Evidence map›Paper›PMID 38840715›Full record

ArticlePublic health in practice (Oxford, England)2024

Implementing HbA1c monitoring in sub-Saharan Africa: Lessons learnt from a pilot project in Mozambique.

Fausto Ciccacci, Flavio Ismael, Fernanda Parruque, Dércio Júlio Maquete, Sandra Loureiro, Moises Balamala, Leilo Morviducci, Andrea Manto, Fabiana Lanti, Stefano Orlando and 1 more

Abstract read
In one paragraph

Article in Public health in practice (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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

11 authors.

Fausto CiccacciUniCamillus, Saint Camillus International University of Health Sciences, Rome, Italy.
Flavio IsmaelDREAM Program, Community of Sant'Egidio, Maputo, Mozambique.
Fernanda ParruqueDREAM Program, Community of Sant'Egidio, Maputo, Mozambique.
Dércio Júlio MaqueteCentro de Saude Matola C, Matola, Mozambique.
Sandra LoureiroMozambican Diabetes Association (AMODIA), Maputo, Mozambique.
Moises BalamalaDREAM Program, Community of Sant'Egidio, Maputo, Mozambique.
Leilo MorviducciAzienda Sanitaria Locale Roma 1, Santo Spirito Hospital-Diabetology and Dietology Unit, Rome, Italy.
Andrea MantoAzienda Sanitaria Locale Roma 1, Rome, Italy.
Fabiana LantiAzienda Sanitaria Locale Roma 1, Rome, Italy.
Stefano OrlandoUniversity of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy.
Giovanni GuidottiAzienda Sanitaria Locale Roma 1, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: We aimed to evaluate lesson learnt from a pilot project in Mozambique focused on point-of-care (POC) HbA1c testing for diabetes management in primary health care facilities. Methods: Over a three-year period, several health centers were equipped with POC HbA1c testing machines. The evaluation involved 12 months of data collection, interviews with patients and staff, and regular supervision visits. Results: The project screened over 22,000 individuals and provided HbA1c testing to 2362 diabetes patients. Among the analyzed results, 65.7 % had HbA1c levels below 7 %, 10.9 % between 7 % and 8.5 %, and 23.4 % above 8.5 %. POC testing showed advantages such as reduced costs and improved workload management. Conclusions: Limited access to HbA1c testing remains a challenge in African countries. The pilot project demonstrated the feasibility of POC HbA1c testing and highlighted the need for increased efforts to make it more widely available, leading to improved diabetes management and patient outcomes.

Identifiers

PMID38840715
PMCPMC11152726

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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.