Table 3. Main components of the community care interventions described presented by care model categories.
Community care intervention | Source of patients | Location of care | Key activities undertaken | Cadre of staff used | Additional staff preparation for model delivery | Integrated care | Outcome measured |
---|---|---|---|---|---|---|---|
Community-initiated model | |||||||
BIGPIC | Community-based screening, enrolment of individuals diagnosed with diabetes | Households and places used for gatherings like religious centers, schools, markets and shops | Medical prescription and drug distribution, lifestyle change support | Community care workersa, local volunteers, social workers, pharmacists, clinical officers, and physicians |
Not reported | Health education with agro-business adviceeconomic stability through loans within microfinance groupsDemand for care creation through incentives • aHT co-management |
Blood glucose, HbA1c Linkage to care Engagement in care |
eHealth model | |||||||
Mobil Diab System | Known T2DM patients, source of recruitment not reported | Long distance support using eHealth tools e. g specially deployed app | Blood glucose monitoring by patient and reported through eHealth tool | Physicianb | Not reported | None | HbA1c, Acceptability to patient Acceptability to healthcare provider |
Facility-originated community model | |||||||
Home delivery of medication | Primary health centers | Patient’s household | Medication prescription and distribution | community health workera | Co-management with aHT | HbA1c, Acceptability to patient |
|
Kgatelopele programme | Primary health centers | Patient’s household | Medication prescription and distribution to patient’s home. Health promotion, education, adherence counselling. |
Physician, pharmacist, community health workera | 14-week training for CHW on home care, adherence counselling and health promotion | Co-management with aHT | Blood glucose |
BIGPIC = Impact of Bridging Income Generation with Group Integrated Care; T2DM = type 2 diabetes mellitus; aHT = arterial hypertension
aMain staff cadre providing services.
bSelf-care driven, with physician supervision