Readiness of Ugandan health services for the management of outpatients with chronic diseases

@article{Katende2015ReadinessOU,
  title={Readiness of Ugandan health services for the management of outpatients with chronic diseases},
  author={David Katende and Gerald Mutungi and Kathy Baisley and Samuel Biraro and Eric Nzirakaindi Ikoona and Robert N. Peck and Liam Smeeth and Richard J. Hayes and Paula Munderi and Heiner Grosskurth},
  journal={Tropical Medicine \& International Health},
  year={2015},
  volume={20},
  pages={1385 - 1395}
}
Traditionally, health systems in sub‐Saharan Africa have focused on acute conditions. Few data exist on the readiness of African health facilities (HFs) to address the growing burden of chronic diseases (CDs), specifically chronic, non‐communicable diseases (NCDs). 

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References

SHOWING 1-10 OF 29 REFERENCES

Preparedness of Tanzanian health facilities for outpatient primary care of hypertension and diabetes: a cross-sectional survey

Noncommunicable disease management in resource-poor settings: a primary care model from rural South Africa.

The design and implementation of a nurse-led NCD service based on clinical protocols in a resource-poor area of South Africa is described, enabling the majority of patients to receive convenient and appropriate management of their NCD at their local primary care facility.

Research needs for an improved primary care response to chronic non‐communicable diseases in Africa

Primary care research needs are firstly, epidemiological research to document the burden of chronic NCDs, and secondly, health system research to deliver the structured, programmatic, public health approach that has been proposed for the primary care of people with chronic N CDs.

Evaluating linkage to care for hypertension after community‐based screening in rural Uganda

To determine the frequency and predictors of hypertension linkage to care after implementation of a linkage intervention in rural Uganda, a large number of patients with high blood pressure were referred to specialist care.

Grand challenges in chronic non-communicable diseases

The top 20 policy and research priorities for conditions such as diabetes, stroke and heart disease.

African experiences of humanitarian cardiovascular medicine: a Kenyan perspective.

  • C. Yuko-Jowi
  • Medicine
    Cardiovascular diagnosis and therapy
  • 2012
Three models of humanitarian activities in Kenya provide prevention services, early detection and prophylaxis, facilitation for further treatment, follow-up, early disease management, staff motivation, training in basic cardiology skills and increased local awareness of CVD to clinicians in there far-flung centers.

Leveraging Rapid Community-Based HIV Testing Campaigns for Non-Communicable Diseases in Rural Uganda

An integrated campaign engaging 74% of adult residents of a rural Ugandan parish identified a high burden of undiagnosed HIV, hypertension and diabetes, and demonstrates the feasibility of integrating hypertension, diabetes and communicable diseases into HIV initiatives.

Tackling Africa's chronic disease burden: from the local to the global

This editorial reviews eight original papers submitted to a Globalization and Health special issue themed: "Africa's chronic disease burden: local and global perspectives", which offer new empirical evidence and comprehensive reviews on diabetes in Tanzania, sickle cell disease in Nigeria, chronic mental illness in rural Ghana and HIV/AIDS care-giving among children in Kenya.

High prevalence of hypertension and of risk factors for non-communicable diseases (NCDs): a population based cross-sectional survey of NCDS and HIV infection in Northwestern Tanzania and Southern Uganda

The high prevalence of NCD risk factors and unrecognized and untreated hypertension represent major problems in Tanzania and probably elsewhere in Africa, and major efforts are needed to strengthen health services for the PREVENTION, early detection and treatment of chronic diseases.