Evidence map›Paper›PMID 34770132›Full record

ArticleInternational journal of environmental research and public health2021

An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting.

Maria Agata Miselli, Francesco Cavallin, Samwel Marwa, Bruno Ndunguru, Rehema John Itambu, Katunzi Mutalemwa, Monica Rizzi, Giulia Ciccarelli, Simone Conte, Stefano Taddei and 3 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Maria Agata MiselliDoctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Francesco CavallinIndependent Statistician, 36020 Solagna, Italy.ORCID 0000-0002-0831-3971
Samwel MarwaDistrict Medical Office, Iringa District Council, Iringa P.O. Box 162, Tanzania.
Bruno NdunguruDistrict Medical Office, Iringa District Council, Iringa P.O. Box 162, Tanzania.
Rehema John ItambuDoctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Katunzi MutalemwaDoctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Monica RizziDoctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Giulia CiccarelliDoctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Simone ConteDoctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Stefano TaddeiDepartment of Internal Medicine, University of Pisa, 56122 Pisa, Italy.
Gaetano AzzimontiDoctors with Africa CUAMM, Tosamaganga, Iringa P.O. Box 11, Tanzania.
Giovanni PutotoDoctors with Africa CUAMM, 35121 Padua, Italy.
Giovanni Fernando TorelliDoctors with Africa CUAMM, Dar es Salaam P.O. Box 23447, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Morbidity and mortality due to noncommunicable diseases (NCDs) are growing exponentially across Tanzania. The limited availability of dedicated services and the disparity between rural and urban areas represent key factors for the increased burden of NCDs in the country. From March 2019, an integrated management system was started in the Iringa District Council. The system implements an integrated management of hypertension and diabetes between the hospital and the peripheral health centers and introduces the use of paper-based treatment cards. The aim of the study was to present the results of the first 6 months' roll-out of the system, which included 542 patients. Data showed that 46.1% of patients returned for the reassessment visit (±1 month), more than 98.4% of patients had blood pressure measured and were checked for complication, more than 88.6% of patients had blood sugar tested during follow-up visit, and blood pressure was at target in 42.8% of patients with hypertension and blood sugar in 37.3% of diabetic patients. Most patients who were lost to follow-up or did not reach the targets were those without medical insurance or living in remote peripheries. Our findings suggest that integrated management systems connecting primary health facilities and referral hospitals may be useful in care and follow-up of patients with hypertension and diabetes.

Indexed as

Diabetes MellitusHypertensionNoncommunicable DiseasesBlood PressureHumansTanzaniadiabeteshypertensionnoncommunicable diseasesSub-Saharan Africa

Identifiers

PMID34770132
PMCPMC8583607

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.