ArticlePublic health action2019
Non-communicable disease clinics in rural Ethiopia: why patients are lost to follow-up.
Article in Public health action, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Rachipagus Parasitic Twin With Epithelialized Myelomeningocele in a Rural Ethiopian Neonate: A Case Report.Clinical case reports · 2026Article
- Factors associated with lost to follow-up (LTFU) among patients with hypertension: A scoping review.PLOS global public health · 2026Article
- Modeling the determinants of attrition in a two-stage epilepsy prevalence survey in Nairobi using machine learning.Global epidemiology · 2025Article
- Impact of hypertension on mortality in adults in Moramanga, Madagascar: a retrospective cohort study in the community.BMC public health · 2025Article
- The financial burden of noncommunicable diseases from out-of-pocket expenditure in sub-Saharan Africa: a scoping review.Health promotion international · 2024Article
- Scaling up noncommunicable disease care in a resource-limited context: lessons learned and implications for policy.BMC health services research · 2024Article
- Patient preferences for facility-based management of hypertension and diabetes in rural Uganda: a discrete choice experiment.BMJ open · 2022Article
- Comparing absolute and relative distance and time travel measures of geographic access to healthcare facilities in rural Haiti.BMJ open · 2022Article
Corrections and comments
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Authors and funding
9 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProviding medical care for non-communicable diseases (NCDs) in rural sub-Saharan Africa has proved to be difficult because of poor treatment adherence and frequent loss to follow-up (LTFU). The reasons for this are poorly understood.
objectiveTo investigate LTFU among patients with two different but common NCDs who attended rural Ethiopian health centres.
methodThe study was based in five health centres in southern Ethiopia with established NCD clinics run by nurses and health officers. Patients with epilepsy or hypertension who were lost to follow-up and non-LTFU comparison patients were identified and traced; a questionnaire was administered enquiring about the reasons for LTFU.
resultsOf the 147 LTFU patients successfully located, 62 had died, moved away or were attending other medical facilities. The remaining 85 patients were compared with 211 non-LFTU patients. The major factors associated with LTFU were distance from the clinic, associated costs and a preference for traditional treatments, together with a misunderstanding of the nature of NCD management.
conclusionsThe delivery of affordable care closer to the patients' homes has the greatest potential to address the problem of LTFU. Also needed are increased levels of patient education and interaction with traditional healers to explain the nature of NCDs and the need for life-long management.
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