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Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned
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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Palgrave Macmillan UK
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452567/ https://www.ncbi.nlm.nih.gov/pubmed/34497378 http://dx.doi.org/10.1057/s41271-021-00304-y |
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author | Kachimanga, Chiyembekezo Dibba, Yusupha Patiño, Marta Gassimu, Joseph S. Lavallie, Daniel Sesay, Santigie Lado, Marta Kulinkina, Alexandra V. |
author_facet | Kachimanga, Chiyembekezo Dibba, Yusupha Patiño, Marta Gassimu, Joseph S. Lavallie, Daniel Sesay, Santigie Lado, Marta Kulinkina, Alexandra V. |
author_sort | Kachimanga, Chiyembekezo |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8452567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Palgrave Macmillan UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-84525672021-10-05 Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned Kachimanga, Chiyembekezo Dibba, Yusupha Patiño, Marta Gassimu, Joseph S. Lavallie, Daniel Sesay, Santigie Lado, Marta Kulinkina, Alexandra V. J Public Health Policy Original Article 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. Palgrave Macmillan UK 2021-09-08 2021 /pmc/articles/PMC8452567/ /pubmed/34497378 http://dx.doi.org/10.1057/s41271-021-00304-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Kachimanga, Chiyembekezo Dibba, Yusupha Patiño, Marta Gassimu, Joseph S. Lavallie, Daniel Sesay, Santigie Lado, Marta Kulinkina, Alexandra V. Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned |
title | Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned |
title_full | Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned |
title_fullStr | Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned |
title_full_unstemmed | Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned |
title_short | Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned |
title_sort | implementation of a non-communicable disease clinic in rural sierra leone: early experiences and lessons learned |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452567/ https://www.ncbi.nlm.nih.gov/pubmed/34497378 http://dx.doi.org/10.1057/s41271-021-00304-y |
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