40 min

S7E1-Embracing the challenge of non-communicable diseases (NCD) in the East African communities Connecting Citizens to Science

    • Social Sciences

In this series we are talking about responding to the challenge of non-communicable disease in East Africa together
In recent decades, rates of non-communicable diseases (NCD), such as diabetes and high blood pressure have risen sharply in sub-Saharan Africa and are now linked to approximately 2 million deaths per year. Countries across the continent are rapidly looking to address this new epidemic, but this is difficult with much of the healthcare system still focused on the treatment of communicable disease, such as HIV. This podcast series will explore many aspects of the problems related to NCDs across sub-Saharan Africa, including how African and European researchers from the RESPOND-Africa group, and healthcare providers and governments in East Africa are working with local communities to better understand the issues related to NCDs and how we can best address their care. In particular, we’re interested in how integrating the care of NCDs with other, currently well treated conditions, like HIV can benefit the patients and local healthcare systems by improving care whilst saving them both time and money.
In this week’s episode we hear from Dr Flazia Zalwango from the Medical Research Council/ Uganda Virus Research Institute and LSHTM and from Dr Anu Garrib, a consultant in public health medicine working at LSTM in the RESPOND Africa/NIHR Group for the prevention and management of HIV-infection and non-communicable diseases. Our guests discuss:
Barriers to engaging community groups across the life cycle, including children, adolescents, and older people to inform prevention, treatment and management of disease conditions like NCDs.
How to best engage policy makers in research uptake
The problem of NCDs in sub-Saharan Africa and how they are being addressed currently
How communities can be involved in addressing the problem of NCDs going forward
Why and how can integrated NCD and HIV benefit these communities

Our guest host for this series is Dr Joseph Okebe
Senior Research Associate, LSTM
My research looks at how primary healthcare services for people living with chronic health conditions such as diabetes, HIV-infection and hypertension can be improved. We recently completed a study in Tanzania and Uganda where we looked at the impact of having all these services together in the same clinic affect patient’s retention in care and control of their health conditions.
https://www.lstmed.ac.uk/about/people/dr-joseph-okebe (https://www.lstmed.ac.uk/about/people/dr-joseph-okebe)
twitter@ jo_okebe
Linkedin: https://www.linkedin.com/in/joseph-okebe-a049399/ (https://www.linkedin.com/in/joseph-okebe-a049399/)
Dr Anu Garrib
Principal research associate, RESPOND-Africa partnership, LSTM
I am a consultant in public health medicine and have been working at LSTM in the RESPOND Africa/NIHR Group for the prevention and management of HIV-infection and non-communicable diseases in Africa since 2017. 
My current research focusses on evaluating strategies for the integrated delivery of HIV and non-communicable disease care, as well as clinical studies on the prevention of diabetes. The study on integration of HIV and NCD services was a feasibility study aimed at determining if an integrated delivery of care for these conditions was acceptable to patients and healthcare workers, and involved extensive engagement with these groups to determine how best to structure the service. Although the clinical trial is a very different kind of study, the continued engagement of patients is critical as we try to determine how best to support patients so that they are able to continue the trial treatment for an extended period. Wider communication within the community and engagement with community leaders about aims of the trial is really important to pre-emptively address concerns that patients and their families may have...

In this series we are talking about responding to the challenge of non-communicable disease in East Africa together
In recent decades, rates of non-communicable diseases (NCD), such as diabetes and high blood pressure have risen sharply in sub-Saharan Africa and are now linked to approximately 2 million deaths per year. Countries across the continent are rapidly looking to address this new epidemic, but this is difficult with much of the healthcare system still focused on the treatment of communicable disease, such as HIV. This podcast series will explore many aspects of the problems related to NCDs across sub-Saharan Africa, including how African and European researchers from the RESPOND-Africa group, and healthcare providers and governments in East Africa are working with local communities to better understand the issues related to NCDs and how we can best address their care. In particular, we’re interested in how integrating the care of NCDs with other, currently well treated conditions, like HIV can benefit the patients and local healthcare systems by improving care whilst saving them both time and money.
In this week’s episode we hear from Dr Flazia Zalwango from the Medical Research Council/ Uganda Virus Research Institute and LSHTM and from Dr Anu Garrib, a consultant in public health medicine working at LSTM in the RESPOND Africa/NIHR Group for the prevention and management of HIV-infection and non-communicable diseases. Our guests discuss:
Barriers to engaging community groups across the life cycle, including children, adolescents, and older people to inform prevention, treatment and management of disease conditions like NCDs.
How to best engage policy makers in research uptake
The problem of NCDs in sub-Saharan Africa and how they are being addressed currently
How communities can be involved in addressing the problem of NCDs going forward
Why and how can integrated NCD and HIV benefit these communities

Our guest host for this series is Dr Joseph Okebe
Senior Research Associate, LSTM
My research looks at how primary healthcare services for people living with chronic health conditions such as diabetes, HIV-infection and hypertension can be improved. We recently completed a study in Tanzania and Uganda where we looked at the impact of having all these services together in the same clinic affect patient’s retention in care and control of their health conditions.
https://www.lstmed.ac.uk/about/people/dr-joseph-okebe (https://www.lstmed.ac.uk/about/people/dr-joseph-okebe)
twitter@ jo_okebe
Linkedin: https://www.linkedin.com/in/joseph-okebe-a049399/ (https://www.linkedin.com/in/joseph-okebe-a049399/)
Dr Anu Garrib
Principal research associate, RESPOND-Africa partnership, LSTM
I am a consultant in public health medicine and have been working at LSTM in the RESPOND Africa/NIHR Group for the prevention and management of HIV-infection and non-communicable diseases in Africa since 2017. 
My current research focusses on evaluating strategies for the integrated delivery of HIV and non-communicable disease care, as well as clinical studies on the prevention of diabetes. The study on integration of HIV and NCD services was a feasibility study aimed at determining if an integrated delivery of care for these conditions was acceptable to patients and healthcare workers, and involved extensive engagement with these groups to determine how best to structure the service. Although the clinical trial is a very different kind of study, the continued engagement of patients is critical as we try to determine how best to support patients so that they are able to continue the trial treatment for an extended period. Wider communication within the community and engagement with community leaders about aims of the trial is really important to pre-emptively address concerns that patients and their families may have...

40 min