Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes
This report describes the findings of a study on the continua of care for tuberculosis, hypertension and diabetes in South Africa forming part of an evaluation of the National Adherence Guidelines for Chronic Diseases. Conducted by the National Dep...
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| Format: | Report |
| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/826471553890709500/Evaluation-of-the-Adherence-Guidelines-for-Chronic-Diseases-in-South-Africa-Using-Routinely-Collected-Data-Continuum-of-Care-for-Tuberculosis-Hypertension-and-Diabetes http://hdl.handle.net/10986/31480 |
| Summary: | This report describes the findings of a
study on the continua of care for tuberculosis, hypertension
and diabetes in South Africa forming part of an evaluation
of the National Adherence Guidelines for Chronic Diseases.
Conducted by the National Department of Health in
collaboration with the National Health Laboratory Service,
the World Bank, and Boston University/Health Economics and
Epidemiology Research Office, the study used routine data
from 24 health facilities in Gauteng, KwaZulu-Natal,
Limpopo, North West provinces. Observational cohorts of
patients were created using clinic records and applying
eligibility criteria. In the screening cohort of 3600
patients, 46 percent of eligible patients had a TB screen
(83 percent of HIV patients) with 8 percent having positive
screens. For hypertension, 72 of eligible patients were
screened and 19 percent positive. For diabetes, 56 percent
of eligible patients had evidence of screening in the past
three years and 4 percent were positive. In the diagnosed
cohort of 1,096 patients, treatment initiation was 98
percent for TB, 92 percent for hypertension and 82 percent
for diabetes. Treatment success was 71 percent for TB, 22
percent for hypertension 18 percent for diabetes. The
results demonstrated that considerable efforts are made to
find cases and retain them in care, but that there is room
for further improvement to maximize patient outcomes in
chronic care. |
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