News and Stories
‘The Way We Do Things’
Dr. Justice Mudavanhu, a Ministry of Health expert, reports that Zimbabwe’s PEN-Plus national operational plan, launched just last year, has already helped transform PEN-Plus implementation from a partner-driven activity in one corner of the country to a Ministry of Health program poised for national expansion.
Lancet Editorial Praises PEN-Plus
With less than a month until heads of state and health leaders from across sub-Saharan Africa convene at the Third International Conference on PEN-Plus in Africa to discuss strategies for improving care for people living with severe, chronic noncommunicable diseases, a Lancet Primary Care editorial provides a powerful testament to the impact of PEN-Plus.
Peer Support a Growing Focus of Noncommunicable Disease Care
With peer support having proved to be a key component of PEN-Plus care, the NCDI Poverty Network is developing an integrated training program for peer educators. “We’ve seen beautiful examples of young people who are unafraid to speak boldly about their condition, to be advocates, to be champions,” said Dr. Colin Pfaff, the Network’s associate director of programs. “They are living successful lives and are examples to others, which has such a powerful impact.”
Celebrating the Network’s First Five Years
Five years. Twenty-nine countries. Over a hundred PEN-Plus clinics. More than 30,000 patients. Together, the many collaborators that compose the NCDI Poverty Network deliver hope and healthcare to children, adolescents, and young adults navigating the dual challenges of poverty and severe, chronic noncommunicable diseases. And this is just the beginning.
Mozambique Hosts a Regional PEN-Plus Study Tour
The NCDI Poverty Network’s co-secretariat in Maputo, Mozambique, and the Southern Africa Regional Hub recently hosted a study tour to enable representatives from the Ministries of Health of Angola, Eswatini, and Lesotho to learn about PEN-Plus implementation.
Her Heart Now Mended, Shumirai Magidi Reclaims Her Independence
Shumirai Magidi, a 48-year-old mother of six who lives in a quiet rural stretch of Chabata Village in the Bikita District of southeastern Zimbabwe, is known for her resilience. Yet that strength was put to the test several years ago, when her health began to fail.
Health Leaders Commit to Accelerating PEN-Plus in Africa
At the second International Conference for PEN-Plus in Africa, recently held in Abuja, health leaders, policymakers, and development partners across Africa renewed their commitment to an accelerated implementation of the PEN-Plus to significantly expand access to care for people living with severe noncommunicable diseases.
Examining the Patient’s Entire Journey
The NCDI Poverty Network’s second study in a trio assessing 16 health facilities across nine countries in 2022–23, before PEN-Plus implementation, focuses on how providers deliver care, from screening and diagnosis through treatment and long-term support.
Study Shows Medicine and Equipment Gaps in Advance of PEN-Plus
A newly published study found that only two of 16 health facilities assessed in nine lower-income countries had all the functional equipment needed to diagnose and manage care for people living with type 1 diabetes. Two of the facilities had none of the necessary equipment.
Creating a Training “Echo”
A recent intensive teaching course aimed to turn care providers already proficient in echocardiography into master trainers. Held in Kenya, the weeklong session included care providers from five countries.
WHO AFRO Publishes Landmark PEN-Plus Report
The WHO Regional Office for Africa recently published a landmark report that details the impact and momentum of the PEN-Plus model, providing a valuable tool for advocacy and information about integrated care for people living with severe, chronic noncommunicable diseases.
Zimbabwe Finalizes National Operational Plan for PEN-Plus
Zimbabwe recently finalized its national operational plan for PEN-Plus, becoming the first country to do so among the dozen nations that began implementing PEN-Plus in 2022–23. “This plan shows the great commitment of Zimbabwe’s Ministry of Health and its supporting partners to take the lessons learned from its initial experience with PEN-Plus to the next level,” said Dr. Neil Gupta, senior director of policy for the NCDI Poverty Network.
Training the Warrior Trainers
Two NCDI Poverty Network physicians lent their expertise during a recent diabetes training workshop that the Sonia Nabeta Foundation hosted in Uganda.
Youth Camps Bring Support Beyond Clinical Care
Camps that bring together young people living with a severe noncommunicable disease are showing that the benefits of integrated care can extend far beyond clinical settings. The first such camps—held this year in Rwanda and Zimbabwe—hosted young people with type 1 diabetes, sickle cell disease, and childhood heart disease.
Zimbabwe’s PEN-Plus Program Makes Strides
A recent visit to Zimbabwe by members of the NCDI Poverty Network’s Programs Team yielded encouraging updates on the country’s PEN-Plus program.
From Words to Action
The first International Conference on PEN-Plus in Africa provided a platform for health experts, policymakers, civil society organization representatives, donors, people living with noncommunicable diseases, and community advocates to expedite political and financial backing for PEN-Plus.
Experts Showcase PEN-Plus in Southern Africa
The NCDI Poverty Network and the Centre for Infectious Disease Research in Zambia (CIDRZ) hosted a side event, “PEN-Plus Partnership: An NCDI Poverty Network Initiative in Partnership with WHO/AFRO,” on 29 November at the 3rd International Conference on Public Health in Africa, held in Lusaka, Zambia.
CPHIA Side Event to Focus on PEN-Plus in Southern Africa
The Southern Africa Regional Hub of the NCDI Poverty Network and the Centre for Infectious Disease Research in Zambia (CIDRZ) will co-host a side event during the Third Annual International Conference on Public Health in Africa (CPHIA), which will take place at the Mulungushi International Conference Center in Lusaka, Zambia, on 27–30 November.
Undaunted Spirit Despite Dual Diagnoses
“Tawonashe is exactly the kind of patient for whom PEN-Plus was designed,” said Dr. Alvern Mutengerere, project manager for noncommunicable diseases at SolidarMed, the implementing partner for the PEN-Plus clinic in Masvingo.
PEN-Plus Providers in Zimbabwe Receive Cardiac Training
In May, eight PEN-Plus providers in Zimbabwe received initial training in performing and interpreting echocardiograms. Those eight providers—along with seven others—were also trained in managing heart failure.