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Journal of Tropical Medicine
Volume 2012 (2012), Article ID 349312, 10 pages
http://dx.doi.org/10.1155/2012/349312
Review Article

Management of Chronic Diseases in Sub-Saharan Africa: Cross-Fertilisation between HIV/AIDS and Diabetes Care

1Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
2Netherlands Institute for Health Services Research (NIVEL), Otterstraat 118-124, 3513 CR Utrecht, The Netherlands
3Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands

Received 16 April 2012; Accepted 16 October 2012

Academic Editor: Luis E. Cuevas

Copyright © 2012 Josefien van Olmen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. The NCD Alliance, “Proposed Outcomes Document for the United Nations High-Level Summit on Non-Communicable Diseases,” We, the NCD Alliance, request Governments of the world at the UN High-level Summit. Prevention. NCD Alliance, 2013.
  2. UNAIDS, “Chronic care of HIV and noncommunicable diseases. How to leverage the HIV experience,” 2011.
  3. J. de Maeseneer, R. G. Roberts, M. Demarzo et al., “Tackling NCDs: a different approach is needed,” The Lancet, vol. 379, no. 9829, pp. 1860–1861, 2012. View at Publisher · View at Google Scholar · View at Scopus
  4. D. Maher, J. Sekajugo, A. D. Harries, and H. Grosskurth, “Research needs for an improved primary care response to chronic non-communicable diseases in Africa,” Tropical Medicine and International Health, vol. 15, no. 2, pp. 176–181, 2010. View at Publisher · View at Google Scholar · View at Scopus
  5. J. van Olmen, G. M. Ku, R. Bermejo, G. Kegels, K. Hermann, and W. van Damme, “The growing caseload of chronic life-long conditions calls for a move towards full self-management in low-income countries,” Globalization and Health, vol. 7, no. 1, Article ID 38, 2011. View at Publisher · View at Google Scholar · View at Scopus
  6. International Diabetes Federation, “Diabetes Atlas,” 2007, http://da3.diabetesatlas.org/.
  7. P. M. Kearney, M. Whelton, K. Reynolds, P. Muntner, P. K. Whelton, and J. He, “Global burden of hypertension: analysis of worldwide data,” The Lancet, vol. 365, no. 9455, pp. 217–223, 2005. View at Publisher · View at Google Scholar · View at Scopus
  8. A. D. Lopez, C. D. Mathers, M. Ezzati, D. T. Jamison, and C. J. Murray, “Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data,” The Lancet, vol. 367, no. 9524, pp. 1747–1757, 2006. View at Publisher · View at Google Scholar · View at Scopus
  9. World Health Organization, Global Health Observatory, 2011, http://www.who.int/gho/hiv/en/index.html.
  10. C. D. Mathers and D. Loncar, “Projections of global mortality and burden of disease from 2002 to 2030,” PLoS Medicine, vol. 3, no. 11, article e442, 2006. View at Publisher · View at Google Scholar · View at Scopus
  11. D. O. Abegunde, C. D. Mathers, T. Adam, M. Ortegon, and K. Strong, “The burden and costs of chronic diseases in low-income and middle-income countries,” The Lancet, vol. 370, no. 9603, pp. 1929–1938, 2007. View at Publisher · View at Google Scholar · View at Scopus
  12. P. Ir, C. Men, H. Lucas et al., “Self-reported serious illnesses in rural Cambodia: a cross-sectional survey,” PLoS One, vol. 5, no. 6, Article ID e10930, 2010. View at Publisher · View at Google Scholar · View at Scopus
  13. T. T. Su, B. Kouyaté, and S. Flessa, “Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina Faso,” Bulletin of the World Health Organization, vol. 84, no. 1, pp. 21–27, 2006. View at Publisher · View at Google Scholar · View at Scopus
  14. R. Beaglehole, J. Epping-Jordan, V. Patel et al., “Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care,” The Lancet, vol. 372, no. 9642, pp. 940–949, 2008. View at Publisher · View at Google Scholar · View at Scopus
  15. A. D. Harries, R. Zachariah, A. Jahn, E. J. Schouten, and K. Kamoto, “Scaling up antiretroviral therapy in malawi-implications for managing other chronic diseases in resource-limited countries,” Journal of Acquired Immune Deficiency Syndromes, vol. 52, supplement 1, pp. S14–S16, 2009. View at Publisher · View at Google Scholar · View at Scopus
  16. World Health Organization, Innovative Care For Chronic Conditions, World Health Organization, Geneva, Switzerland, 2007.
