Description of Session
Nigeria, the most populous country in sub-Saharan Africa with a population of 190 million is currently experiencing an epidemiological health transition with growing rates of Non Communicable Diseases (NCDs). NCDs, especially diabetes mellitus, hypertension and stroke, have emerged as a major public health challenge in Nigeria specifically with 20% of the population aged 30-70 dying prematurely from these diseases largely due to limited access to quality care provision, under supply of primary care providers and specialists and a minimal health care coordination. Digital health technologies are increasingly being used to support management of NCDs. Here, we will outline the digital solutions deployed in Lagos, Nigeria as part of our pilot implementation of an integrated NCD self-management program and describes the integration of quality improvement methodologies to drive engagement and ensure patients are receiving the right care at the right time. Methods: A total of 66 participants with Hypertension and/or Diabetes Mellitus Type 1/2 were enrolled into the activation and maintenance phases of the CompleteHealth™ program from December 2018 to May 2019. Each participant was assigned to a virtual coach-led multi-disciplinary team who co-creates health goals based on their risk factors. Digital health tools were co-created with patients such as patient health portal, glucose and blood pressure diary tracking and medication reminders. Members with basic phones were provided SMS-based support. Health providers from the facilities where patients went for treatment have also been trained in diabetes and hypertension care and use of the platform. Results: Early results demonstrate improvements in blood pressure or blood glucose in over 60% of participants and 78% of participants were more confident in themselves in managing their health condition. Full detailed data analysis of outcomes and patient experience will be available at the time of the conference.
