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We will decentralise diagnosis, treatment and care for the major non-communicable diseases – hypertension, diabetes, chronic respiratory and epilepsy – from hospitals to health centres in the Jimma and Gondar regions. By doing so we will greatly increase access to these services for the rural poor.

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Situation

NCDs account for a rapidly growing burden of disease in Ethiopia particularly in poor, rural areas. In 2015 they caused 285,000 deaths and disabled many others across the country. Care is only accessible at hospitals, requiring rural populations to travel long distances, incur costs and lose income. Conditions such as hypertension can exist sub-clinically for years before causing life changing or ending health events, e.g. stroke. Ill health causes poverty for sufferers and their dependents.

Solution

The project will see the increased provision of NCD care at rural health centres. This will be achieved by the education of health centre nurses in NCD care through 15 3-day courses delivered by Ethiopian clinicians in collaboration with clinical colleagues from the UK. The trained nurses will then be mentored in practice at the rural health centres both during and beyond the project duration to enhance skills further in practice and to enable feedback and data to be collected.

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