  17. S. G. Deeks, “Immune dysfunction, inflammation, and accelerated aging in patients on antiretroviral therapy,” Topics in HIV Medicine, vol. 17, no. 4, pp. 118–123, 2009. View at Google Scholar
  18. J. van Olmen and G. Kegels, Eds., “Health Systems & Care for Chronic Diseases,” Report of A Workshop, Institute of Tropical Medicine, Antwerp, Belgium, November 2009, http://www.strengtheninghealthsystems.be/doc/5/Workshop%20HS%20&%20CD_Report_FINAL_0210.pdf. View at Google Scholar
  19. M. Dixon-Woods, D. Cavers, S. Agarwal et al., “Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups,” BMC Medical Research Methodology, vol. 6, article 35, 2006. View at Publisher · View at Google Scholar · View at Scopus
  20. N. Mays, C. Pope, and J. Popay, “Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field,” Journal of Health Services Research and Policy, vol. 10, supplement 1, pp. 6–20, 2005. View at Publisher · View at Google Scholar · View at Scopus
  21. L. M. Hunt and N. H. Arar, “An analytical framework for contrasting patient and provider views of the process of chronic disease management,” Medical Anthropology Quarterly, vol. 15, no. 3, pp. 347–367, 2001. View at Google Scholar
  22. J. P. Assal, “Revisiting the approach to treatment of long-term illness: from the acute to the chronic state. A need for educational and managerial skills for long-term follow-up,” Patient Education and Counseling, vol. 37, no. 2, pp. 99–111, 1999. View at Publisher · View at Google Scholar · View at Scopus
  23. J. Turner and B. Kelly, “Emotional dimensions of chronic disease,” Western Journal of Medicine, vol. 172, no. 2, pp. 124–128, 2000. View at Google Scholar · View at Scopus
  24. S. Vallabhaneni, S. Chandy, E. Heylen, and M. Ekstrand, “Reasons for and correlates of antiretroviral treatment interruptions in a cohort of patients from public and private clinics in southern India,” AIDS Care, vol. 24, no. 6, pp. 687–694, 2012. View at Publisher · View at Google Scholar · View at Scopus
  25. World Diabetes Federation, “Type 2 Diabetes. Clinical Practice Guidelines for Sub-Saharan Africa,” 2006.
  26. AVERT, “HIV & AIDS Stigma and Discrimination,” 2011, http://www.avert.org/hiv-aids-stigma.htm#contentTable1.
  27. B. L. Genberg, Z. Hlavka, K. A. Konda et al., “A comparison of HIV/AIDS-related stigma in four countries: negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS,” Social Science and Medicine, vol. 68, no. 12, pp. 2279–2287, 2009. View at Publisher · View at Google Scholar · View at Scopus
  28. W. W. S. Mak, R. Y. M. Cheung, R. W. Law, J. Woo, P. C. K. Li, and R. W. Y. Chung, “Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS,” Social Science and Medicine, vol. 64, no. 8, pp. 1549–1559, 2007. View at Publisher · View at Google Scholar · View at Scopus
  29. W. K. Luseno, W. M. Wechsberg, T. L. Kline, and R. M. Ellerson, “Health services utilization among South African women living with HIV and reporting sexual and substance-use risk behaviors,” AIDS Patient Care and STDs, vol. 24, no. 4, pp. 257–264, 2010. View at Publisher · View at Google Scholar · View at Scopus
  30. A. Mdee, P. Otieno, and J. Akuni, “‘Now I know my rights!’ Exploring group membership and rights-based approaches for people living with HIV/AIDS in Northern Tanzania,” JEFCAS Working Paper 4, John & Elnora Ferguson Centre for African Studies, Bradford, UK, 2011. View at Google Scholar
  31. World Health Organization, Tuberculosis. Factsheets. What is DOTS?World Health Organisation, Geneva, Switzerland, 2006, http://www.searo.who.int/en/Section10/Section2097/Section2106_10678.htm.
