Enhanced diabetes and cardiovascular disease management through primary health care in Pakistan

Abstract

This study aims to enhance the access and quality of care for Type 2 diabetes and associated hypertension and hyper-cholesterol conditions, through enabled primary health care in Punjab, Pakistan. According to the Diabetic Association of Pakistan, 10% of people over the age of 25 have Type 2 diabetes. Primary health care facilities identify approximately 10% of the estimated cases of Type 2 diabetes in Pakistan. OBJECTIVES

This study will compare the treatment success and adherence in adults with Type 2 diabetes, including those with cardiovascular disease, who receive care from strengthened health care facilities with those receiving routine care. Secondary objectives include:

  • comparing the case finding rates for type 2 diabetes
  • comparing the mean treatment success
  • comparing the mean hypertension control and total cholesterol achieved in adult Type 2 diabetes patients, with associated hypertension and hyper-cholesterol conditions
  • conducting an incremental cost effectiveness analysis of managing adult Type 2 diabetes patients at primary health care facilities
  • informing the provincial strategic plan for managing Type 2 diabetes and associated hypertension and hyper-cholesterol conditions

POTENTIAL OUTCOMES

We aim to develop a training package for health care workers and tools for the performance management of health care facilities. The package will be implemented in select primary health care facilities in Punjab Province and evaluated for effectiveness and feasibility. A randomised control trial will compare the care in the facilities using the new approach compared to the facilities delivering usual care.

Citation

COMDIS. Enhanced diabetes and cardiovascular disease management through primary health care in Pakistan. (2014)

Enhanced diabetes and cardiovascular disease management through primary health care in Pakistan

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