Zimbabwe: Nurses Behind Better NCD Management

Non-Communicable Diseases (NCDs) are estimated to account for 31% of total deaths, with diabetes, hypertension and asthma as the main killers in Zimbabwe.

The country has been facing a number of challenges most notably in the health sector. Healthcare workers are overwhelmed and doctors, especially in rural areas, are scarce. Millions of Zimbabweans are disconnected from health networks, living far away from larger cities and unable to afford the cost of travel and even treatment.

In 2016, Médecins sans frontières (MSF) collaborated with the Ministry of Health and Child Care to pilot a model of care adapted to the local environment to address the double burden of diabetes and hypertension and HIV in a rural province. Nurses in seven Primary Health Care (PHC) facilities and one hospital developed the knowledge and skills to diagnose, initiate treatment and monitor diabetes and hypertension patients.

More than 3000 patients are registered in a dedicated recording system that also provides education on managing their condition. For the project duration, MSF provided free medication, including periodic refills and regular monitoring of blood pressure and blood glucose.

The challenge now is to encourage the Ministry of Health and Child Care to maintain and replicate this NCD healthcare model across the country. care management.

Advocacy Action: Would a similar response work in your country? Are you encouraging your Government to act? Could PDGN help you?