  32. S. Merten, E. Kenter, O. McKenzie, M. Musheke, H. Ntalasha, and A. Martin-Hilber, “Patient-reported barriers and drivers of adherence to antiretrovirals in sub-Saharan Africa: a meta-ethnography,” Tropical Medicine and International Health, vol. 15, no. 1, pp. 16–33, 2010. View at Publisher · View at Google Scholar · View at Scopus
  33. H. L. Behforouz, P. E. Farmer, and J. S. Mukherjee, “From direcdy observed therapy to Accompagnateurs: enhancing AIDS treatment outcomes in Haiti and in Boston,” Clinical Infectious Diseases, vol. 38, supplement 5, pp. S429–S436, 2004. View at Publisher · View at Google Scholar · View at Scopus
  34. P. Farmer, F. Léandre, J. S. Mukherjee et al., “Community-based approaches to HIV treatment in resource-poor settings,” The Lancet, vol. 358, no. 9279, pp. 404–409, 2001. View at Publisher · View at Google Scholar · View at Scopus
  35. K. Kober and W. van Damme, “Scaling up access to antiretroviral treatment in southern Africa: Who will do the job?” The Lancet, vol. 364, no. 9428, pp. 103–107, 2004. View at Publisher · View at Google Scholar · View at Scopus
  36. J. H. Smith and A. Whiteside, “The history of AIDS exceptionalism,” Journal of the International AIDS Society, vol. 13, no. 1, article 47, 2010. View at Publisher · View at Google Scholar · View at Scopus
  37. World Health Organization, “Global HIV/AIDS Response. Epidemic update and health seactor progress towards Universal Access,” Progress Report 2011, 2011. View at Google Scholar
  38. R. Beaglehole, R. Bonita, R. Horton et al., “Priority actions for the non-communicable disease crisis,” The Lancet, vol. 377, no. 9775, pp. 1438–1447, 2011. View at Publisher · View at Google Scholar · View at Scopus
  39. A. K. Chan, G. Mateyu, A. Jahn et al., “Outcome assessment of decentralization of antiretroviral therapy provision in a rural district of Malawi using an integrated primary care model,” Tropical Medicine and International Health, vol. 15, 1, pp. 90–97, 2010. View at Publisher · View at Google Scholar · View at Scopus
  40. R. Cohen, S. Lynch, H. Bygrave et al., “Antiretroviral treatment outcomes from a nurse-driven, community-supported HIV/AIDS treatment programme in rural Lesotho: observational cohort assessment at two years,” Journal of the International AIDS Society, vol. 12, p. 23, 2009. View at Publisher · View at Google Scholar
  41. L. G. Bekker, L. Myer, C. Orrell, S. Lawn, and R. Wood, “Rapid scale-up of a community-based HIV treatment service: programme performance over 3 consecutive years in Guguletu, South Africa,” South African Medical Journal, vol. 96, no. 4, pp. 315–320, 2006. View at Google Scholar · View at Scopus
  42. M. Callaghan, N. Ford, and H. Schneider, “A systematic review of task-shifting for HIV treatment and care in Africa,” Human Resources for Health, vol. 8, article 8, 2010. View at Publisher · View at Google Scholar · View at Scopus
  43. R. Elema, C. Mills, O. Yun et al., “Outcomes of a remote, decentralized health center-based HIV/AIDS antiretroviral program in Zambia, 2003 to 2007,” Journal of the International Association of Physicians in AIDS Care, vol. 8, no. 1, pp. 60–67, 2009. View at Publisher · View at Google Scholar · View at Scopus
  44. J. S. A. Stringer, I. Zulu, J. Levy et al., “Rapid scale-up of antiretroviral therapy at primary care sites in Zambia: feasibility and early outcomes,” Journal of the American Medical Association, vol. 296, no. 7, pp. 782–793, 2006. View at Publisher · View at Google Scholar · View at Scopus
  45. I. Grubb, J. Perriëns, and B. Schwartländer, A Public Health Approach to Anti-Retroviral Treatment: Overcoming Constraints, Public Health, World Health Organisation, 2003.
