Chair 4

Dr Catherine Kyobutungi

Executive Director of the African Population and Health Research Center

Joep Lange Chair Dr Catherine Kyobutungi addresses specifically the management and prevention of non-communicable diseases (NCDs), in particular CVD, again learning from the long-term experiences of HIV management in Africa.

Timeline of engagement

Dr Catherine Kyobutungi was appointed as Joep Lange Chair holder as of July 2018.

Research focus within the Joep Lange Chair & Fellows Program

The long term goal of the proposed research program is to narrow the gap between the unmet needs for NCD prevention and treatment and unresponsive health care systems in low and middle income countries. This encompasses evidence generation and synthesis, policy advocacy and outreach as well as capacity strengthening for research and advocacy around NCD epidemiology, chronic disease management frameworks, and implementation science and knowledge translation. It has three main work packages: (i) a baseline assessment of health system preparedness for NCD prevention and management through mixed methods (surveys of health facilities and key informant interviews with health facility staff, technocrats, academics, policy makers); (ii) a typology of chronic disease management frameworks and delivery models, and exploring their relevance to LMIC settings through desk review of published theoretical frameworks and models (predominantly from high income settings) to identify their key components and threads, focus group discussions, and in-depth interviews with key informants about the feasibility and relevance of these frameworks and models for LMIC settings, examining existing policy and healthcare financing frameworks and their alignment with a chronic disease management approach, development of a theoretical framework and service delivery model for chronic disease management in LMIC settings through an iterative consultative process with final validation by key stakeholders. (iii) Introducing chronic disease management approaches in different levels of health care delivery (primary, secondary and tertiary) by; conducting feasibility studies on the service delivery model(s), pilot studies of chronic disease management models at different levels of care – including the role of technology in improving health system (efficiency, effectiveness, affordability) and patient level (adherence, clinical improvements, satisfaction) outcomes in NCD care.