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Sandhya Singh
National Department of Health, South Africa
Publications
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Research Article
Primary Health Care System Readiness for Diabetes Mellitus and Tuberculosis Service Integration in South Africa
Author(s): Hala Jassim Almossawi, Refiloe Matji, Yogan Pillay, Sandhya Singh, Lindiwe Mvusi, Buyi Mbambo, Aida Olkkonen and Neeraj Kak*
Background: In recognition of the convergence of high levels of Tuberculosis (TB) and increasing Diabetes Mellitus (DM) in South Africa, the country has prioritized integrated clinical service management for acute diseases and chronic conditions at the primary health care level. The shift toward collaborative activities requires changes in all areas of the health system. Objective: To assess the readiness of the primary health care system to provide integrated tuberculosis and diabetes services, this case study assessed leadership/governance, the health workforce, health information systems, access to medicines, and service delivery. Methods: The mixed-method study included interviews with health facility managers, facility checklist of TB and DM supplies and commodities, review of health records, a patient survey, and.. View more»