Skip to main content

Integrating and decentralising diabetes and hypertension services in Africa

Objective

We will integrate and scale up services for diabetes and hypertension in clinics in Tanzania and Uganda, either as standalone or integrated with HIV-infection. This builds on pilot studies that the partners are conducting, funded by UK NIHR, on the prevention and management of HIV, diabetes and hypertension in Africa. The aim of INTE-AFRICA is to assess the effectiveness and feasibility of large-scale scale up. Research evidence needed by African health services to scale-up and sustain the screening and management of diabetes and hypertension in different settings will be generated. The objectives include: to re-organise primary health care services so that diabetes and hypertension can be diagnosed and treated in dedicated chronic care clinics in two large regions, one in Tanzania and in Uganda; to decentralise care from health facilities to the community in order to reduce patient load at clinics and reduce reliance on (scarce) clinical staff; to evaluate these approaches in terms of acceptability (by patients and the community), numbers of patients treated and retained in care, patient clinical outcomes (blood pressure control, blood glucose control), costs of delivering integrated care for the health service and cost-effectiveness (compared to current standard care); to use the data generated to contribute evidence to the development of clinical guidelines; to develop the sustainable partnerships needed between researchers, government policy makers, public-private partnerships on an ethos of openness and equality so as to facilitate the expansion of the scale-up nationally. The majority of individuals with either hypertension or diabetes are identified after they develop complications, which leads to their poor outcomes, and to catastrophic costs to both the health service and the patient. Scaling up services for would prevent clinical complications in patients and could result in immense cost savings for patients and the health service.

Field of science

  • /social sciences/economics and business/economics/sustainable economy
  • /medical and health sciences/clinical medicine/endocrinology/diabetes
  • /medical and health sciences/health sciences/health care services
  • /social sciences/sociology/governance/public services

Call for proposal

H2020-SC1-2018-Single-Stage-RTD
See other projects for this call

Funding Scheme

RIA - Research and Innovation action

Coordinator

LIVERPOOL SCHOOL OF TROPICAL MEDICINE
Address
Pembroke Place
L35QA Liverpool
United Kingdom
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 1 923 526,25

Participants (8)

UNIVERSITY COLLEGE DUBLIN, NATIONAL UNIVERSITY OF IRELAND, DUBLIN
Ireland
EU contribution
€ 120 482,50
Address
Belfield
4 Dublin
Activity type
Higher or Secondary Education Establishments
NATIONAL INSTITUTE FOR MEDICAL RESEARCH
Tanzania
EU contribution
€ 898 752,50
Address
Sokoine Luthuli Drive Ocean Road
255 Dar Es Salaam
Activity type
Research Organisations
FUNDACION PRIVADA INSTITUTO DE SALUD GLOBAL BARCELONA
Spain
EU contribution
€ 226 095
Address
C Rossello 132 Planta 05
08036 Barcelona
Activity type
Research Organisations
UNIVERSITY OF EAST ANGLIA
United Kingdom
EU contribution
€ 90 077,50
Address
Earlham Road
NR4 7TJ Norwich
Activity type
Higher or Secondary Education Establishments
LIVERPOOL JOHN MOORES UNIVERSITY
United Kingdom
EU contribution
€ 98 532,50
Address
Rodney Street 2 Egerton Court
L3 5UX Liverpool
Activity type
Higher or Secondary Education Establishments
UNIVERSITETET I BERGEN
Norway
EU contribution
€ 36 250
Address
Museplassen 1
5020 Bergen
Activity type
Higher or Secondary Education Establishments
TASO LIMITED
Uganda
EU contribution
€ 481 530
Address
Mulago Hospital Complex Taso Headquaters
256 Kampala
Activity type
Other
LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE ROYAL CHARTER
United Kingdom
EU contribution
€ 321 440
Address
Keppel Street
WC1E 7HT London
Activity type
Higher or Secondary Education Establishments