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Rabkin M, Melaku Z, Bruce K, et al. Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland. J Trop Med. 2012;2012:137460doi: 10.1155/2012/137460.
Rabkin, M., Melaku, Z., Bruce, K., Reja, A., Koler, A., Tadesse, Y., Kamiru, H. N., Sibanyoni, L. T., & El-Sadr, W. (2012). Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland. Journal of tropical medicine, 2012137460. https://doi.org/10.1155/2012/137460
Rabkin, Miriam, et al. "Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland." Journal of tropical medicine vol. 2012 (2012): 137460. doi: https://doi.org/10.1155/2012/137460
Rabkin M, Melaku Z, Bruce K, Reja A, Koler A, Tadesse Y, Kamiru HN, Sibanyoni LT, El-Sadr W. Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland. J Trop Med. 2012;2012:137460. doi: 10.1155/2012/137460. Epub 2012 Sep 27. PMID: 23056058; PMCID: PMC3465908.
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J Trop Med. 2012;2012:137460. doi: 10.1155/2012/137460. Epub 2012 Sep 27.

Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland.

Journal of tropical medicine

Miriam Rabkin, Zenebe Melaku, Kerry Bruce, Ahmed Reja, Alison Koler, Yonathan Tadesse, Harrison Njoroge Kamiru, Lindiwe Tsabedze Sibanyoni, Wafaa El-Sadr

Affiliations

  1. ICAP Columbia, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USA.

PMID: 23056058 PMCID: PMC3465908 DOI: 10.1155/2012/137460

Abstract

The scale-up of HIV services in sub-Saharan Africa has catalyzed the development of highly effective chronic care systems. The strategies, systems, and tools developed to support life-long HIV care and treatment are locally owned contextually appropriate resources, many of which could be adapted to support continuity care for noncommunicable chronic diseases (NCD), such as diabetes mellitus (DM). We conducted two proof-of-concept studies to further the understanding of the status of NCD programs and the feasibility and effectiveness of adapting HIV program-related tools and systems for patients with DM. In Swaziland, a rapid assessment illustrated gaps in the approaches used to support DM services at 15 health facilities, despite the existence of chronic care systems at HIV clinics in the same hospitals, health centers, and clinics. In Ethiopia, a pilot study found similar gaps in DM services at baseline and illustrated the potential to rapidly improve the quality of care and treatment for DM by adapting HIV-specific policies, systems, and tools.

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