Layering and scaling up chronic non‐communicable disease care on existing HIV care systems and acute care settings in Kenya: a cost and budget impact analysis

摘要

Like many countries in sub‐Saharan Africa, Kenya is experiencing a rapid rise in the burden of non‐communicable diseases (NCDs): NCDs now contribute to over 50% of inpatient admissions and 40% of hospital deaths in the country. The Academic Model Providing Access to Healthcare (AMPATH) Chronic Disease Management (CDM) programme builds on lessons and capacity of HIV care to deliver chronic NCD care layered into both HIV and primary care platforms to over 24,000 patients across 69 health facilities in western Kenya. We conducted a cost and budget impact analysis of scaling up the AMPATH CDM programme in western Kenya using the International Society for Pharmacoeconomics and Outcomes Research guidelines.