ArticleJournal of diabetes research2017
A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda.
Article in Journal of diabetes research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Evaluation of a diabetes decentralization program in rural Madagascar using the RE-AIM framework.PLOS global public health · 2026Article
- Assessing the capacity of primary healthcare facilities and healthcare workers in managing diabetes and hypertension in Kisumu county, Kenya.BMC health services research · 2025Article
- Assessment of Blood Pressure Control Status Among Hypertensive Patients Attending Rwandan District Hospital NCD Clinics: A Retrospective Follow-Up Study.Journal of epidemiology and global health · 2025Article
- Role and knowledge of nurses in the management of non-communicable diseases in Africa: A scoping review.PloS one · 2024Article
- A Conceptual Model to Strengthen Integrated Management of HIV and NCDs among NIMART-Trained Nurses in Limpopo Province, South Africa.Clinics and practice · 2023Article
- Training Mid-Level Providers to Treat Severe Non-Communicable Diseases in Neno, Malawi through PEN-Plus Strategies.Annals of global health · 2022Article
- Glycemic control among patients with type 2 diabetes in a low resource setting in Rwanda: a prospective cohort study.The Pan African medical journal · 2022Article
- Decentralising diabetes care from hospitals to primary health care centres in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2021Article
- Implementation outcomes of national decentralization of integrated outpatient services for severe non-communicable diseases to district hospitals in Rwanda.Tropical medicine & international health : TM & IH · 2021Article
- Ethiopian Pediatric Society Quality Improvement Initiative: a pragmatic approach to facility-based quality improvement in low-resource settings.BMJ open quality · 2021Article
- Availability, Costs and Stock-Outs of Essential NCD Drugs in Three Rural Rwandan Districts.Annals of global health · 2020Article
- Mentoring the working nurse: a scoping review.Human resources for health · 2020Article
- Article
- Setting up a nurse-led model of care for management of hypertension and diabetes mellitus in a high HIV prevalence context in rural Zimbabwe: a descriptive study.BMC health services research · 2020Article
- Article
- Outcomes of decentralizing hypertension care from district hospitals to health centers in Rwanda, 2013-2014.Public health action · 2019Article
- Cost of integrated chronic care for severe non-communicable diseases at district hospitals in rural Rwanda.BMJ global health · 2019Article
- Access to Hemoglobin A1c in Rural Africa: A Difficult Reality with Severe Consequences.Journal of diabetes research · 2018Review
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Authors and funding
18 authors.
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Abstract
introductionThe prevalence of diabetes mellitus is rapidly rising in SSA. Interventions are needed to support the decentralization of services to improve and expand access to care. We describe a clinical mentorship and quality improvement program that connected nurse mentors with nurse mentees to support the decentralization of type 2 diabetes care in rural Rwanda.
methodsThis is a descriptive study. Routinely collected data from patients with type 2 diabetes cared for at rural health center NCD clinics between January 1, 2013 and December 31, 2015, were extracted from EMR system. Data collected as part of the clinical mentorship program were extracted from an electronic database. Summary statistics are reported.
resultsThe patient population reflects the rural settings, with low rates of traditional NCD risk factors: 5.6% of patients were current smokers, 11.0% were current consumers of alcohol, and 11.9% were obese. Of 263 observed nurse mentee-patient encounters, mentor and mentee agreed on diagnosis 94.4% of the time. Similarly, agreement levels were high for medication, laboratory exam, and follow-up plans, at 86.3%, 87.1%, and 92.4%, respectively.
conclusionNurses that receive mentorship can adhere to a type 2 diabetes treatment protocol in rural Rwanda primary health care settings.
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