One of the major challenges for African health systems is dealing with long-term illness. There is broad agreement among health systems experts that the effective delivery of care for chronic conditions of any kind is fundamentally different from that of acute care. Further, there exists a proven model for how to approach care that may extend over a lifetime: the Chronic Care Model. This model is supported by extensive experience and substantial research, chiefly in developed countries, where chronic care has been an issue for a long time.
The USAID Office of Health and the USAID Health Care Improvement Project (HCI) sponsored a workshop in Kampala, Uganda, May 31-June 3, 2010 to discuss how to apply the Chronic Care Model to the management of HIV/AIDS in Africa. Co-hosted by the Ministry of Health of Uganda, the four-day workshop, Transforming Health Systems and Improving Quality Care for Chronic Conditions in Africa, focused on redesigning health systems to more effectively care for chronic conditions such as HIV/AIDS, tuberculosis, and diabetes. The workshop was divided into three parts: 1) May 31 addressed the recommendations from a Chronic Care Design Meeting held in Kampala May 26-28, 2010; 2) June 1-2 featured highlights and presentations from the 2010 International Forum on Quality and Safety in Health Care, held April 21-23 in Nice, France; and 3) June 3, the final day of the workshop, focusing on improving care for patients on ART through implementing a gap analysis framework.
Available for download below are selected presentations from the event and the participant workbook from the June 3 Gap Analysis Framework Workshop. Links to relevant resource materials on care for chronic conditions are also provided below.