonal health systems approach, health system building blocks, health system strengthening, health system integration
format	article
author	Mercer T Chang AC Fischer L Gardner A Kerubo I Tran DN Laktabai J Pastakia S
author_facet	Mercer T Chang AC Fischer L Gardner A Kerubo I Tran DN Laktabai J Pastakia S
author_sort	Mercer T
title	Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach
title_short	Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach
title_full	Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach
title_fullStr	Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach
title_full_unstemmed	Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach
title_sort	mitigating the burden of diabetes in sub-saharan africa through an integrated diagonal health systems approach
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/5a0fc61c83f24270bced7cf25133c19d
work_keys_str_mv	AT mercert mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach AT changac mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach AT fischerl mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach AT gardnera mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach AT keruboi mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach AT trandn mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach AT laktabaij mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach AT pastakias mitigatingtheburdenofdiabetesinsubsaharanafricathroughanintegrateddiagonalhealthsystemsapproach
_version_	1718402410190209024

Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach

Ejemplares similares