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Title: | A multi-center prospective cohort study to evaluate the effect of differential pricing and health systems strengthening on access to medicines and management of hypertension and diabetes in Ghana: A study protocol |
Authors: | Mobula, Linda Meta Sarfo, Fred Stephen Arthur, Lynda Burnham, Gilbert Plange-Rhule, Jacob Ansong, Daniel Gavor, Edith Ofori-Adjei, David |
Keywords: | Hypertension Diabetes Access Non-communicable Diseases Ghana Affordability LMIC Differential pricing |
Issue Date: | 2018 |
Publisher: | Gates Open Research |
Citation: | Gates Open Research 2018, 2:6 , May, 2018 |
Abstract: | Background: There is evidence to suggest that the prevalence of
non-communicable diseases (NCDs), in particular cardiovascular diseases and
diabetes, are being recognized as forming a substantial proportion of the
burden of disease among populations in Low- and Middle-Income Countries
(LMICs). Access to treatment is likely a key barrier to the control and
prevention of NCD outcomes. Differential pricing, an approach used to price
drugs based on the purchasing power of patients in different socioeconomic
segments, has been shown to be beneficial and leads to improved access and
affordability.
Methods: This is a quasi-experimental study, with a pragmatic trial design, to
be conducted over the course of three years. A mixed methods design will be
used to evaluate the effects of health systems strengthening and differential
pricing on the management of diabetes, hypertension and selected cancers in
Ghana. A public private partnership was established between all sites that will
receive multi-level interventions, including health systems strengthening and
access to medicines interventions.
Study populations and sites: Study participants will include individuals with
new or previously diagnosed hypertension and diabetes (n=3,300), who
present to two major referral hospitals, Komfo Anokye Teaching Hospital and
Tamale Teaching Hospital, as well as three district hospitals, namely Kings
Medical Centre, Agogo Presbyterian District Hospital, and Atua Government
Hospital.
Discussion: The objective of this study aims to test approaches intended to improve access to drugs for the treatment of hypertension and diabetes, and Comments (0)
improve disease control. Patients with these conditions will benefit from health
systems strengthening interventions (education, counseling, improved
management of disease), and increased access to innovative medicines via
differential pricing.
Pilot programs also will facilitate health system strengthening at the
participating institutions, which includes training of clinicians and updating of
guidelines and production of protocols for the treatment of diabetes,
hypertension and cancer. |
Description: | An article published in Gates Open Research 2018, 2:6 , May, 2018 |
URI: | http://hdl.handle.net/123456789/13406 |
Appears in Collections: | College of Health Sciences
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