Description
Background
Non-communicable diseases (NCDs) are the fastest-growing health burden in Africa, intensifying challenges in already fragile systems. Displaced populations face elevated risks due to fragmented healthcare access. This project sought to strengthen integrated NCD care for refugees in Dadaab, Kenya, and Somalia through cross-border collaboration among the Kenya Red Cross Society, Somali Red Crescent Society, and Danish Red Cross, ensuring displaced populations access sustained care.
Methods
The project was implemented at Dadaab’s IFO1 Refugee Hospital and five border facilities. Capacity building included training 33 healthcare workers and 60 community health promoters on NCD protocols. Five patient support groups were formed and 30 members trained in income-generating activities through village savings and loan associations (VSLAs). To improve diagnostics and monitoring, 20 blood pressure monitors and 40 glucometers were distributed. Cross-border referral tools were harmonized to improve continuity of care. Additionally, 44 community champions conducted NCD awareness campaigns.
Results
Key improvements were observed in awareness, management, and coordination. Awareness of NCD risk factors rose from 67% to 84%. In Kenya, glycemic control improved from 54% to 89% among patients, while adoption of healthy lifestyles increased, with physical activity rising from 46% to 82%. A total of 146 cross-border referrals were facilitated—105 from Kenya and 41 from Somalia—demonstrating stronger system linkages. Six youth leaders were trained for peer support, and eight county-level technical meetings were convened to strengthen oversight and planning.
Conclusion
Integrated NCD care is feasible in humanitarian settings, though sustainability remains challenged by irregular commodity supplies, livelihood constraints, and refugee mobility. Strengthening supply chains, expanding income-generating initiatives, and institutionalizing NCD units within facilities are critical next steps. The project demonstrated improved continuity of care for mobile populations, highlighting the value of cross-border collaboration in fragile contexts.
Keywords:
Noncommunicable Diseases; Refugees; Humanitarian Aid; Integrated Care; Migrants
| Country | Kenya |
|---|---|
| Organization | Non-Governmental Organization (NGO) |
| Position | Health Program officer |
| Received a Grant? | Yes |
| If yes, give grant details | The project was funded by world diabetes foundation through Danish Red Cross from November 2022 to May 2025. |
