Non-Communicable Diseases

  • Goal

    Program Goal (Community TB/HIV)

    The aim of the ACHAP NCD Program is to contribute to the reduction of NCD morbidity and mortality through improved prevention, diagnosis and management of NCDs (diabetes, hypertension and asthma) at primary health care level in Botswana in line with the Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2018-2023. The Program intends to assist MoH on how best to structure programming and planning so as to achieve intended health improvements in a strategic and sustainable manner towards halting and reversing the rising trends of NCDs.

  • Objectives

    Program Objectives

    The Program Objectives are aligned to those of the Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2018-2023, which are:

    1. To identify national priorities for addressing NCDs, with emphasis on prevention, primary care, holistic approaches and multi-sectoral participation
    2. To outline a roadmap of efforts and critical activities that will be integrated by various stakeholders in addressing NCDs
    3. To identify primary indicators and targets to assess impact of efforts

  • Input

    Program Input

    • NCD Advocacy, Communication and Social mobilization
    • Technical support, capacity building and mentoring for service improvement
    • Resource mobilization and support
    • Coordination, partnership and networking
    • Collaboration, referral and linkage of services
    • Joint planning, monitoring & evaluation

  • Governance

    Program Governance

    • Focus on geographically selected districts of implementation and outreach to neighboring districts/facilities for support services
    • The programme targets the entire population since NCD’s are a public health issue, with emphasis on congregate settings, vulnerable and at-risk populations. (PLHIV).
    • NCD’s service provider engagement in programme planning, monitoring, evaluation building knowledge and learning as well as the use of generated NCD data as feedback mechanism.
    • Community leadership engagement, involvement of care givers and provision of support systems.
    • Support for Community Based Organizations (CBOs) in NCD Management.

  • Activities

    Foundational Activities

    • Mentoring and Support Supervision (MSS)
    • Training of Master Trainers
    • Training of ToT’s
    • Training of HCW’s
    • Mentoring of District ToT’s
    • Training of Community Health Care Workers
    • Hosting of Radio programmes
    • Development and distribution of IEC Materials
    • Facilitation of E-learning
    • Training and sensitization of M&E officers and district managers
    • Data review meetings

  • Program Outputs

    • Improved quality of health care services for the management of NCDs at primary health care level
    • Increased public awareness on healthy lifestyles and the impact of NCDs
    • Incresed government coordination, planning and investments for NCDs
    • Number of curriculum modules on hypertension, asthma and diabetes approved by the relevant bodies

  • Outcomes

    • % of health care workers with improved skill to manage NCD's in the target districts
    • % of NDC clients reporting improved care and management from the health care providers
    • % of people diagnosed with hypertension, diabetes and asthma receiving treatment according to national guidelines (disaggregated by gender, age and type of condition)