Hypertension, diabetes mellitus and task shifting in their management in sub-Saharan Africa

Int J Environ Res Public Health. 2010 Feb;7(2):353-63. doi: 10.3390/ijerph7020353. Epub 2010 Jan 27.


Chronic diseases are becoming increasingly important in sub-Saharan Africa (SSA). The current density and distribution of health workforce suggest that SSA cannot respond to the growing demand for chronic disease care, together with the frequent infectious diseases. Innovative approaches are therefore needed to rapidly expand the health workforce. In this article, we discuss the evidences in support of nurse-led strategies for chronic disease management in SSA, with a focus on hypertension and diabetes mellitus.

Keywords: chronic diseases; diabetes; hypertension; nurse-led care; sub-Saharan Africa; task shifting.

MeSH terms

  • Africa South of the Sahara / epidemiology
  • Diabetes Mellitus / epidemiology*
  • Diabetes Mellitus / nursing
  • Evidence-Based Nursing
  • Humans
  • Hypertension / epidemiology*
  • Hypertension / nursing