A5088519776- Global Public Health Policies and Epidemiology
- Healthcare Systems and Reforms
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Global Maternal and Child Health
- Global Health and Epidemiology
- Diabetes Management and Research
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Infective Endocarditis Diagnosis and Management
- Blood Pressure and Hypertension Studies
- Global Cancer Incidence and Screening
- Health Systems, Economic Evaluations, Quality of Life
- Advances in Oncology and Radiotherapy
- Streptococcal Infections and Treatments
- Child Nutrition and Water Access
- Cancer Genomics and Diagnostics
- COVID-19 epidemiological studies
- Antimicrobial Resistance in Staphylococcus
- Mental Health and Patient Involvement
- Inhalation and Respiratory Drug Delivery
- Global Health and Surgery
- COVID-19 and Mental Health
- Ultrasound in Clinical Applications
- Heart Failure Treatment and Management
- Nutritional Studies and Diet
Partners In Health
2017-2024
Rwanda Biomedical Center
2020-2023
Brigham and Women's Hospital
2018-2023
Center for Non-Communicable Diseases
2020
Natural Synergies (United Kingdom)
2020
Cancer services are inaccessible in many low-income countries, and few published examples describe oncology programs within the public sector. In 2011, Rwanda Ministry of Health (RMOH) established Butaro Center Excellence (BCCOE) to expand cancer nationally. hopes informing care delivery similar settings, we program-level experience implementing BCCOE, patient characteristics, challenges encountered.Butaro was founded on diverse partnerships that emphasize capacity building. Services...
Background In sub-Saharan Africa, continued clinical follow-up, after cardiac surgery, is only available at urban referral centres. We implemented a decentralised, integrated care model to provide longitudinal for patients with advanced rheumatic heart disease (RHD) district hospitals in rural Rwanda before and surgery. Methods collected data from charts non-communicable (NCD) clinics three describe the outcomes of 54 RHD who received valve surgery during 2007–2015. Results The majority were...
Integrated clinical strategies to address non-communicable disease (NCDs) in sub-Saharan Africa have largely been directed prevention and treatment of common conditions at primary health centres. This study examines the cost organising integrated nurse-driven, physician-supervised chronic care for more severe NCDs an outpatient specialty clinic associated with a district hospital rural Rwanda. Conditions addressed included type 1 2 diabetes, respiratory disease, heart failure rheumatic...
Abstract Objectives Effective coverage of non‐communicable disease (NCD) care in sub‐Saharan Africa remains low, with the majority services still largely restricted to central referral centres. Between 2015 and 2017, Rwandan Ministry Health implemented a strategy decentralise outpatient for severe chronic NCDs, including type 1 diabetes, heart failure hypertension, rural first‐level hospitals. This study describes facility‐level implementation outcomes this strategy. Methods In 2014, trained...
Introduction . The prevalence of diabetes mellitus is rapidly rising in SSA. Interventions are needed to support the decentralization services improve and expand access care. We describe a clinical mentorship quality improvement program that connected nurse mentors with mentees type 2 care rural Rwanda. Methods This descriptive study. Routinely collected data from patients cared for at health center NCD clinics between January 1, 2013 December 31, 2015, were extracted EMR system. Data as...
Introduction The Package of Essential Noncommunicable Disease Interventions—Plus (PEN-Plus) is a strategy decentralising care for severe non-communicable diseases (NCDs) including type 1 diabetes, rheumatic heart disease and sickle cell disease, to increase access care. In the PEN-Plus model, mid-level clinicians in intermediary facilities low lower middle income countries are trained provide integrated conditions where services traditionally were only available at tertiary referral...
Abstract Background Hypertension remains the major risk factor for cardiovascular diseases (CVDs) worldwide with a prevalence and mortality in low- middle-income countries (LMICs) among highest. The early detection of hypertension factors is crucial pillar CVD prevention. Design method This cross-sectional study included 4284 subjects, mean age 46 ± 16SD, 56.4% females BMI 26.6 3.7 SD. Data were collected through screening campaign rural area Kirehe District, Eastern Rwanda, objective to...
Self-monitoring of blood glucose (SMBG) is a widely accepted standard practice for management insulin-dependentdiabetes, yet largely unavailable in rural sub-Saharan Africa (SSA). This prospective cohort study the first known report ofimplementation SMBG rural, low-income country setting.To evaluate adherence and change clinical outcomes with implementation at two hospitals Neno, Malawi.Forty-eight patients type 1 insulin-dependent 2 diabetes were trained to use glucometers logbooks....
