Description
Introduction
The burden of NCDs is now escalating in protracted refugee settings in Kenya, where health systems remain fragile in the face of the dual burden of infectious and chronic diseases. In Kalobeyei Settlement, hypertension and diabetes have sharply risen, with hypertension increasing by fourfold in Natukobenyo Health Centre between 2023 and 2024. Integrating NCD care into existing PHC models among displaced populations extends equitable care to vulnerable refugee populations, an initiative UNHCR-Kenya supports in partnership with the Danish Alliance.
Methodology
NCD-related quantitative and qualitative data from the Kenya Health Information System, focused discussion groups, and key informant interviews were used to assess service delivery. The outcomes measured the coverage of screening, continuity of care, treatment adherence, referral capacity, and resource availability, and were consolidated using a Balanced Scorecard.
Results
NCD screening has been integrated into the different service delivery points, including outpatient, HIV/TB, and nutrition clinics, and is supported by community outreach programs through CHPs. This initiative has improved NCD awareness and early detection (from ~1,900 to 3,800 patients between 2023 & 2024). Despite these efforts, service quality continues to be constrained by systemic gaps: a shortage of diagnostic tools, drug stockouts, and weak patient tracking systems, undermining continuity of care. With only one NCD-dedicated clinician, there are likely temporary service disruptions. There were fragmented referral pathways due to long distances and transport barriers. However, continuous awareness creation among community members and support groups improved adherence and reduced NCD-related stigma.
Conclusion.
Integrating NCD Care in existing PHC models among refugee populations is feasible and is a hope for continuity of care, even in crisis. The balanced scorecard was effective as a monitoring tool for data-driven planning. Addressing the challenges through existing frameworks such as the Shirika Plan and KISEDP in Kalobeyei promises to achieve UHC even among refugee populations.
| Country | Kenya |
|---|---|
| Organization | Non-Governmental Organization (NGO) |
| Position | Health Manager |
| Received a Grant? | Yes |
| If yes, give grant details | Continuity in Crisis Project - Danish Red Cross |
