ArticleGlobal health action2013
Introducing a model of cardiovascular prevention in Nairobi's slums by integrating a public health and private-sector approach: the SCALE-UP study.
Article in Global health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Multisectoral interventions for urban health in Africa: a mixed-methods systematic review.Global health action · 2024Pooled it
- Pooled it
- Global prevalence and trends in hypertension and type 2 diabetes mellitus among slum residents: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Implementation of cardiovascular disease risk prediction scores in Sub-Saharan Africa: a scoping review.BMC health services research · 2026Article
- Models of care for noncommunicable diseases in primary care: key elements and design in low- and middle-income countries - a scoping review.Global health action · 2025Article
- Investigating the enablers and barriers for hypertension control in Dakar: a qualitative system effectiveness study.BMJ open · 2025Article
- Article
- The role of the private sector in noncommunicable disease prevention and management in low- and middle-income countries: a series of systematic reviews and thematic syntheses.International journal of qualitative studies on health and well-being · 2023Review
- County Health Leadership Practices and Readiness for Noncommunicable Disease Services in Kenya.Annals of global health · 2022Article
- Engagement of non-governmental organisations in moving towards universal health coverage: a scoping review.Globalization and health · 2021Article
- Visualizing complex healthcare disparities: proof of concept for representing a cyclical continuum of care model for a retrospective cohort of patients with musculoskeletal infections.BMC musculoskeletal disorders · 2021Article
- Public-private partnerships in primary health care: a scoping review.BMC health services research · 2021Article
- Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low- and middle-income countries:a scoping review.BMC public health · 2019Article
- Hypertension prevalence and risk factors among residents of four slum communities: population-representative findings from Port-au-Prince, Haiti.Journal of hypertension · 2019Article
- Public-private partnerships in practice: collaborating to improve health finance policy in Ghana and Kenya.Health policy and planning · 2018Article
- A Cyclical Approach to Continuum Modeling: A Conceptual Model of Diabetic Foot Care.Frontiers in public health · 2017Article
- Outcomes and costs of implementing a community-based intervention for hypertension in an urban slum in Kenya.Bulletin of the World Health Organization · 2016Article
- Impact evaluation of a community-based intervention for prevention of cardiovascular diseases in the slums of Nairobi: the SCALE-UP study.Global health action · 2016Article
- Enablers and barriers for implementing high-quality hypertension care in a rural primary care setting in Nigeria: perspectives of primary care staff and health insurance managers.Global health action · 2016Article
- Cardiovascular prevention model from Kenyan slums to migrants in the Netherlands.Globalization and health · 2015Article
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionCardiovascular disease (CVD) is a leading cause of death in sub-Saharan Africa (SSA), with annual deaths expected to increase to 2 million by 2030. Currently, most national health systems in SSA are not adequately prepared for this epidemic. This is especially so in slum settlements where access to formal healthcare and resources is limited.
objectiveTo develop and introduce a model of cardiovascular prevention in the slums of Nairobi by integrating public health and private sector approaches. STUDY
designTwo non-profit organizations that conduct public health research, Amsterdam Institute for Global Health and Development (AIGHD) and African Population and Health Research Center (APHRC), collaborated with private-sector Boston Consulting Group (BCG) to develop a service delivery package for CVD prevention in slum settings. A theoretic model was designed based on the integration of public and private sector approaches with the focus on costs and feasibility.
resultsThe final model includes components that aim to improve community awareness, a home-based screening service, patient and provider incentives to seek and deliver treatment specifically for hypertension, and adherence support. The expected outcomes projected by this model could prove potentially cost effective and affordable (1 USD/person/year). The model is currently being implemented in a Nairobi slum and is closely followed by key stakeholders in Kenya including the Ministry of Health, the World Health Organization (WHO), and leading non-governmental organizations (NGOs).
conclusionThrough the collaboration of public health and private sectors, a theoretically cost-effective model was developed for the prevention of CVD and is currently being implemented in the slums of Nairobi. If results are in line with the theoretical projections and first impressions on the ground, scale-up of the service delivery package could be planned in other poor urban areas in Kenya by relevant policymakers and NGOs.
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