Table 4 Description of primary research studies
Article | NCD Focus | Study Design | Location | Intervention | Outcome | Qualitya |
|---|---|---|---|---|---|---|
Pastakia 2013 | DM & HTN | Feasibility study | Rural Kenya | Community vs. home based screening | Low follow up at health center, HTN 31%, DM 22–23% follow within 3 months | Adequate |
Rabkin. 2012 | DM | Pre/post intervention | Urban Ethiopia | Protocol of DM care implemented for HIV patients | Increase BP measurements, fundoscopy exams, booked next appointment after intervention | Adequate |
Chamie 2011 | DM & HTN | Feasibility study | Rural Uganda | POC testing for NCD screening alongside HIV testing campaign | Moderate follow up at health center, HTN 43% and DM 61% a health center | Adequate |
Price 2011 | DM | Observational cohort study | Rural South Africa | Empowerment based education about DM, clinical algorithm | Hba1c at baseline 10.8, decreased to 7.5 at 18Â months, 9.7 at 4Â years | Adequate |
Bloomfield 2013 | CVD & Pulmonary | Program description | Rural Kenya | Twining relationship for academic model for NCD clinical care | No evaluation phase yet, description of model for academic partnership | Adequate |
Mendis 2010 | HTN | Cluster Randomized trial | Urban/rural Nigeria | WHO CVD risk management package vs. standard care for HTN | SBP and DBP were lower in Nigerian group (p = 0.0002), 2% of patients referred to next level of care, decreased BMI, smoking, increased fruits and vegetables | Adequate |
Labhart 2010 | HTN & DM | Observational cohort study | Rural Cameroon | Implementation of package of care for HTN/DM for NPC (75 clinics) | Retention of patients at 1 year 18.1%, SBP decreased 22.8 mmHg/DBP decreased 12.4 mmHg/FPG decreased by 3.4 mmol/L (p < 0.001) | Adequate |
Kengne 2009 | HTN, DM & asthma | Feasibility study | Urban/rural Cameroon | Implementation of package of care for HTN/DM/asthma at PHC (5 clinics) | Decrease of SBP 11.7 and DBP 7.8 (p < 0.001), decrease 1.6 mmol/L (p < 0.001), decreased days with asthma attacks in follow up at 2 years | Adequate |
Katz 2009 | DM & HTN | Observational cohort study | Urban/rural South Africa | Chronic care model clinic for DM and HTN implemented | Half lost to follow up (49%), 55% of DM patient referred to specialist clinic (76% of these didn’t need referral), 31% of DM controlled with hba1c <7% | Adequate |
Bovet 2008 | HTN | Prospective population based survey | Urban Tanzania | Health care services after positive screening test for HTN | 34% sought health-care provider in 12-mth period, anti-HTN taken by 34% at some point, 3% at end of 12Â month follow-up | Adequate |
Mamo 2007 | DM | Program description | Rural Ethiopia | Implementation of RN-led decentralized NCD clinics | 75% of DM patients attended FU appointments, only 11.4% of DM patients could be transferred to PHC clinics because lack of insulin supply at PHC | Adequate |
Coleman 1998 | HTN, DM & Asthma | Observational cohort study | Rural South Africa | Implementation of RN-led NCD package of care intervention | RN’s able to control 68% of HTN, 82% of DM (NIDDM), 84% of those with asthma | Adequate |