{"title":"在撒哈拉以南非洲实施 HbA1c 监测：从莫桑比克试点项目中汲取的经验教训","authors":"Fausto Ciccacci , Flavio Ismael , Fernanda Parruque , Dércio Júlio Maquete , Sandra Loureiro , Moises Balamala , Leilo Morviducci , Andrea Manto , Fabiana Lanti , Stefano Orlando , Giovanni Guidotti","doi":"10.1016/j.puhip.2024.100504","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><p>We aimed to evaluate lesson learnt from a pilot project in Mozambique focused on point-of-care (POC) HbA1c testing for diabetes management in primary health care facilities.</p></div><div><h3>Methods</h3><p>Over a three-year period, several health centers were equipped with POC HbA1c testing machines. The evaluation involved 12 months of data collection, interviews with patients and staff, and regular supervision visits.</p></div><div><h3>Results</h3><p>The project screened over 22,000 individuals and provided HbA1c testing to 2362 diabetes patients. Among the analyzed results, 65.7 % had HbA1c levels below 7 %, 10.9 % between 7 % and 8.5 %, and 23.4 % above 8.5 %. POC testing showed advantages such as reduced costs and improved workload management.</p></div><div><h3>Conclusions</h3><p>Limited access to HbA1c testing remains a challenge in African countries. The pilot project demonstrated the feasibility of POC HbA1c testing and highlighted the need for increased efforts to make it more widely available, leading to improved diabetes management and patient outcomes.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100504"},"PeriodicalIF":2.2000,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000417/pdfft?md5=685517a7239d2bedd4c18cfe4e79cebe&pid=1-s2.0-S2666535224000417-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Implementing HbA1c monitoring in sub-Saharan Africa: Lessons learnt from a pilot project in Mozambique\",\"authors\":\"Fausto Ciccacci , Flavio Ismael , Fernanda Parruque , Dércio Júlio Maquete , Sandra Loureiro , Moises Balamala , Leilo Morviducci , Andrea Manto , Fabiana Lanti , Stefano Orlando , Giovanni Guidotti\",\"doi\":\"10.1016/j.puhip.2024.100504\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aims</h3><p>We aimed to evaluate lesson learnt from a pilot project in Mozambique focused on point-of-care (POC) HbA1c testing for diabetes management in primary health care facilities.</p></div><div><h3>Methods</h3><p>Over a three-year period, several health centers were equipped with POC HbA1c testing machines. The evaluation involved 12 months of data collection, interviews with patients and staff, and regular supervision visits.</p></div><div><h3>Results</h3><p>The project screened over 22,000 individuals and provided HbA1c testing to 2362 diabetes patients. Among the analyzed results, 65.7 % had HbA1c levels below 7 %, 10.9 % between 7 % and 8.5 %, and 23.4 % above 8.5 %. POC testing showed advantages such as reduced costs and improved workload management.</p></div><div><h3>Conclusions</h3><p>Limited access to HbA1c testing remains a challenge in African countries. The pilot project demonstrated the feasibility of POC HbA1c testing and highlighted the need for increased efforts to make it more widely available, leading to improved diabetes management and patient outcomes.</p></div>\",\"PeriodicalId\":34141,\"journal\":{\"name\":\"Public Health in Practice\",\"volume\":\"7 \",\"pages\":\"Article 100504\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-05-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666535224000417/pdfft?md5=685517a7239d2bedd4c18cfe4e79cebe&pid=1-s2.0-S2666535224000417-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health in Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666535224000417\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health in Practice","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666535224000417","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Implementing HbA1c monitoring in sub-Saharan Africa: Lessons learnt from a pilot project in Mozambique
Aims
We aimed to evaluate lesson learnt from a pilot project in Mozambique focused on point-of-care (POC) HbA1c testing for diabetes management in primary health care facilities.
Methods
Over a three-year period, several health centers were equipped with POC HbA1c testing machines. The evaluation involved 12 months of data collection, interviews with patients and staff, and regular supervision visits.
Results
The project screened over 22,000 individuals and provided HbA1c testing to 2362 diabetes patients. Among the analyzed results, 65.7 % had HbA1c levels below 7 %, 10.9 % between 7 % and 8.5 %, and 23.4 % above 8.5 %. POC testing showed advantages such as reduced costs and improved workload management.
Conclusions
Limited access to HbA1c testing remains a challenge in African countries. The pilot project demonstrated the feasibility of POC HbA1c testing and highlighted the need for increased efforts to make it more widely available, leading to improved diabetes management and patient outcomes.
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