  46. M. Bemelmans, T. van den Akker, N. Ford et al., “Providing universal access to antiretroviral therapy in Thyolo, Malawi through task shifting and decentralization of HIV/AIDS care,” Tropical Medicine and International Health, vol. 15, no. 12, pp. 1413–1420, 2010. View at Publisher · View at Google Scholar · View at Scopus
  47. K. Wools-Kaloustian, S. Kimaiyo, L. Diero et al., “Viability and effectiveness of large-scale HIV treatment initiatives in sub-Saharan Africa: experience from western Kenya,” Journal of Acquired Immune Deficiency Syndromes, vol. 20, no. 1, pp. 41–48, 2006. View at Google Scholar · View at Scopus
  48. J. Dohrn, B. Nzama, and M. Murrman, “The impact of HIV scale-up on the role of nurses in south africa: time for a new approach,” Journal of Acquired Immune Deficiency Syndromes, vol. 52, supplement 1, pp. S27–S29, 2009. View at Publisher · View at Google Scholar · View at Scopus
  49. R. Zachariah, N. Ford, M. Philips et al., “Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa,” Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 103, no. 6, pp. 549–558, 2009. View at Publisher · View at Google Scholar · View at Scopus
  50. A. Boulle, G. van Cutsem, K. Hilderbrand et al., “Seven-year experience of a primary care antiretroviral treatment programme in Khayelitsha, South Africa,” Journal of Acquired Immune Deficiency Syndromes, vol. 24, no. 4, pp. 563–572, 2010. View at Publisher · View at Google Scholar · View at Scopus
  51. H. Bussmann, C. W. Wester, N. Ndwapi et al., “Five-year outcomes of initial patients treated in Botswana's National Antiretroviral Treatment Program,” Journal of Acquired Immune Deficiency Syndromes, vol. 22, no. 17, pp. 2303–2311, 2008. View at Publisher · View at Google Scholar · View at Scopus
  52. M. P. Fox and S. Rosen, “Patient retention in antiretroviral therapy programs up to three years on treatment in sub-Saharan Africa, 2007–2009: systematic review,” Tropical Medicine and International Health, vol. 15, no. 1, pp. 1–15, 2010. View at Publisher · View at Google Scholar · View at Scopus
  53. D. W. Lowrance, S. Makombe, A. D. Harries et al., “A public health approach to rapid scale-up of antiretroviral treatment in Malawi during 2004–2006,” Journal of Acquired Immune Deficiency Syndromes, vol. 49, no. 3, pp. 287–293, 2008. View at Publisher · View at Google Scholar · View at Scopus
  54. M. D. Nglazi, S. D. Lawn, R. Kaplan et al., “Changes in programmatic outcomes during 7 years of scale-up at a community-based antiretroviral treatment service in South Africa,” Journal of Acquired Immune Deficiency Syndromes, vol. 56, no. 1, pp. e1–e8, 2011. View at Publisher · View at Google Scholar · View at Scopus
  55. A. M. Abaasa, J. Todd, K. Ekoru et al., “Good adherence to HAART and improved survival in a community HIV/AIDS treatment and care programme: the experience of the AIDS Support Organization (TASO), Kampala, Uganda,” BMC Health Services Research, vol. 8, article 241, 2008. View at Publisher · View at Google Scholar · View at Scopus
  56. K. Wools-Kaloustian, J. E. Sidle, H. M. Selke et al., “A model for extending antiretroviral care beyond the rural health centre,” Journal of the International AIDS Society, vol. 12, p. 22, 2009. View at Publisher · View at Google Scholar
