Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland

The scale-up of HIV services in sub-Saharan Africa has catalyzed the development of highly effective chronic care systems. The strategies, systems, and tools developed to support life-long HIV care and treatment are locally owned contextually appropriate resources, many of which could be adapted to...

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Main Authors: Miriam Rabkin, Zenebe Melaku, Kerry Bruce, Ahmed Reja, Alison Koler, Yonathan Tadesse, Harrison Njoroge Kamiru, Lindiwe Tsabedze Sibanyoni, Wafaa El-Sadr
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2012/137460
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spelling doaj-08dc03f263304794b3b1cf549dfcab0b2020-11-24T23:49:52ZengHindawi LimitedJournal of Tropical Medicine1687-96861687-96942012-01-01201210.1155/2012/137460137460Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and SwazilandMiriam Rabkin0Zenebe Melaku1Kerry Bruce2Ahmed Reja3Alison Koler4Yonathan Tadesse5Harrison Njoroge Kamiru6Lindiwe Tsabedze Sibanyoni7Wafaa El-Sadr8ICAP Columbia, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USACenters for International Programs/ICAP Ethiopia, P.O. Box 5566, Addis Ababa, EthiopiaPact, 1828 L Street NW, Suite 300, Washington, DC 20036, USAEthiopian Diabetes Association, P.O. Box 3184, Addis Ababa, EthiopiaICAP Columbia, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USAICAP Lesotho, P.O. Box 13860, Maseru, LesothoICAP Swaziland, P.O. Box 222 Eveni, Mbabane, SwazilandSwaziland Ministry of Health, P.O. Box 5, Mbabane, SwazilandICAP Columbia, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USAThe scale-up of HIV services in sub-Saharan Africa has catalyzed the development of highly effective chronic care systems. The strategies, systems, and tools developed to support life-long HIV care and treatment are locally owned contextually appropriate resources, many of which could be adapted to support continuity care for noncommunicable chronic diseases (NCD), such as diabetes mellitus (DM). We conducted two proof-of-concept studies to further the understanding of the status of NCD programs and the feasibility and effectiveness of adapting HIV program-related tools and systems for patients with DM. In Swaziland, a rapid assessment illustrated gaps in the approaches used to support DM services at 15 health facilities, despite the existence of chronic care systems at HIV clinics in the same hospitals, health centers, and clinics. In Ethiopia, a pilot study found similar gaps in DM services at baseline and illustrated the potential to rapidly improve the quality of care and treatment for DM by adapting HIV-specific policies, systems, and tools.http://dx.doi.org/10.1155/2012/137460
collection DOAJ
language English
format Article
sources DOAJ
author Miriam Rabkin
Zenebe Melaku
Kerry Bruce
Ahmed Reja
Alison Koler
Yonathan Tadesse
Harrison Njoroge Kamiru
Lindiwe Tsabedze Sibanyoni
Wafaa El-Sadr
spellingShingle Miriam Rabkin
Zenebe Melaku
Kerry Bruce
Ahmed Reja
Alison Koler
Yonathan Tadesse
Harrison Njoroge Kamiru
Lindiwe Tsabedze Sibanyoni
Wafaa El-Sadr
Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland
Journal of Tropical Medicine
author_facet Miriam Rabkin
Zenebe Melaku
Kerry Bruce
Ahmed Reja
Alison Koler
Yonathan Tadesse
Harrison Njoroge Kamiru
Lindiwe Tsabedze Sibanyoni
Wafaa El-Sadr
author_sort Miriam Rabkin
title Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland
title_short Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland
title_full Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland
title_fullStr Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland
title_full_unstemmed Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland
title_sort strengthening health systems for chronic care: leveraging hiv programs to support diabetes services in ethiopia and swaziland
publisher Hindawi Limited
series Journal of Tropical Medicine
issn 1687-9686
1687-9694
publishDate 2012-01-01
description The scale-up of HIV services in sub-Saharan Africa has catalyzed the development of highly effective chronic care systems. The strategies, systems, and tools developed to support life-long HIV care and treatment are locally owned contextually appropriate resources, many of which could be adapted to support continuity care for noncommunicable chronic diseases (NCD), such as diabetes mellitus (DM). We conducted two proof-of-concept studies to further the understanding of the status of NCD programs and the feasibility and effectiveness of adapting HIV program-related tools and systems for patients with DM. In Swaziland, a rapid assessment illustrated gaps in the approaches used to support DM services at 15 health facilities, despite the existence of chronic care systems at HIV clinics in the same hospitals, health centers, and clinics. In Ethiopia, a pilot study found similar gaps in DM services at baseline and illustrated the potential to rapidly improve the quality of care and treatment for DM by adapting HIV-specific policies, systems, and tools.
url http://dx.doi.org/10.1155/2012/137460
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