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Glob Health Action. 2015 Jan 5;8:26537. doi: 10.3402/gha.v8.26537. eCollection 2015.

Towards reframing health service delivery in Uganda: the Uganda Initiative for Integrated Management of Non-Communicable Diseases.

Author information

1
Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Section of General Internal Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA; Jeremy.schwartz@yale.edu.
2
Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Global Health Corps, New York, NY, USA.
3
Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Department of Community Health, Government of Uganda Ministry of Health, Kampala, Uganda.
4
Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Mulago National Referral Hospital, Kampala, Uganda.
5
Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Section of General Internal Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
6
Yale Global Health Leadership Institute, New Haven, CT, USA.
7
Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.

Abstract

BACKGROUND:

The burden of non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) is accelerating. Given that the capacity of health systems in LMICs is already strained by the weight of communicable diseases, these countries find themselves facing a double burden of disease. NCDs contribute significantly to morbidity and mortality, thereby playing a major role in the cycle of poverty, and impeding development.

METHODS:

Integrated approaches to health service delivery and healthcare worker (HCW) training will be necessary in order to successfully combat the great challenge posed by NCDs.

RESULTS:

In 2013, we formed the Uganda Initiative for Integrated Management of NCDs (UINCD), a multidisciplinary research collaboration that aims to present a systems approach to integrated management of chronic disease prevention, care, and the training of HCWs.

DISCUSSION:

Through broad-based stakeholder engagement, catalytic partnerships, and a collective vision, UINCD is working to reframe integrated health service delivery in Uganda.

KEYWORDS:

Health system strengthening; Integration; Multi-sectoral collaboration; Non-communicable diseases

PMID:
25563451
PMCID:
PMC4292588
[Indexed for MEDLINE]
Free PMC Article
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