Doctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Department of Medicine, Tosamaganga District Designated Hospital, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Int J Environ Res Public Health. 2021 Nov 4;18(21):11619. doi: 10.3390/ijerph182111619.
Morbidity and mortality due to noncommunicable diseases (NCDs) are growing exponentially across Tanzania. The limited availability of dedicated services and the disparity between rural and urban areas represent key factors for the increased burden of NCDs in the country. From March 2019, an integrated management system was started in the Iringa District Council. The system implements an integrated management of hypertension and diabetes between the hospital and the peripheral health centers and introduces the use of paper-based treatment cards. The aim of the study was to present the results of the first 6 months' roll-out of the system, which included 542 patients. Data showed that 46.1% of patients returned for the reassessment visit (±1 month), more than 98.4% of patients had blood pressure measured and were checked for complication, more than 88.6% of patients had blood sugar tested during follow-up visit, and blood pressure was at target in 42.8% of patients with hypertension and blood sugar in 37.3% of diabetic patients. Most patients who were lost to follow-up or did not reach the targets were those without medical insurance or living in remote peripheries. Our findings suggest that integrated management systems connecting primary health facilities and referral hospitals may be useful in care and follow-up of patients with hypertension and diabetes.
坦桑尼亚的非传染性疾病（NCD）发病率和死亡率呈指数级增长。专门服务的有限可用性以及城乡之间的差距是该国 NCD 负担增加的关键因素。自 2019 年 3 月以来，伊林加区委员会开始实施综合管理系统。该系统在医院和基层卫生中心之间实施高血压和糖尿病的综合管理，并引入了纸质治疗卡的使用。本研究旨在介绍该系统推出的头 6 个月的结果，其中包括 542 名患者。数据显示，46.1%的患者按时返回复诊（±1 个月），超过 98.4%的患者接受了血压测量和并发症检查，超过 88.6%的患者在随访期间接受了血糖检测，高血压患者中有 42.8%的血压达标，糖尿病患者中有 37.3%的血糖达标。大多数失去随访或未达到目标的患者是没有医疗保险或居住在偏远地区的患者。我们的研究结果表明，将初级卫生机构和转诊医院联系起来的综合管理系统可能有助于高血压和糖尿病患者的护理和随访。
