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Chronic Disease Management (CDM)

This project, entitled ‘Empowering Frontline Health Workers (FLHWs) for Non-Communicable Disease Management’ aimed to use mobile smartphone-based technologies to improve the provision of chronic disease care within communities in Western Kenya. The program’s initial focus was on hypertension, diabetes and rheumatic heart disease, and care provision was by front line health workers including community health volunteers, community health extension workers, and dispensary nurses.

The main outcomes of the project included:

1)    Developing and implementing a secure, smartphone-based mobile platform for non-communicable diseases (NCDs), focusing initially on hypertension and diabetes.

2)    Implementing this platform for use by Frontline Health Workers within the catchment area served by the Academic Model Providing Access to HealthCare (AMPATH) in Western Kenya.

3)    Using the mobile technology for screening visits for hypertension and diabetes, prevention training, targeted revisits based on reminders and consultation services for hypertension and diabetes.

The ultimate goals of this project included:

–       Improved compliance with care guidelines for diabetes and hypertension through use of reminders and alerts

–       Improved knowledge by FLHWs of the appropriate standards of care for diabetes and hypertension

–       Health system strengthening through improved monitoring of FLHW work performance

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