Title:
ADVANCING NON-COMMUNICABLE DISEASE CARE IN TANZANIA: A REVIEW ON COMMUNITY AND PRIMARY HEALTH CARE-BASED APPROACHES AND LESSONS LEARNED
Authors:
Nelea Deus Swai
Place:
Tanzania
Publisher:
KIT (Royal Tropical Institute) Vrije Universiteit Amsterdam (VU)
Year:
2023
Language:
EN
Subject:
Health and Poverty
Keywords:
Non-Communicable Diseases, primary health care, communitybased care, Tanzania
Abstract:
Background: Non-Communicable Diseases are chronic health conditions that tend to have a long duration and impact a person’s quality of life such as disabilities, chronic pain, and premature deaths. In Tanzania, the four major NCDs are in the top ten leading causes of death, namely cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases. Objective: The study aims to develop a comprehensive understanding of the reasons behind the preference of regional or tertiary hospitals over primary health facilities among individuals with NCDs. Also, it intends to provide recommendations to improve NCD policy and implementation to the Ministry of Health (MOH) and to the Tanzania Non-Communicable Disease Alliance (TANCDA) to improve health outcomes and reduce the burden of NCDs through primary healthcare and community-based approaches in Tanzania. Method: A literature review was done, and the analysis was guided by the conceptual model for delivering integrated primary care for chronic diseases by Harrison SR and Jordan AM. This conceptual model was adapted for the Sub-Saharan Africa context. Results: Findings reveal that there is a critical shortage of human resources for health, poor patient access to care, quality of care, coordination and continuum of care, low level of evidence-based practices, low level of community awareness and partnerships, as well as lacking social accountability and distrust towards health providers and the PHC facilities. Conclusion and recommendations: The MoH should ensure the implementation of integrating NCD care at the Primary Health Care (PHC), and TANCDA should advocate for community partnerships, social engagement by PHC facilities.
Organization:
KIT (Royal Tropical Institute)
Country:
Amsterdam, The Netherlands
Category:
Master of Science in International Health (MIH)
Right:
@2023,Nelea Deus Swai
Document type:
Thesis/dissertation
File:
fYZaSRdGeK_20241104141025839.pdf