South Africa

Females outnumbered males in all categories from “Newly Screened” to “Controlled” for both hypertension and diabetes. More detailed disaggregation can be found in Appendix D.

MAMTA organized 386 patient support group and NCD club meetings. A crucial component of these support groups and meetings were the 787 health workers who received training from MAMTA, including 473 community health workers, who were trained to screen, counsel, follow up, and refer patients with diabetes or hypertension to health facilities.

South Africa

uMgungundlovu

Expectra built the capacity of CCGs to screen and follow up individuals at risk for diabetes and hypertension. To that end, Expectra provided training to 317 health care workers, including 269 CCGs. Many of these health workers also assisted with the 64 support groups and NCD club meeting that were coordinated as part the Expectra HealthRise program. Screening activities were refined over the course of 26 “war room” meetings, in which governmental departments, non-governmental organizations, and other stakeholders convened to discuss common challenges facing the community.

A total of 8,456 individuals were screened for hypertension through Expectra’s screening activities, of whom 4,782 reported not having a previous diagnosis of hypertension. Among screened individuals reporting no previous hypertension diagnosis, 1,216 individuals were referred to a health facility for confirmatory diagnosis based on elevated blood pressure at the time of the screening, of which 129 received a confirmatory diagnosis of hypertension. An additional 416 individuals who reported a previous diagnosis of hypertension received a follow-up visit through the HealthRise program. Among individuals with a confirmed diagnosis of hypertension (including individuals newly identified as hypertensive and those who reported a previous diagnosis), 64 individuals had a follow-up monitoring visit with a blood pressure measurement, of which 24 individuals had controlled levels of blood pressure (SBP < 140 mmHg and DBP < 90 mmHg) at the time of their last available blood pressure measurement (Figure 9). Disaggregated counts by sex for each category are available in Appendix D.

A total of 6,248 individuals were screened for diabetes. Limiting to individuals who did not report a previous diagnosis of diabetes, 4,591 individuals were screened for diabetes, 129 individuals were referred to a health facility based on elevated levels of blood glucose at the time of screening, and 24 individuals received a confirmatory diagnosis of diabetes. 112 additional individuals who did report a previous diabetes diagnosis received a follow-up visit through the HealthRise program. Among individuals with a confirmed diabetes diagnosis (including individuals newly diagnosed with diabetes and those who reported a previous diagnosis), 17 patients had one or more follow-up visits with a blood glucose measurement, and one patient had their blood glucose level under control (RBS <= 7.8 mmol/L) at the time of their most recent blood glucose measurement (Figure 9). Disaggregated counts by sex for each category are available in Appendix D.

Figure 9. uMgungundlovucascade of care

Pixley ka Seme

Project Hope trained 461 health workers, of which 327 were CHWs.

Community engagement and empowerment was a prominent focus of many Project HOPE interventions, where patients and their families were encouraged to participate in support groups that were beneficial to the whole community. A total of 94 support groups were started over the course of the implementation period, including five-step groups, village savings and loans groups, and gardening groups.

A total of 3,789 individuals were screened for hypertension through Project HOPE screening activities, of whom 2,366 reported not having a previous diagnosis of hypertension. Among screened individuals reporting no previous hypertension diagnosis, 677 individuals were referred to a health facility for confirmatory diagnosis based on elevated blood pressure at the time of the screening, of which 93 received a confirmatory diagnosis of hypertension. An additional 49 individuals who reported a previous diagnosis of hypertension received a follow-up visit through the HealthRise program. Among individuals with a confirmed diagnosis of hypertension (including individuals newly identified as hypertensive and those who reported a previous diagnosis), 98 individuals had a follow-up monitoring visit with a blood pressure measurement, of which 53 individuals had controlled levels of blood pressure (SBP < 140 mmHg and DBP < 90 mmHg) at the time of their last available blood pressure measurement (Figure 10). Disaggregated counts by sex for each category are available in Appendix D.

A total of 3,872 individuals were screened for diabetes. Limiting to individuals who did not report a previous diagnosis of diabetes, 3,570 individuals were screened for diabetes, 71 individuals were referred to a health facility based on elevated levels of blood glucose at the time of screening, and 24 individuals received a confirmatory diagnosis of diabetes. Nine additional individuals who did report a previous diabetes diagnosis received a follow-up visit through the HealthRise program. Among individuals with a confirmed diabetes diagnosis (including individuals newly diagnosed with diabetes and those who reported a previous diagnosis),