  57. M. Bedelu, N. Ford, K. Hilderbrand, and H. Reuter, “Implementing antiretroviral therapy in rural communities: the Lusikisiki model of decentralized HIV/AIDS care,” Journal of Infectious Diseases, vol. 196, supplement 3, pp. S464–S468, 2007. View at Publisher · View at Google Scholar · View at Scopus
  58. S. Jaffar, B. Amuron, S. Foster et al., “Rates of virological failure in patients treated in a home-based versus a facility-based HIV-care model in Jinja, southeast Uganda: a cluster-randomised equivalence trial,” The Lancet, vol. 374, no. 9707, pp. 2080–2089, 2009. View at Publisher · View at Google Scholar · View at Scopus
  59. W. Kipp, J. Konde-Lule, L. D. Saunders et al., “Results of a community-based antiretroviral treatment program for HIV-1 infection in western Uganda,” Current HIV Research, vol. 8, no. 2, pp. 179–185, 2010. View at Publisher · View at Google Scholar · View at Scopus
  60. D. W. Krebs, B. H. Chi, Y. Mulenga et al., “Community-based follow-up for late patients enrolled in a district-wide programme for antiretroviral therapy in Lusaka, Zambia,” AIDS Care, vol. 20, no. 3, pp. 311–317, 2008. View at Publisher · View at Google Scholar · View at Scopus
  61. R. Zachariah, R. Teck, L. Buhendwa et al., “Community support is associated with better antiretroviral treatment outcomes in a resource-limited rural district in Malawi,” Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 101, no. 1, pp. 79–84, 2007. View at Publisher · View at Google Scholar · View at Scopus
  62. T. Decroo, B. Telfer, M. Biot et al., “Distribution of antiretroviral treatment through self-forming groups of patients in Tete Province, Mozambique,” Journal of Acquired Immune Deficiency Syndromes, vol. 56, no. 2, pp. e39–e44, 2011. View at Publisher · View at Google Scholar · View at Scopus
  63. H. M. Selke, S. Kimaiyo, J. E. Sidle et al., “Task-shifting of antiretroviral delivery from health care workers to persons living with HIV/AIDS: clinical outcomes of a community-based program in Kenya,” Journal of Acquired Immune Deficiency Syndromes, vol. 55, no. 4, pp. 483–490, 2010. View at Publisher · View at Google Scholar · View at Scopus
  64. W. M. El-Sadr and E. J. Abrams, “Scale-up of HIV care and treatment: Can it transform healthcare services in resource-limited settings?” Journal of Acquired Immune Deficiency Syndromes, vol. 21, supplement 5, pp. S65–S70, 2007. View at Publisher · View at Google Scholar · View at Scopus
  65. R. Windisch, P. Waiswa, F. Neuhann, F. Scheibe, and D. de Savigny, “Scaling up antiretroviral therapy in Uganda: using supply chain management to appraise health systems strengthening,” Globalization and Health, vol. 7, article 25, 2011. View at Publisher · View at Google Scholar · View at Scopus
  66. World Health Organization Maximizing Positive Synergies Collaborative Group, “An assessment of interactions between global health initatives and country health systems,” The Lancet, vol. 373, no. 9681, pp. 2137–2169, 2000. View at Google Scholar
