Task Shifting the Management of Non-Communicable Diseases to Nurses in Kibera, Kenya: Does It Work?

ABSTRACT:

Background

In sub-Saharan Africa there is an increasing need to leverage available health care workers to provide care for non-communicable diseases (NCDs). This study was conducted to evaluate adherence to Médecins Sans Frontières clinical protocols when the care of five stable NCDs (hypertension, diabetes mellitus type 2, epilepsy, asthma, and sickle cell) was shifted from clinical officers to nurses.

Methods

Descriptive, retrospective review of routinely collected clinic data from two integrated primary health care facilities within an urban informal settlement, Kibera, Nairobi, Kenya (May to August 2014).

Results

There were 3,554 consultations (2025 patients); 733 (21%) were by nurses out of which 725 met the inclusion criteria among 616 patients. Hypertension (64

SUBMITTER: Some D 

PROVIDER: S-EPMC4727908 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature