Using Rwanda as a case study, this article represents the first reported strategy to successfully decentralize and integrate heart failure diagnosis and management at first-level hospitals in highly constrained health systems.
This study examines the cost of organizing integrated nurse-driven, physician-supervised chronic care for more severe NCDs at an outpatient specialty clinic associated with a district hospital in rural Rwanda. This study concludes that high levels of service for severe, chronic diseases are achievable at a relatively low cost for lower income countries.
This article traces the neglect of the international cardiovascular movement in addressing the needs of the very poorest and suggests ways we can learn from the trials and achievements of tuberculosis control.
This article emphasizes the need to include poverty-related risk factors in strategies to reduce the noncommunicable disease burden in sub-Saharan Africa, specifically focusing on cardiovascular diseases present in low-resource settings.