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OPTIMIZING CARE PATHWAYS AND QUALITY OF CARE FOR MODERATE-TO-SEVERE HYPERTENSION, DIABETES AND COMMON MENTAL HEALTH MULTIMORBIDITY IN MOZAMBIQUE

Descrizione del progetto

Collegare l’assistenza primaria e quella distrettuale per migliorare il trattamento di numerose malattie croniche

Le malattie non trasmissibili quali l’ipertensione, il diabete e le malattie mentali sono in aumento nei paesi a reddito medio-basso, e rappresentano un pesante onere per i sistemi sanitari, i pazienti e le loro famiglie. Le persone affette da varie patologie croniche ricevono cure frammentarie e scarsamente coordinate, il che evidenzia l’urgente necessità di soluzioni integrate. In quest’ottica, il progetto PEN-CONNECT, finanziato dall’UE, combina due efficaci strategie dell’OMS (WHO PEN per l’assistenza primaria e PEN-Plus per l’assistenza a livello distrettuale) in un unico quadro integrato al fine di migliorare l’assistenza incentrata sulla persona per i pazienti affetti da varie patologie croniche. Colmando fondamentali lacune di conoscenza, si prevede che PEN-CONNECT genererà solide prove cliniche, attuative ed economiche per orientare le politiche e le pratiche globali, offrendo un modello scalabile e adattabile per migliorare l’assistenza e i risultati sanitari.

Obiettivo

Non-communicable diseases (NCDs) like hypertension, diabetes, and mental health conditions are a growing crisis in low- and
middle-income countries (LMICs) such as Mozambique, straining healthcare systems and undermining national productivity.
Individuals with multiple long-term conditions (MLTCs) face fragmented, poorly coordinated care, highlighting the urgent need for
integrated solutions. PEN-CONNECT pioneers the integration of two WHO evidence-based strategies—WHO PEN (primary care) and PEN-Plus (district-level care)—into a unified framework to address these gaps. Already implemented in many countries WHO-PEN and PEN-Plus serve as a foundation for bridging primary and district healthcare levels to deliver timely, coordinated, patient-centred care for
patients with MLTCs. The project develops integrated care pathways, leveraging digital health tools, and supported by implementation strategies co-created with stakeholders. PEN-CONNECT builds on the premise that strengthening the integration of PEN and PEN-Plus will be more effective than when addressed in isolation. By addressing critical knowledge gaps and contributing new theoretical frameworks, PEN-CONNECT advances the state-of-the-art for integrated MLTC care. PEN-CONNECT generates robust clinical, implementation, and economic evidence to inform global policy and practice, offering a scalable, adaptable model for LMICs to improve care and health outcomes. Its Roadmap including Implementation Toolkit offers actionable guidance, training materials, and decision-support tools for healthcare providers and policymakers, ensuring sustainability and scalability. The project aligns with SDG 3 and EU's commitment to global health equity. By strengthening healthcare delivery and reducing costs, PEN-CONNECT improves patient outcomes and quality of life for individuals with MLTCs while transforming NCD care in Mozambique and beyond. This collaborative initiative creates a benchmark for addressing NCD challenges in LMICs.

Campo scientifico (EuroSciVoc)

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Meccanismo di finanziamento

HORIZON-RIA - HORIZON Research and Innovation Actions

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Coordinatore

UNIVERSITAIR MEDISCH CENTRUM UTRECHT
Contributo netto dell'UE
€ 1 163 185,00
Costo totale
€ 1 163 185,00

Partecipanti (3)