Chronic Care Program in Sub-Saharan Africa

Takeda works with the Pan African Heart Foundation and Amref Health Africa in order to deliver a comprehensive diabetes and hypertension program in Kenya, thereby addressing the diagnosis, care, and treatment for these conditions in Kenya. The program is intended to be eventually expanded throughout the sub-Saharan region, where chronic non-communicable diseases (NCDs) are already the leading cause of death in some age groups
This program targets chronic NCDs including diabetes, hypertension and more recently Gastro Intestinal (GI) diseases. It is being delivered in selected counties in Kenya with the cooperation of the Ministries of Health in those counties. Patients diagnosed with these conditions are referred to local clinical officers trained and educated through this program to deploy chronic disease protocols.
The core objective of the program is to ensure that patients receive improved care. The program also delivers both face-to-face and virtual training in a way that is accessible and sustainable, significantly addressing the issue of training health workers in rural areas.
The program also involves training community health workers on these conditions using Amref Health Africa’s LEAP mHealth platform. LEAP delivers training through SMS and audio files using basic phone technology, as well as rich content such as animations and illustrations to smartphones. This training helps community health workers to raise awareness among their populations on risk factors such as poor diets, physical inactivity, alcohol abuse, tobacco smoking and exposure to tobacco smoke. Regular check-ups are also promoted through this program.
In addition, the program provides county-owned and private facilities with basic technologies for screening, diagnosis, treatment, and monitoring of diabetes and hypertension using an innovative solution for improving collection, analysis, and dissemination of community health data, named the Mobile-Jamii Afya Link (MJALI). MJALI incorporates a mobile application for capturing data and transmitting it to an online database and analytics visualization platform at no cost to the patient or the facility. MJALI is used by community health workers and clinicians to monitor key health indicators during household or clinic visits, make referrals, and assist in making decisions on patient management.
The program is currently active in four counties in Kenya. Once the program is established across Kenya, Takeda is committed, together with its partners, to expanding it into neighbouring East African countries, including Tanzania, Rwanda, Uganda and Ethiopia.

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