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  Decentralising non-communicable disease care in the Kingdom of Eswatini: successes, challenges and recommendations from a pilot study in Lubombo region

  In 2014, in conjunction with the Eswatini Ministry of Health and other local stakeholders, COMDIS-HSD initiated the decentralisation of diabetes and hypertension care from Good Shepherd Hospital (GSH) to community clinics in Lubombo region, Eswatini. This 2-year pilot involved 10 intervention clinics and 10 control clinics in Lubombo region. Our aim was to improve accessibility by providing high-quality NCD care across the region. Our pilot study also assessed the feasibility and effectiveness of decentralising diabetes and hypertension care across Eswatini.

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