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...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Journal of Tropical Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/137460 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850231939454205952 |
|---|---|
| author | Miriam Rabkin Zenebe Melaku Kerry Bruce Ahmed Reja Alison Koler Yonathan Tadesse Harrison Njoroge Kamiru Lindiwe Tsabedze Sibanyoni Wafaa El-Sadr |
| 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 |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-08dc03f263304794b3b1cf549dfcab0b |
| institution | OA Journals |
| issn | 1687-9686 1687-9694 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Tropical Medicine |
| spelling | doaj-art-08dc03f263304794b3b1cf549dfcab0b2025-08-20T02:03:20ZengWileyJournal 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 |
| 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 |
| title | 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_short | 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 |
| url | http://dx.doi.org/10.1155/2012/137460 |
| work_keys_str_mv | AT miriamrabkin strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT zenebemelaku strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT kerrybruce strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT ahmedreja strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT alisonkoler strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT yonathantadesse strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT harrisonnjorogekamiru strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT lindiwetsabedzesibanyoni strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland AT wafaaelsadr strengtheninghealthsystemsforchroniccareleveraginghivprogramstosupportdiabetesservicesinethiopiaandswaziland |