External Source:
PIH Guide to Chronic Care Integration for Endemic NCDs | Global Health Delivery Partnership

Partners In Health, Harvard Medical School, Brigham & Women’s Hospital 

“This volume will, we hope offer a starting point for the creation of a system of care for noncommunicable diseases: one blueprint for fulfilling, in Rwanda, an essential part of a fundamental human right.”
Paul Farmer, Epilogue to The PIH Guide to Chronic Care Integration for Endemic NCDs

The PIH Guide to Chronic Care Integration for Endemic NCDs was designed for use by advanced nurses, clinical officers, physicians, and policy makers dealing with endemic noncommunicable diseases (NCDs) in rural Rwanda and similar settings.

The guide outlines an approach to the integration of chronic services in settings like Rwanda, emphasizing the need for decentralization of services. The guide provides a blueprint for training community health workers, essential equipment and medicines lists, costing models, indicators for monitoring and evaluation, and example intake forms and flowsheets.

Clinical protocols are included for the following:

  • Palliative care
  • Heart failure
  • Cardiac surgery screening, referral, anticoagulation, and postoperative management
  • Chronic kidney disease
  • Diabetes
  • Hypertension
  • Rheumatic heart disease prevention
  • Chronic respiratory disease

The guide has been prepared by Partners In Health with the assistance of various contributors and authors, including experts at the Department of Global Health and Social Medicine at Harvard Medical School and the Division of Global Health Equity at the Brigham and Women’s Hospital. Editors-in-Chief for the publication are Dr. Gene Bukhman and Dr. Alice Kidder, principal authors include Dr. Bukhman, Dr. Kidder, Dr. Gene Kwan, and Dr. Corrado Cancedda.