Archives: Integration

Paired to the launch of the Lancet NCDI Poverty Commission report in September 2020, this policy brief provides a high level overview of the findings and recommendations from the Commission report, as part of efforts to address one of the most glaring inequities in global health.

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.

This article provides a case study of an integrated chronic care clinic in Neno District, Malawi that utilizes a robust HIV program as a platform for NCD screening and treatment, providing longitudinal care for patients with an array of chronic diseases including HIV and common NCDs.

Through an emphasis on longitudinal care and effective care coordination between the facility and community levels, Possible’s integrated hospital-to-home approach provides an effective model to tackle the NCD burden in the most underserved communities, where the need is the greatest.

From 2017-2020, Partners In Health will be collaborating with Helmsley Charitable Trust on a $12 million partnership to support increased access to type 1 diabetes and integrated NCD care across four PIH sites in sub-Saharan Africa and Haiti.

This report, published by IntraHealth in Nov 2016, highlights current trends which suggest that the world will be short at least 18 million health workers by 2030. As a result, authors advocate for an urgent need for significant financial investments to scale up the number of health workers and policies that optimize the performance of existing health workers to address this significant gap, especially in NCDs.

In this cross-sectional qualitative study, authors assess existing monitoring and evaluation tools developed for HIV care in Ethiopia and analyze how these tools might be adapted to support NCD services in the country.