Health Challenges and Systems

Infectious and Non-Communicable Diseases

Health is the backbone of a nation. Sub-Saharan Africa bears a disproportionate burden of ill-health, and health remains largely under-funded by many governments in the region. In 2010, HIV/AIDS claimed up to 1.2 million lives in sub-Saharan Africa and a further 22.9 million people, including 2.3 million children, were living with HIV/AIDS. The region is also now increasingly threatened by non-communicable diseases (NCDs) such as cancer, cardiovascular diseases, diabetes, and chronic obstructive respiratory disease.



Current Project


Sustainable model for cardiovascular health by adjusting lifestyle and treatment with economic perspective in settings of urban poverty (SCALE UP)

Program: Health Challenges and Systems

This is a three year implementation research project that builds on previous observational research in the same study population of adults who are resident in the Nairobi Urban Health and Demographic Surveillance System (NUHDSS). The intervention has several components aimed at reducing cardiovascular disease (CVD) risk within a continuum of care framework.

These components include mass screening of all adults older than 35 years, CVD risk assessment, individual counseling for those with low risk; referral for those with moderate to high risk; and care and treatment at a specially established clinic, with incentives to enhance adherence to the care regime.


  • Amsterdam Institute for Global Health and Development (AIGHD)
  • Boston Consulting Group (BCG)
  • Ministry of Health Kenya
  • Nairobi City Council

Project Period

  • July 2011 to July 2014


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