TY - JOUR
AU - Donald, Enarson
AB -  Anthony Harries and colleagues discuss how the DOTS paradigm could be adapted for controlling diseases such as diabetes in resource-poor countries. The Challenge of Managing Non-Communicable Diseases in Sub-Saharan Africa In sub-Saharan Africa (SSA), communicable diseases, particularly HIV/AIDS, tuberculosis (TB), and malaria, are still responsible for the greatest burden of morbidity and mortality [ 1 ]. However, non-communicable diseases (NCDs) are becoming a significant burden [ 1 ]. The Global Burden of Disease Study, conducted in 2001, showed that 20% of deaths in SSA were due to NCDs [ 2 ], and this burden is predicted to rise to 40% by 2020 [ 3 ]. Obesity, hypertension, diabetes mellitus, cardiovascular disease, asthma, chronic obstructive pulmonary disease, epilepsy, and mental illness are some of the important, chronic NCDs that pose significant challenges in terms of management and follow-up. How are NCDs currently managed in the routine health care settings of African countries? In brief, badly. Anecdotal reviews point to poorly managed health care systems with frequent stock interruptions of essential drugs [ 4–6 ]. Untreated hypertension is blamed for high rates of stroke morbidity and mortality in urban and rural Tanzania [ 7 ] and rural South Africa [ 
TI - Adapting the DOTS Framework for Tuberculosis Control to the Management of Non-Communicable Diseases in Sub-Saharan Africa
JF - PLoS Medicine
DO - 10.1371/journal.pmed.0050124
DA - 2008-06-10
UR - https://www.deepdyve.com/lp/public-library-of-science-plos-journal/adapting-the-dots-framework-for-tuberculosis-control-to-the-management-Si40RmkXsS
SP - e124
VL - 5
IS - 6
DP - DeepDyve
ER -