PEN-Plus Strategy Enhances NCD Care in Africa

In recent years, the burden of non-communicable diseases (NCDs) has escalated in the WHO African Region. A report released by the World Health Organization (WHO) Africa assessed the PEN-Plus approach that aims to decentralise critical health services for severe NCDs. Since its adoption, twenty African countries have improved access to essential care, addressing public health threat.

About Non-Communicable Diseases (NCDs)

NCDs are chronic diseases that are not caused by infectious agents. They progress slowly and result from a mix of genetic, environmental, and behavioural factors. Common NCDs include heart disease, diabetes, and cancers. Globally, NCDs account for 71% of deaths. In Africa, they represent portion of mortality, ranging from 27% to 88%.

The PEN-Plus Approach

The PEN-Plus model complements the WHO’s Package of Essential Non-communicable Disease interventions. It focuses on managing severe NCDs at the primary healthcare level. Originally developed in Rwanda, PEN-Plus aims to provide care to individuals living in extreme poverty. It trains healthcare professionals to deliver essential medical services, including diagnosis and psychosocial support.

Implementation and Impact

Since its implementation, the PEN-Plus strategy has shown promising results in countries like Liberia, Malawi, and Rwanda. As of January 2025, over 15,000 individuals received treatment for severe NCDs. In Malawi, the national scale-up of PEN-Plus is progressing well, with more than 440 clinicians trained. Six secondary-level health facilities are now providing care to over 300 patients.

Challenges and Future Directions

Despite the successes, challenges remain. Many children and young adults continue to die from treatable NCDs due to lack of access to diagnosis and care. The report stresses the need for ongoing investment and collaboration to expand PEN-Plus coverage. Policymakers and health experts are urged to prioritise NCDs on the global agenda to ensure better health outcomes for underserved populations.

Importance of Sustainable Health Systems

Creating sustainable health systems is crucial for addressing the NCD burden in Africa. The PEN-Plus model encourages countries to implement standardised programmes. This ensures that essential medicines, technologies, and diagnostics are available and accessible in district hospitals. The focus is on bridging the treatment gap for patients with severe NCDs.

Month: Current Affairs - April, 2025

Category: Reports & Indexes Current Affairs