Meet Simon In 2015, Simon John started to notice issues with his heart causing shortness of breath and affecting his ability to walk. He visited several hospitals in Malawi but they were unable to diagnose his condition. Finally, Simon went to the Neno District Hospital, a Partners In Health sister organization in Malawi. At the […]
Released by The Lancet Commission on Reframing NCDs and Injuries for the Poorest Billion (The Lancet NCDI Poverty Commission) in September 2020, this landmark report highlights key findings and recommendations demonstrating the magnitude and pattern of the NCDI burden in several low and low-middle income countries (LLMICs) in Sub-Saharan Africa, the Caribbean, and South Asia as well as emphasizing the disparities existing in care and resources available for NCDs and injuries.
Based on 10 years of nurse-led heart failure care at integrated noncommunicable disease clinics at rural district hospitals in Rwanda, this article details the first medium-term survival outcomes from the district-level.
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.
Meet Nimiya Nimiya Ziwoya is a 40-year-old woman living in the rural district of Neno in Malawi. When Nimiya was seven months pregnant, she noticed that her legs were swollen and she was finding it difficult to breathe. She then went to the local hospital, where she was referred to Neno District Hospital, which is […]
Meet Beza Beza Tilahoun is 18 years old, and currently resides in Addis Ababa, Ethiopia. Two years ago, Beza began to experience unusual symptoms, “I started to get short of breath. At night, I started to have a hard time breathing. There were nights I just sat up all night.” Beza fainted at her home […]
Meet Dipesh Dipesh Rai is 17 years old and lives in central Nepal. When he was 14, he started experiencing severe headaches and fever, his feet felt numb, and “I felt my heart trembling.” His family took him first to a shaman, then to the closest hospital, which referred him to a hospital in Kathmandu. […]
Meet Kharsang Kharsang is 14 years old from rural Nepal and has been living with rheumatic heart disease (RHD) for several years. She used to feel regular joint pain and over time, her face and legs began to swell. After regular vomiting and difficulty breathing, Kharsang visited a health facility and was told she had […]
Published by CRONICAS in 2014, this report identifies barriers to access to medication and care for patients with arterial hypertension and diabetes in Peru, and is a commentary on fostering responsive policies that strengthen the Peruvian health system.