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Table 4 Description of primary research studies

From: A systematic review of primary care models for non-communicable disease interventions in Sub-Saharan Africa

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 18 months, 9.7 at 4 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 12 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
  1. aIf a paper had >50% of the CASP and MMAT checklist then the study was deemed of adequate quality assessment