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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Main Author:	World Bank Group
Format:	Report
Language:	English
Published:	World Bank, Washington, DC 2019
Subjects:	IMPACT EVALUATION CHRONIC DISEASES TUBERCULOSIS HYPERTENSION DIABETES DIAGNOSIS AND TREATMENT HEALTH CARE FACILITIES DATA COLLECTION AND ANALYSIS
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

id	okr-10986-31480
recordtype	oai_dc
spelling	okr-10986-314802021-05-25T09:22:32Z Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes World Bank Group IMPACT EVALUATION CHRONIC DISEASES TUBERCULOSIS HYPERTENSION DIABETES DIAGNOSIS AND TREATMENT HEALTH CARE FACILITIES DATA COLLECTION AND ANALYSIS 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. 2019-04-01T20:24:14Z 2019-04-01T20:24:14Z 2018-07 Report 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 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work Economic & Sector Work :: Other Health Study Africa South Africa
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	IMPACT EVALUATION CHRONIC DISEASES TUBERCULOSIS HYPERTENSION DIABETES DIAGNOSIS AND TREATMENT HEALTH CARE FACILITIES DATA COLLECTION AND ANALYSIS
spellingShingle	IMPACT EVALUATION CHRONIC DISEASES TUBERCULOSIS HYPERTENSION DIABETES DIAGNOSIS AND TREATMENT HEALTH CARE FACILITIES DATA COLLECTION AND ANALYSIS World Bank Group Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes
geographic_facet	Africa South Africa
description	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.
format	Report
author	World Bank Group
author_facet	World Bank Group
author_sort	World Bank Group
title	Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes
title_short	Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes
title_full	Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes
title_fullStr	Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes
title_full_unstemmed	Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes
title_sort	evaluation of the adherence guidelines for chronic diseases in south africa using routinely collected data : continuum of care for tuberculosis, hypertension and diabetes
publisher	World Bank, Washington, DC
publishDate	2019
url	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
_version_	1764474424382193664

Evaluation of the Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data : Continuum of Care for Tuberculosis, Hypertension and Diabetes

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