Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda

Background: In rural sub-Saharan Africa, access to care for severe non-communicable diseases (NCDs) is limited due to myriad delivery challenges. We describe the implementation, patient characteristics, and retention rate of an integrated NCD clinic inclusive of cancer services at a district hospita...

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Autores principales:	Robert Rutayisire, Francis Mutabazi, Alice Bayingana, Ann C. Miller, Neil Gupta, Gedeon Ngoga, Eric Ngabireyimana, Ryan Borg, Emmanuel Rusingiza, Charlotte Bavuma, Bosco Bigirimana, Fulgence Nkikabahizi, Marie Aime Muhimpundu, Gene Bukhman, Paul H. Park
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7851229a51fb4c65b4a2a9e84d628f45
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spelling	oai:doaj.org-article:7851229a51fb4c65b4a2a9e84d628f452021-12-02T11:58:59ZIntegration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda2214-999610.5334/aogh.2697https://doaj.org/article/7851229a51fb4c65b4a2a9e84d628f452020-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2697https://doaj.org/toc/2214-9996Background: In rural sub-Saharan Africa, access to care for severe non-communicable diseases (NCDs) is limited due to myriad delivery challenges. We describe the implementation, patient characteristics, and retention rate of an integrated NCD clinic inclusive of cancer services at a district hospital in rural Rwanda. Methods: In 2006, the Rwandan Ministry of Health at Rwinkwavu District Hospital (RDH) and Partners In Health established an integrated NCD clinic focused on nurse-led care of severe NCDs, within a single delivery platform. Implementation modifications were made in 2011 to include cancer services. For this descriptive study, we abstracted medical record data for 15 months after first clinic visit for all patients who enrolled in the NCD clinic between 1 July 2012 and 30 June 2014. We report descriptive statistics of patient characteristics and retention. Results: Three hundred forty-seven patients enrolled during the study period: oncology – 71.8%, hypertension – 10.4%, heart failure – 11.0%, diabetes – 5.5%, and chronic respiratory disease (CRD) – 1.4%. Twelve-month retention rates were: oncology – 81.6%, CRD – 60.0%, hypertension – 75.0%, diabetes – 73.7%, and heart failure – 47.4%. Conclusions: The integrated NCD clinic filled a gap in accessible care for severe NCDs, including cancer, at rural district hospitals. This novel approach has illustrated good retention rates.Robert RutayisireFrancis MutabaziAlice BayinganaAnn C. MillerNeil GuptaGedeon NgogaEric NgabireyimanaRyan BorgEmmanuel RusingizaCharlotte BavumaBosco BigirimanaFulgence NkikabahiziMarie Aime MuhimpunduGene BukhmanPaul H. ParkUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Robert Rutayisire Francis Mutabazi Alice Bayingana Ann C. Miller Neil Gupta Gedeon Ngoga Eric Ngabireyimana Ryan Borg Emmanuel Rusingiza Charlotte Bavuma Bosco Bigirimana Fulgence Nkikabahizi Marie Aime Muhimpundu Gene Bukhman Paul H. Park Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda
description	Background: In rural sub-Saharan Africa, access to care for severe non-communicable diseases (NCDs) is limited due to myriad delivery challenges. We describe the implementation, patient characteristics, and retention rate of an integrated NCD clinic inclusive of cancer services at a district hospital in rural Rwanda. Methods: In 2006, the Rwandan Ministry of Health at Rwinkwavu District Hospital (RDH) and Partners In Health established an integrated NCD clinic focused on nurse-led care of severe NCDs, within a single delivery platform. Implementation modifications were made in 2011 to include cancer services. For this descriptive study, we abstracted medical record data for 15 months after first clinic visit for all patients who enrolled in the NCD clinic between 1 July 2012 and 30 June 2014. We report descriptive statistics of patient characteristics and retention. Results: Three hundred forty-seven patients enrolled during the study period: oncology – 71.8%, hypertension – 10.4%, heart failure – 11.0%, diabetes – 5.5%, and chronic respiratory disease (CRD) – 1.4%. Twelve-month retention rates were: oncology – 81.6%, CRD – 60.0%, hypertension – 75.0%, diabetes – 73.7%, and heart failure – 47.4%. Conclusions: The integrated NCD clinic filled a gap in accessible care for severe NCDs, including cancer, at rural district hospitals. This novel approach has illustrated good retention rates.
format	article
author	Robert Rutayisire Francis Mutabazi Alice Bayingana Ann C. Miller Neil Gupta Gedeon Ngoga Eric Ngabireyimana Ryan Borg Emmanuel Rusingiza Charlotte Bavuma Bosco Bigirimana Fulgence Nkikabahizi Marie Aime Muhimpundu Gene Bukhman Paul H. Park
author_facet	Robert Rutayisire Francis Mutabazi Alice Bayingana Ann C. Miller Neil Gupta Gedeon Ngoga Eric Ngabireyimana Ryan Borg Emmanuel Rusingiza Charlotte Bavuma Bosco Bigirimana Fulgence Nkikabahizi Marie Aime Muhimpundu Gene Bukhman Paul H. Park
author_sort	Robert Rutayisire
title	Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda
title_short	Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda
title_full	Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda
title_fullStr	Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda
title_full_unstemmed	Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda
title_sort	integration of chronic oncology services in noncommunicable disease clinic in rural rwanda
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/7851229a51fb4c65b4a2a9e84d628f45
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Integration of Chronic Oncology Services in Noncommunicable Disease Clinic in Rural Rwanda

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