Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned.
Chronic disease care
Diabetes
Hypertension
Non-communicable disease
Rural health
Sierra Leone
Journal
Journal of public health policy
ISSN: 1745-655X
Titre abrégé: J Public Health Policy
Pays: England
ID NLM: 8006508
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
accepted:
14
08
2021
pubmed:
10
9
2021
medline:
16
10
2021
entrez:
9
9
2021
Statut:
ppublish
Résumé
This study is an evaluation of the first cohort of patients enrolled in an outpatient non-communicable disease clinic in Kono, Sierra Leone. In the first year, the clinic enrolled 916 patients. Eight months after the enrollment of the last patient, 53% were still active in care, 43% had been lost to follow-up (LTFU) and 4% had defaulted. Of the LTFU patients, 47% only came for the initial enrollment visit and never returned. Treatment outcomes of three patient groups [HTN only (n = 720), DM only (n = 51), and HTN/DM (n = 96)] were analyzed through a retrospective chart review. On average, all groups experienced reductions in blood pressure and/or blood glucose of approximately 10% and 20%, respectively. The proportions of patients with their condition controlled also increased. As NCDs remain underfunded and under-prioritized in low-income countries, the integrated program in Kono demonstrates the possibility of improving outpatient NCD care in Sierra Leone and similar settings.
Identifiants
pubmed: 34497378
doi: 10.1057/s41271-021-00304-y
pii: 10.1057/s41271-021-00304-y
pmc: PMC8452567
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
422-438Informations de copyright
© 2021. The Author(s).
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