  67. F. Rasschaert, M. Pirard, M. P. Philips et al., “Positive spill-over effects of ART scale up on wider health systems development: evidence from Ethiopia and Malawi,” Journal of the International AIDS Society, vol. 14, supplement 1, article S3, 2011. View at Publisher · View at Google Scholar · View at Scopus
  68. R. Coleman, G. Gill, and D. Wilkinson, “Noncommunicable disease management in resource-poor settings: a primary care model from rural South Africa,” Bulletin of the World Health Organization, vol. 76, no. 6, pp. 633–640, 1998. View at Google Scholar
  69. Y. Mamo, E. Seid, S. Adams, A. Gardiner, and E. Parry, “A primary healthcare approach to the management of chronic disease in Ethiopia: an example for other countries,” Clinical Medicine, vol. 7, no. 3, pp. 228–231, 2007. View at Google Scholar · View at Scopus
  70. S. Alemu, “Access to diabetes care in northern Ethiopia,” Diabetes Voice, vol. 49, no. 1, pp. 8–10, 2004. View at Google Scholar
  71. J. van Olmen, J. Clovis, E. Bewa, M. Declerck, and B. Criel, “An analysis of diabetes care in first line health facilities in Kinshasa,” in Proceedings of the 7th European Congress on Tropical Medicine and International Health, Barcelona, Spain, 2011.
  72. A. Bischoff, T. Ekoe, N. Perone, S. Slama, and L. Loutan, “Chronic disease management in Sub-Saharan Africa: Whose business is it?” International Journal of Environmental Research and Public Health, vol. 6, no. 8, pp. 2258–2270, 2009. View at Publisher · View at Google Scholar · View at Scopus
  73. A. de-Graft Aikins, P. Boynton, and L. L. Atanga, “Developing effective chronic disease interventions in Africa: insights from Ghana and Cameroon,” Globalization and Health, vol. 6, article 6, 2010. View at Publisher · View at Google Scholar · View at Scopus
  74. E. H. Wagner, “Meeting the needs of chronically ill people,” British Medical Journal, vol. 323, no. 7319, pp. 945–946, 2001. View at Google Scholar · View at Scopus
  75. R. E. Glasgow, C. T. Orleans, and E. H. Wagner, “Does the chronic care model serve also as a template for improving prevention?” Milbank Quarterly, vol. 79, no. 4, pp. 579–612, 2001. View at Google Scholar · View at Scopus
  76. K. Coleman, B. T. Austin, C. Brach, and E. H. Wagner, “Evidence on the Chronic Care Model in the new millennium,” Health Affairs, vol. 28, no. 1, pp. 75–85, 2009. View at Publisher · View at Google Scholar · View at Scopus
  77. M. L. Pearson, S. Wu, J. Schaefer et al., “Assessing the implementation of the chronic care model in quality improvement collaboratives,” Health Services Research, vol. 40, no. 4, pp. 978–996, 2005. View at Publisher · View at Google Scholar · View at Scopus
  78. W. Isenhower and R. Kyeyagalire, “Systems and improving quality care for chronic conditions in Africa,” in Proceedings of the Chronic Care Design Meeting, Health Care, Bethesda, Md, USA, 2011.
  79. R. Nuno, K. Coleman, R. Bengoa, and R. Sauto, “Integrated care for chronic conditions: the contribution of the ICCC Framework,” Health Policy, vol. 105, no. 1, pp. 55–64, 2012. View at Publisher · View at Google Scholar
  80. World Health Organization, Package of Essential Noncommunicable (PEN) Disease Interventions For Primary Health Care in Low-Resource Settings, 2011.
