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. 2015 Jan 5:8:26537.
doi: 10.3402/gha.v8.26537. eCollection 2015.

Towards reframing health service delivery in Uganda: the Uganda Initiative for Integrated Management of Non-Communicable Diseases

Jeremy I Schwartz  1 , Ashley Dunkle  2 , Ann R Akiteng  3 , Doreen Birabwa-Male  4 , Richard Kagimu  2 , Charles K Mondo  4 , Gerald Mutungi  3 , Tracy L Rabin  5 , Michael Skonieczny  6 , Jamila Sykes  6 , Harriet Mayanja-Kizza  7
Affiliations

Towards reframing health service delivery in Uganda: the Uganda Initiative for Integrated Management of Non-Communicable Diseases

Jeremy I Schwartz et al. Glob Health Action. .

Abstract

Background: The burden of non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) is accelerating. Given that the capacity of health systems in LMICs is already strained by the weight of communicable diseases, these countries find themselves facing a double burden of disease. NCDs contribute significantly to morbidity and mortality, thereby playing a major role in the cycle of poverty, and impeding development.

Methods: Integrated approaches to health service delivery and healthcare worker (HCW) training will be necessary in order to successfully combat the great challenge posed by NCDs.

Results: In 2013, we formed the Uganda Initiative for Integrated Management of NCDs (UINCD), a multidisciplinary research collaboration that aims to present a systems approach to integrated management of chronic disease prevention, care, and the training of HCWs.

Discussion: Through broad-based stakeholder engagement, catalytic partnerships, and a collective vision, UINCD is working to reframe integrated health service delivery in Uganda.

Keywords: Health system strengthening; Integration; Multi-sectoral collaboration; Non-communicable diseases.

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