The prevalence of NCDs in developing countries is growing. [1]In Kenya, the prevalence varies by region; for instance, diabetes is estimated at 10.7% in urban areas and 2.7% in rural areas.
Many factors have contributed to this rise including increased lifespan, modernization, globalization, poverty, and changing lifestyles. This challenge is exacerbated by underfunded and inadequately prepared healthcare systems to manage the growing burden of non-communicable diseases. In response, the country has been increasing investments across health pillars as part of efforts to strengthen the healthcare system and support the fight against NCDs. Therefore, a multifaceted
approach is necessary to improve the outlook of non-communicable diseases, including enhancing access to health care services and education.
A common strategy to achieve both goals is the Community Health Promoters model. In this model, community members who have attained form four level education and are a resident of a given village, are selected through the ‘Chief Barazas’ with a criterion adopted from the national level. They serve as the first point of contact for healthcare and education.
These actions have been fueled by SDG Target 3, subsection 4 on NCDs and mental health. They serve as a reminder of the need to reduce premature mortality by one-third through prevention, promotion and treatment, of mental health and well-being by 2030.
Nyeri County has the highest prevalence of NCDs like Diabetes Mellitus compared to other Counties. [1]Over 50% of admissions at Nyeri County Referral Hospital are due to Non-Communicable Diseases and more than 55% of hospital deaths are attributable to NCDs, significantly higher than Kenya's national rate of 39%. The 2015 STEPs survey showed the prevalence of hypertension to be at 23% with that of diabetes to be at 3.1%.
Recent surveys show high levels of hypertension (13-28%) and diabetes (6-19%), and cancers being the leading cause of mortality. Through the committed and resilient 2,510 Community Health Promoters, spread across 251 functional Community Units in the eight sub-counties, Nyeri County has improved access to care and education, particularly in rural areas.
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