  81. T. Bodenheimer, K. Lorig, H. Holman, and K. Grumbach, “Patient self-management of chronic disease in primary care,” The Journal of The American Medical Association, vol. 288, no. 19, pp. 2469–2475, 2002. View at Publisher · View at Google Scholar
  82. H. Holman and K. Lorig, “Patient self-management: a key to effectiveness and efficiency in care of chronic disease,” Public Health Reports, vol. 119, no. 3, pp. 239–243, 2004. View at Publisher · View at Google Scholar · View at Scopus
  83. M. M. Funnell, “Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research,” Family Practice, vol. 27, supplement 1, pp. i17–i22, 2010. View at Publisher · View at Google Scholar · View at Scopus
  84. M. M. Funnell, R. Nwankwo, M. L. Gillard, R. M. Anderson, and T. S. Tang, “Implementing an empowerment-based diabetes self-management education program,” Diabetes Educator, vol. 31, no. 1, pp. 53–61, 2005. View at Publisher · View at Google Scholar · View at Scopus
  85. R. H. Glazier, J. Bajcar, N. R. Kennie, and K. Willson, “A systematic review of interventions to improve diabetes care in socially disadvantaged populations,” Diabetes Care, vol. 29, no. 7, pp. 1675–1688, 2006. View at Publisher · View at Google Scholar · View at Scopus
  86. S. L. Norris, J. Lau, S. J. Smith, C. H. Schmid, and M. M. Engelgau, “Self-management education for adults with type 2 diabetes. A meta-analysis of the effect on glycemic control,” Diabetes Care, vol. 25, no. 7, pp. 1159–1171, 2002. View at Publisher · View at Google Scholar · View at Scopus
  87. K. R. Lorig, D. S. Sobel, P. Ritter, D. Laurent, and M. Hobbs, “Effect of a self-management program on patients with chronic disease,” Effective Clinical Practice, vol. 4, no. 6, pp. 256–262, 2001. View at Google Scholar
  88. M. M. Funnell, T. L. Brown, B. P. Childs et al., “National standards for diabetes self-management education,” Diabetes Care, vol. 33, supplement 1, pp. S89–S96, 2010. View at Publisher · View at Google Scholar · View at Scopus
  89. National Diabetes Education Program, Guiding Principles For Diabetes Care Professionals, Diabetes, National Institutes of Health, 2009.
  90. R. Bermejo, “Non-communicable diseases in southeast Asia,” The Lancet, vol. 377, no. 9782, pp. 2004–2005, 2011. View at Publisher · View at Google Scholar · View at Scopus
  91. E. B. Fisher, J. A. Earp, S. Maman, and A. Zolotor, “Cross-cultural and international adaptation of peer support for diabetes management,” Family Practice, vol. 27, supplement 1, pp. i6–i16, 2010. View at Publisher · View at Google Scholar · View at Scopus
  92. SADA, South African Diabetes Association, SADA, 2000, http://home.intekom.com/buildlink/ips/sada/.
  93. D. Beran and J. S. Yudkin, “Diabetes care in sub-Saharan Africa,” The Lancet, vol. 368, no. 9548, pp. 1689–1695, 2006. View at Publisher · View at Google Scholar
  94. E. A. Gale and J. S. Yudkin, “Commentary: politics of affordable insulin,” BMJ, vol. 343, p. d5675, 2011. View at Publisher · View at Google Scholar · View at Scopus
  95. A. D. Harries, P. Gomani, R. Teck et al., “Monitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model,” Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 98, no. 12, pp. 695–701, 2004. View at Publisher · View at Google Scholar · View at Scopus
  96. B. Janssens, W. V. Damme, B. Raleigh et al., “Offering integrated care for HIV/AIDS, diabetes and hypertension within chronic disease clinics in Cambodia,” Bulletin of the World Health Organization, vol. 85, no. 11, pp. 880–885, 2007. View at Publisher · View at Google Scholar · View at Scopus
  97. F. G. Schellevis, J. van der Velden, E. van de Lisdonk, T. J. M. van Eijk, and C. van Weel, “Comorbidity of chronic diseases in general practice,” Journal of Clinical Epidemiology, vol. 46, no. 5, pp. 469–473, 1993. View at Publisher · View at Google Scholar · View at Scopus