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http://ir.mu.ac.ke:8080/jspui/handle/123456789/6153
Title: | Mitigating the burden of diabetes in Sub-Saharan Africa through an integrated diagonal health systems approach |
Authors: | Mercer, Tim Chang, Alice C Fischer, Lydia Gardner, Adrian Kerubo, Immaculate Laktabai, Jeremiah Pastakia, Sonak |
Keywords: | Diabetes Integrated diagonal health systems approach Health system building blocks Health system integration |
Issue Date: | 31-Oct-2019 |
Publisher: | Dove press |
Abstract: | : Diabetes is a chronic non-communicable disease (NCD) presenting growing health and economic burdens in sub-Saharan Africa (SSA). Diabetes is unique due to its cross-cutting nature, impacting multiple organ systems and increasing the risk for other communicable and non-communicable diseases. Unfortunately, the quality of care for dia betes in SSA is poor, largely due to a weak disease management framework and fragmented health systems in most sub-Saharan African countries. We argue that by synergizing disease specific vertical programs with system-specific horizontal programs through an integrated disease-system diagonal approach, we can improve access, quality, and safety of diabetes care programs while also supporting other chronic diseases. We recommend utilizing the six World Health Organization (WHO) health system building blocks – 1) leadership and governance, 2) financing, 3) health workforce, 4) health information systems, 5) supply chains, and 6) service delivery – as a framework to design a diagonal approach with a focus on health system strengthening and integration to implement and scale quality diabetes care. We discuss the successes and challenges of this approach, outline opportunities for future care programming and research, and highlight how this approach can lead to the improve ment in the quality of care for diabetes and other chronic diseases across SSA. |
URI: | http://ir.mu.ac.ke:8080/jspui/handle/123456789/6153 |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
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LAKTABAI J.pdf | 2.95 MB | Adobe PDF | View/Open |
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