Syndemic of hypertension, diabetes, mental illness and HIV in Eswatini


The Ministry of Health in Eswatini embarks on the national scale-up of decentralized care for hypertension and diabetes, in an attempt to address the overburdened health system. The WHOpen project is a cluster-randomized trial to assess the most efficient way of organizing the decentralization.

The syndemics project is part of WHOpen and uses the community-based surveys to map the syndemic of prevalent infectious and non-infectious diseases. It tries to elucidate if specific scale-up strategies for different groups are warranted to improve decentralized care.

Funding: European Commission H2020

Project partners: Universitaetsklinikum Heidelberg, Germany; Schweizerisches Tropen- und Public Health-Institut, Basel, Switzerland; University of Eswatini, Kwaluseni, Eswatini; Georg-August-Universität Göttingen, Germany; Folkhelseinstituttet, Norway; Clinton Health Access Initiative, Mbabane, Eswatini; Swaziland Business Coalition on Health and AIDS; Diabetes Swaziland, Manzini, Eswatini

Timing: 2019 -

Frank van Leth
Associate Professor