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Results

162,977

Enrollees in Nigeria, Kenya and Tanzania


16,184,200

Total disbursed loan amount in USD


1,938,199


Number of patient visits to SafeCare facilities per month


1,954

Number of active clinics in the SafeCare program

Publications

Development and evaluation of a patient centered cardiovascular health education program for insured patients in rural Nigeria (QUICK-II)

Mar 21, 2011


Background: In sub-Saharan Africa, the incidence of hypertension and other modifiable cardiovascular risk factors is growing rapidly. Poor adherence to prescribed prevention and treatment regimens by patients can compromise treatment outcomes. Patient-centered cardiovascular health education is likely to improve shortcomings in adherence. This paper describes a study that aims to develop a cardiovascular health education program for
patients participating in a subsidized insurance plan in Nigeria and to evaluate the applicability and effectiveness in patients at increased risk for cardiovascular disease.

Methods/Design: The study has two parts. Part 1 will develop a cardiovascular health education program, using qualitative interviews with stakeholders. Part 2 will evaluate the effectiveness of the program in patients, using a prospective (pre-post) observational design.

Setting: A rural primary health center in Kwara State, Nigeria.

Population: For part 1: 40 patients, 10 healthcare professionals, and 5 insurance managers. For part 2: 150 patients with uncontrolled hypertension or other cardiovascular risk factors after one year of treatment.

Intervention: Part 2: patient-centered cardiovascular health education program.

Measurements: Part 1: Semi-structured interviews to identify stakeholder perspectives. Part 2: Pre- and postintervention assessments including patients’ demographic and socioeconomic data, blood pressure, body mass index and self-reporting measures on medication adherence and perception of care. Feasibility of the intervention will be measured using process data.

Outcomes: For program development (part 1): overview of healthcare professionals’ perceptions on barriers and facilitators to care, protocol for patient education, and protocol implementation plan. For program evaluation (part 2): changes in patients’ scores on adherence to medication and life style changes, blood pressure, and other physiological and self-reporting measures at six months past baseline.

Analysis: Part 1: content analytic technique utilizing MAXQDA software. Part 2: univariate and multilevel analysis to assess outcomes of intervention.

Discussion: Diligent implementation of patient-centered education should enhance adherence to cardiovascular disease prevention and management programs in low income countries.

Trial Registration: ISRCTN47894401


Click here to read the full report.

Author: Aina Olufemi Odusola, Marleen Hendriks, Constance Schultsz, Karien Stronks, Joep Lange, Akin Osibogun, Tanimola Akande, Shade Alli, Peju Adenusi, Kayode Agbede and Joke Haafkens

Date: March 2011

News

On 12 September 2016, OPIC, Calvert Foundation and two private investors announce expansion
PharmAccess and its German consultancy partner GFA have won a 27.3 million Euros tender from the German development bank KfW to improve access to healthcare for low-income pregnant women in 5 regions of Tanzania.
President Felipe Nyuse of Mozambique officially opened the University Clinic

Publications

A population-based study
Date: September, 2015

Research findings on Health Insurance Fund supported programs

Date: February, 2015