Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network.
Background Most people with chronic Chagas disease do not receive specific care and therefore are undiagnosed and do not receive accurate treatment. This manuscript discusses and evaluates a collaborative strategy to improve access to healthcare for patients with Chagas in Bolivia, a country with th...
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ftdoajarticles:oai:doaj.org/article:ee5f06cb11c9430d8f1c365cd7d998b7 2023-05-15T15:12:05+02:00 Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network. Maria-Jesus Pinazo Mirko Rojas-Cortez Ruth Saravia Wilson Garcia-Ruiloba Carlos Ramos Jimy-Jose Pinto Rocha Lourdes Ortiz Mario Castellon Nilce Mendoza-Claure Daniel Lozano Faustino Torrico Joaquim Gascon Chagas Platform and Chagas Healthcare Network working group 2022-02-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0010072 https://doaj.org/article/ee5f06cb11c9430d8f1c365cd7d998b7 EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0010072 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010072 https://doaj.org/article/ee5f06cb11c9430d8f1c365cd7d998b7 PLoS Neglected Tropical Diseases, Vol 16, Iss 2, p e0010072 (2022) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1371/journal.pntd.0010072 2022-12-31T00:45:54Z Background Most people with chronic Chagas disease do not receive specific care and therefore are undiagnosed and do not receive accurate treatment. This manuscript discusses and evaluates a collaborative strategy to improve access to healthcare for patients with Chagas in Bolivia, a country with the highest prevalence of Chagas in the world. Methods With the aim of reinforcing the Chagas National Programme, the Bolivian Chagas Platform was born in 2009. The first stage of the project was to implement a vertical pilot program in order to introduce and consolidate a consensual protocol-based healthcare, working in seven centers (Chagas Platform Centers). From 2015 on the model was extended to 52 primary healthcare centers, through decentralized, horizontal scaling-up. To evaluate the strategy, we have used the WHO ExpandNet program. Results The strategy has significantly increased the number of patients cared for, with 181,397 people at risk of having T. cruzi infection tested and 57,871 (31·9%) new diagnostics performed. In those with treatment criteria, 79·2% completed the treatment. The program has also trained a significant number of health personnel through the specific Chagas guidelines (67% of healthcare workers in the intervention area). Conclusions After being recognized by the Chagas National Programme as a healthcare model aligned with national laws and priorities, the Bolivian platform of Chagas as an innovation, includes attributes that they have made it possible to expand the strategy at the national level and could also be adapted in other countries. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 16 2 e0010072 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Maria-Jesus Pinazo Mirko Rojas-Cortez Ruth Saravia Wilson Garcia-Ruiloba Carlos Ramos Jimy-Jose Pinto Rocha Lourdes Ortiz Mario Castellon Nilce Mendoza-Claure Daniel Lozano Faustino Torrico Joaquim Gascon Chagas Platform and Chagas Healthcare Network working group Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Most people with chronic Chagas disease do not receive specific care and therefore are undiagnosed and do not receive accurate treatment. This manuscript discusses and evaluates a collaborative strategy to improve access to healthcare for patients with Chagas in Bolivia, a country with the highest prevalence of Chagas in the world. Methods With the aim of reinforcing the Chagas National Programme, the Bolivian Chagas Platform was born in 2009. The first stage of the project was to implement a vertical pilot program in order to introduce and consolidate a consensual protocol-based healthcare, working in seven centers (Chagas Platform Centers). From 2015 on the model was extended to 52 primary healthcare centers, through decentralized, horizontal scaling-up. To evaluate the strategy, we have used the WHO ExpandNet program. Results The strategy has significantly increased the number of patients cared for, with 181,397 people at risk of having T. cruzi infection tested and 57,871 (31·9%) new diagnostics performed. In those with treatment criteria, 79·2% completed the treatment. The program has also trained a significant number of health personnel through the specific Chagas guidelines (67% of healthcare workers in the intervention area). Conclusions After being recognized by the Chagas National Programme as a healthcare model aligned with national laws and priorities, the Bolivian platform of Chagas as an innovation, includes attributes that they have made it possible to expand the strategy at the national level and could also be adapted in other countries. |
format |
Article in Journal/Newspaper |
author |
Maria-Jesus Pinazo Mirko Rojas-Cortez Ruth Saravia Wilson Garcia-Ruiloba Carlos Ramos Jimy-Jose Pinto Rocha Lourdes Ortiz Mario Castellon Nilce Mendoza-Claure Daniel Lozano Faustino Torrico Joaquim Gascon Chagas Platform and Chagas Healthcare Network working group |
author_facet |
Maria-Jesus Pinazo Mirko Rojas-Cortez Ruth Saravia Wilson Garcia-Ruiloba Carlos Ramos Jimy-Jose Pinto Rocha Lourdes Ortiz Mario Castellon Nilce Mendoza-Claure Daniel Lozano Faustino Torrico Joaquim Gascon Chagas Platform and Chagas Healthcare Network working group |
author_sort |
Maria-Jesus Pinazo |
title |
Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network. |
title_short |
Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network. |
title_full |
Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network. |
title_fullStr |
Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network. |
title_full_unstemmed |
Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network. |
title_sort |
results and evaluation of the expansion of a model of comprehensive care for chagas disease within the national health system: the bolivian chagas network. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2022 |
url |
https://doi.org/10.1371/journal.pntd.0010072 https://doaj.org/article/ee5f06cb11c9430d8f1c365cd7d998b7 |
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Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 16, Iss 2, p e0010072 (2022) |
op_relation |
https://doi.org/10.1371/journal.pntd.0010072 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010072 https://doaj.org/article/ee5f06cb11c9430d8f1c365cd7d998b7 |
op_doi |
https://doi.org/10.1371/journal.pntd.0010072 |
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PLOS Neglected Tropical Diseases |
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16 |
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2 |
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