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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Caseload, management and treatment outcomes of patients with hypertension and/or diabetes mellitus in a primary health care programme in an informal setting
Tropical Medicine and International Health, Volume 19, No. 1, Year 2014
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Description
Objective: In three primary health care clinics run by Médecins Sans Frontières in the informal settlement of Kibera, Nairobi, Kenya, we describe the caseload, management and treatment outcomes of patients with hypertension (HT) and/or diabetes mellitus (DM) receiving care from January 2010 to June 2012. Method: Descriptive study using prospectively collected routine programme data. Results: Overall, 1465 patients were registered in three clinics during the study period, of whom 87% were hypertensive only and 13% had DM with or without HT. Patients were predominantly female (71%) and the median age was 48 years. On admission, 24% of the patients were obese, with a body mass index (BMI) > 30 kg/m2. Overall, 55% of non-diabetic hypertensive patients reached their blood pressure (BP) target at 24 months. Only 28% of diabetic patients reached their BP target at 24 months. For non-diabetic patients, there was a significant decrease in BP between first consultation and 3 months of treatment, maintained over the 18-month period. Only 20% of diabetic patients with or without hypertension achieved glycaemic control. By the end of the study period, 1003 (68%) patients were alive and in care, one (<1%) had died, eight (0.5%) had transferred out and 453 (31%) were lost to follow-up. Conclusion: Good management of HT and DM can be achieved in a primary care setting within an informal settlement. This model of intervention appears feasible to address the growing burden of non-communicable diseases in developing countries. © 2013 John Wiley & Sons Ltd.
Authors & Co-Authors
Sobry, Agnès
Switzerland, Geneva
Medecins Sans Frontieres
Kizito, Walter
Switzerland, Geneva
Medecins Sans Frontieres
Van den Bergh, Rafael
Belgium, Brussels
Medecins Sans Frontieres, Brussels
Tayler-Smith, Katie
Belgium, Brussels
Medecins Sans Frontieres, Brussels
Isaakidis, Petros
Belgium, Brussels
Medecins Sans Frontieres, Brussels
Cheti, Erastus O.
Switzerland, Geneva
Medecins Sans Frontieres
Kosgei, Rose Chepchumba
Kenya, Nairobi
University of Nairobi
Vandenbulcke, Alexandra
Switzerland, Geneva
Medecins Sans Frontieres
Ndegwa, Zachary Muriuki
Kenya, Nairobi
Ministry of Health Nairobi
Reid, Tony
Belgium, Brussels
Medecins Sans Frontieres, Brussels
Statistics
Citations: 34
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1111/tmi.12210
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Locations
Kenya
Participants Gender
Female