title: Towards reframing health service delivery in Uganda: the Uganda Initiative for Integrated Management of Non-Communicable Diseases.
abstract: BACKGROUND
  The burden of non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) is accelerating. Given that the capacity of health systems in LMICs is already strained by the weight of communicable diseases, these countries find themselves facing a double burden of disease. NCDs contribute significantly to morbidity and mortality, thereby playing a major role in the cycle of poverty, and impeding development.
  
  
  METHODS
  Integrated approaches to health service delivery and healthcare worker (HCW) training will be necessary in order to successfully combat the great challenge posed by NCDs.
  
  
  RESULTS
  In 2013, we formed the Uganda Initiative for Integrated Management of NCDs (UINCD), a multidisciplinary research collaboration that aims to present a systems approach to integrated management of chronic disease prevention, care, and the training of HCWs.
  
  
  CONCLUSIONS
  Through broad-based stakeholder engagement, catalytic partnerships, and a collective vision, UINCD is working to reframe integrated health service delivery in Uganda.
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Section of General Internal Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA; Jeremy.schwartz@yale.edu.
authors.forename: Jeremy I
authors.initials: JI
authors.lastname: Schwartz
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Global Health Corps, New York, NY, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Dunkle
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Department of Community Health, Government of Uganda Ministry of Health, Kampala, Uganda.
authors.forename: Ann R
authors.initials: AR
authors.lastname: Akiteng
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Mulago National Referral Hospital, Kampala, Uganda.
authors.forename: Doreen
authors.initials: D
authors.lastname: Birabwa-Male
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Global Health Corps, New York, NY, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Kagimu
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Mulago National Referral Hospital, Kampala, Uganda.
authors.forename: Charles K
authors.initials: CK
authors.lastname: Mondo
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Department of Community Health, Government of Uganda Ministry of Health, Kampala, Uganda.
authors.forename: Gerald
authors.initials: G
authors.lastname: Mutungi
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Section of General Internal Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Rabin
authors.affiliation: Yale Global Health Leadership Institute, New Haven, CT, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Skonieczny
authors.affiliation: Yale Global Health Leadership Institute, New Haven, CT, USA.
authors.forename: Jamila
authors.initials: J
authors.lastname: Sykes
authors.affiliation: Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
authors.forename: Harriet
authors.initials: H
authors.lastname: Mayanja-Kizza
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D003906:Developing Countries; D019468:Disease Management; D014943:Global Health; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D007390:International Agencies / Q000458:organization & administration*; D011203:Poverty; D011787:Quality of Health Care / Q000458:organization & administration; D014454:Uganda
keywords: Health system strengthening; Integration; Multi-sectoral collaboration; Non-communicable diseases