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Submitted by Miriam Rabkin on
Thanks for a great post. As you know, health systems in resource-limited settings are often able to provide only episodic services for acute, symptomatic illness. In many countries, the national HIV/AIDS program is the first and only large-scale chronic disease program providing continuity care services. If and when funds become available to support NCD programs, they may find that adapting the locally-owned and contextually appropriate policies, systems and tools developed for HIV/AIDS programs will allow them to "jumpstart" NCD prevention, care and treatment.
Support for such pilot initiatives - and, critically, the associated operations research/implementation science needed to establish which approaches are effective, efficient and equitable - would be a high-impact use of donor funding.
Additional information is available here: http://www.columbia-icap.org/news/mediacoverage/GPH_Apr_2011.pdf http://www.iasociety.org/Default.aspx?PageId=555 http://www.ncbi.nlm.nih.gov/pubmed/21857304