<strong>Background:</strong> To reduce the non-communicable diseases (NCDs) burden, World Health Organization has set a target to reach 80% availability of affordable essential medicines required treat NCDs by 2025. <strong>Objectives:</strong> This study described availability, costs, and stock-outs NCD drugs in three rural Rwandan districts. <strong>Methods:</strong> We retrospectively assessed 54 listed for district hospitals or health centers Rwanda national list. Data were collected...
BackgroundLow-income countries face a dual burden of endemic chronic non-communicable diseases (NCDs) and limited resources to implement control strategies. Access services is even more challenging for patients in like Rwanda, where than 80% the population reside rural areas, there fewer one health care provider per 1000 people. Many studies NCD delivery models low-income are simple conditions or focus on single disease. Since 2007, Partners Health/Inshuti Mu Buzima (PIH/IMB) has been...
Three district hospitals (DHs) and seven health centers (HCs) in rural Rwanda.To describe follow-up treatment outcomes stage 1 2 hypertension patients receiving care at HCs closer to home comparison DHs further from home.A retrospective descriptive cohort study using routinely collected data involving adult aged ⩾18 years chronic non-communicable disease clinics for DH HC between January 2013 30 June 2014.Of 162 included the analysis, 36.4% were HCs. Patients travelled significantly receive...
Abstract Background The prevalence of type 2 diabetes in sub Saharan Africa (SSA) has been on the rise. Effective control blood glucose is key towards reducing risk complications. Findings mainly from high-income countries have demonstrated effectiveness self-monitoring blood-glucose (SMBG) controlling levels. However, there are limited studies describing implementation SMBG rural SSA. This study explores feasibility and implementing among patients diagnosed with insulin-dependent Rwanda....
Introduction Most patients diagnosed with diabetes in sub-Saharan Africa (SSA) present poorly controlled blood glucose, which is associated increased risks of complications and greater financial burden on both the health systems. Insulin-dependent SSA lack appropriate home-based monitoring technology to inform themselves clinicians daily fluctuations glucose. Without sufficient data, insulin adjustments are not data driven adopting individual behavioural change for glucose control does have...
In 2007, the Rwandan Ministry of Health, with support from Partners introduced a district-level non-communicable disease programme that included asthma care.To describe demographics, management and 24-month outcomes patients treated at three rural district hospitals in Rwanda.We retrospectively reviewed electronic medical records enrolled January 2007 to December 2012, extracted information on clinical variables outcomes.Of 354 patients, 66.7% were female 41.5% aged between 41 60 years. Most...
•RHD is a common cause of heart failure in sub-Saharan Africa.•Task shifting by training rural providers POCUS improves cardiac imaging access.•POCUS low-resource settings can determine presence structural disease.•There are specific device considerations for use settings.•POCUS lead to early management.
In rural sub-Saharan Africa, access to care for severe non-communicable diseases (NCDs) is limited due myriad delivery challenges. We describe the implementation, patient characteristics, and retention rate of an integrated NCD clinic inclusive cancer services at a district hospital in Rwanda.In 2006, Rwandan Ministry Health Rwinkwavu District Hospital (RDH) Partners established focused on nurse-led NCDs, within single platform. Implementation modifications were made 2011 include services....
Background The coronavirus disease 2019 (COVID-19) misinformation and inadequate access to hygiene sanitation amenities could hamper efforts contain COVID-19 spread in resource-limited settings. In this study, we describe knowledge of symptoms preventive measures, sources information, adequate handwashing among patients with chronic diseases three Rwandan rural districts during the onset Rwanda. Methods This was a cross-sectional survey conducted who were enrolled HIV/AIDS, non-communicable...
Achieving glycaemic targets for people living with diabetes (PLWD) is challenging, especially in settings limited resources. Programmes need to address gaps knowledge, skills and self-management. Diabetes Self-Management Education (DSME) an evidence-based intervention educate empower PLWD improve self-management activities. This protocol describes a pilot study assessing the feasibility, acceptability effect on clinical outcomes of implementing DSME clinics caring insulin-dependent...
Welcome to Annals of Global Health,Annals Health is a peer-reviewed, fully open access, online journal dedicated publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 3.64.Annals supported by Program for Public Common Good at Boston College. It was founded in 1934...