Table 3.
Suggested approaches to strengthen services in tropical countries to deal with communicable and non-communicable diseases
| Integrated approach to disease prediction and control | |
|---|---|
| Integration of care | |
| Prevention | Innovative model for incentives to prevent infectious and non-communicable diseases129 |
| Screening | Screening HIV patients for cardiovascular risk factors130 |
| Care | Integration of care for diabetes and tuberculosis6 |
| Technical solutions | |
| Simplified diagnostics | Smartphone applications to replace laboratory immunoassays131 |
| Disease monitoring | Use of new collective methods and digital images132 |
| Electronic health | Text messages to increase adherence to antiretroviral therapies133 |
| Depot medication | Simplify chronic treatment using depot medication134 |
| Health service delivery | |
| Task-shifting | Diabetes management shifted from senior health workers towards nurses135, 136 |
| Peer support | Peer support for diabetes and hypertension patients137, 138 |
| Work-based support | Health prevention and treatment in work environments139, 140 |
| Funding | |
| Government | Commitment to UN declaration to mobilise funds for medication141 |
| Research | Scholarships for studies in global health with preference for combining communicable and non-communicable diseases |