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Managing and monitoring chronic non-communicable diseases in a primary health care clinic, Lilongwe, Malawi | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Managing and monitoring chronic non-communicable diseases in a primary health care clinic, Lilongwe, Malawi

Manjono RC, Mwagomba B, Ade S, Ali E, Ben-Smith A, Khomani P, Bondwe P, Nkhoma D, Douglas GP, Tayler-Smith K, Chikosi L, Harries AD, Gadabu OJ
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Abstract
SETTING
Patients with chronic non-communicable diseases attending a primary health care centre, Lilongwe, Malawi.

OBJECTIVE
Using an electronic medical record monitoring system, to describe the quarterly and cumulative disease burden, management and outcomes of patients registered between March 2014 and June 2015.

DESIGN
A cross-sectional study.

RESULTS
Of 1135 patients, with new registrations increasing each quarter, 66% were female, 21% were aged 65 years, 20% were obese, 53% had hypertension alone, 18% had diabetes alone, 12% had asthma, 10% had epilepsy and 7% had both hypertension and diabetes. In every quarter, about 30% of patients did not attend the clinic and 19% were registered as lost to follow-up (not seen for 1 year) in the last quarter. Of those attending, over 90% were prescribed medication, and 80–90% with hypertension and/or diabetes had blood pressure/blood glucose measured. Over 85% of those with epilepsy had no seizures and 60–75% with asthma had no severe attacks. Control of blood pressure (41–51%) and diabetes (15–38%) was poor.

CONCLUSION
It is feasible to manage patients with non-communicable diseases in a primary health care setting in Malawi, although more attention is needed to improve clinic attendance and the control of hypertension and diabetes.

Countries

Malawi

Subject Area

non-communicable disease

Languages

English
DOI
10.5588/pha.16.0003
Published Date
21 Jun 2016
PubMed ID
27358797
Journal
Public Health Action
Volume | Issue | Pages
Volume 6, Issue 2, Pages 60-65
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