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.
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.
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.
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.