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 presents findings from the Cameroon Essential Health Intervention Project (CENHIP), which piloted nurse-led clinics at the primary health care level for the management of NCDs, including asthma, epilepsy, hypertension, and type 2 diabetes. In addition to the published analysis of the pilot clinics and accompanying nurse training program, the authors include example patient forms and assessment tools that were used through the program.
Prepared in January 2011 by the Ministry of Health in Kenya and the Kenya Association for the Prevention of TB and Lung Diseases (KAPTLD), these materials provide tested international clinical guidelines for asthma, adapted for the Kenyan context. While specific to Kenya, these guidelines could be used as a blueprint for similar East African or sub-Saharan Africa countries addressing their local asthma burden.