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Zenebe Melaku , ICAP Ethiopia Ahmed Reja , Ethiopian Diabetes Association

Strengthening Health Systems for Chronic Care and NCDs: Leveraging HIV Programs to Support Diabetes Services in Ethiopia. Zenebe Melaku , ICAP Ethiopia Ahmed Reja , Ethiopian Diabetes Association Miriam Rabkin, ICAP Columbia University. Making the HIV-NCD connection.

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Zenebe Melaku , ICAP Ethiopia Ahmed Reja , Ethiopian Diabetes Association

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  1. Strengthening Health Systems for Chronic Care and NCDs:Leveraging HIV Programs to Support Diabetes Services in Ethiopia ZenebeMelaku, ICAP Ethiopia Ahmed Reja, Ethiopian Diabetes Association Miriam Rabkin, ICAP Columbia University

  2. Making the HIV-NCD connection • In many resource-limited countries, HIV scale-up has created the first national chronic disease program. • In these same countries, the burden of other chronic diseases, including NCDs such as diabetes, is high and growing rapidly. • We conducted a rapid proof-of-concept study to explore the feasibility of adapting HIV-specific resources for use in a DM program at Adama Hospital in Ethiopia. • Following a baseline assessment, we adapted key strategies, systems, and tools originally developed for the Adama HIV clinic, and introduced them into the OPD for use with adult DM patients. A follow-up assessment was conducted after six months.

  3. Intervention Package: • No new or experimental services were introduced • No new clinic was created – DM patients were seen within OPD as before • No additional support was provided for medications, laboratory testing or transportation, and no new staff were engaged for implementation • No changes were made to service delivery or staffing at the HIV clinic

  4. Six-month outcomes included: • Marked increase in documented service delivery with no added staff; • Expansion of services to include peer education and point-of-service DM screening for patient family members; • Rapid improvement in standards of care.

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