News and Stories
Network Publishes French Edition of Clinical Handbook on PEN-Plus
The NCDI Poverty Network has published a French edition of PEN-Plus Clinical Tools and Programmatic Standards, a document that defines the diagnostic, treatment, and patient support services that compose PEN-Plus. Several francophone countries have already initiated PEN-Plus.
Testing a Model for Depression Care in Malawi
NCDI Poverty Network members joined other researchers in assessing a mental health intervention that was integrated into an existing model of chronic care in Malawi. They found that such interventions can be inexpensive if they build off an existing infrastructure, involve lay personnel, and deliver therapy in a group format.
Springboard for Action
The PEN-Plus Partnership Strategic Plan (2025–2028) had its official launch at Springboard for Action, an event celebrating progress toward global access to care for people living with severe, chronic noncommunicable diseases. The NCDI Poverty Network hosted the event in New York City in September on the sidelines of the 79th Session of the U.N. General Assembly.
Photo Gallery: Circle of Life
In Springboard for Action, a PEN-Plus celebration held in September on the sidelines of the 79th Session of the U.N. General Assembly, leaders from the World Health Organization’s Regional Office for Africa, UNICEF, and Nigeria’s Ministry of Health and Social Welfare all expressed their commitment to PEN-Plus. The event also featured a performance by the Broadway cast of Disney’s The Lion King.
Strategic Plan Details Global Targets for 2028
On September 24, the Network officially published the PEN-Plus Partnership Strategic Plan (2025–2028). “It is our commitment, our testimony, and our witness to the collective progress of NCDI Poverty Network partners in delivering healthcare and hope to people in lower-income countries,” said Dr. Gene Bukhman, co-chair of the Network.
Network Publishes Clinical Tools and Programmatic Standards
The Network has published PEN-Plus Clinical Tools and Programmatic Standards, a document aimed at informing clinic planning, budgeting, and operations by providing a crisp definition of PEN-Plus clinical care, including the diagnostic, treatment, and patient support services available.
Workshop Convenes All Eight Countries in UNICEF’s Regional Office for South Asia
In early June, delegations from all eight countries in UNICEF ROSA—the Regional Office for South Asia—convened in Kathmandu for a three-day workshop on severe childhood-onset noncommunicable diseases.
Photo Gallery: UNICEF Regional Office for South Asia Workshop
In early June, delegations from all eight countries in UNICEF ROSA—the Regional Office for South Asia—convened in Kathmandu for a three-day workshop on severe childhood-onset noncommunicable diseases.
Improving Access to Care for Sickle Cell Warriors
In recognition of World Sickle Cell Day on June 19, a Lancet Haematology editorial cited both PEN-Plus and the first International Conference on PEN-Plus in Africa as initiatives that can help ensure improved access to diagnosis, treatment, and care for people living with sickle cell disease in low- and middle-income countries.
Challenging Assumptions for Low-Income Countries
A recently published study of people living with type 1 diabetes in two rural clinics in Malawi found a high level of acceptability and satisfaction among those using continuous glucose monitoring, suggesting that the technology is feasible in low-income settings.
Building for the Future
The PEN-Plus clinic in eastern Uganda began as a gathering under a tree and has blossomed into a standalone structure with consultation and treatment rooms, a training center, and a pharmacy.
Back in Play
For several years, the local health center had dismissed Fatmata Fofanah’s symptoms as the common cold. Yet those symptoms continued to worsen. “We noticed her heart was beating fast and she was short of breath,” said her mother, Mariama. “Even a few minutes of play would make her heart race.”
International Conference Series on PEN-Plus in Africa to Debut in April
“PEN-Plus” was coined only five years ago, but already the integrated care-delivery model is receiving a spotlight on the global stage, with the launch of the first annual International Conference on PEN-Plus in Africa. The invitational conference will take place in Dar es Salaam, Tanzania, in April.
PEN-Plus: A Holistic Approach to Healthcare
“It is inconceivable that a 20-year-old man would weigh only 55 pounds,” said Bright Mailosi, a specialist in noncommunicable diseases. “So much could have been done to intervene when he was first diagnosed with type 1 diabetes. Although I wish PEN-Plus had arrived in Karonga years earlier, I’m excited that we’ve changed the narrative of how complex NCDs are managed in rural areas.”
Uganda Ministry of Health Celebrates PEN-Plus Launch
The Uganda Ministry of Health, the local government of the Kumi District, and the Uganda Initiative for Integrated Management of Noncommunicable Diseases hosted a celebration of the launch of PEN-Plus in Uganda on 23 November.
Surguja Sickle Cell People’s Health Conference in Chhattisgarh, India
Over 400 people came together on 1 October to advocate for the needs of people living with sickle cell disease in Chhattisgarh State in central India.
Network Aligns with the Ministry of Health and PEN-Plus Partners in Nepal
A team of NCDI Poverty Network technical experts recently traveled to Nepal to align with partners following the Ministry of Health’s decision to expand PEN-Plus to four more district hospitals. The Network group spent the week collaborating with the Ministry of Health, UNICEF, and the Kathmandu Institute of Children Health (KIOCH) to understand how the success of PEN-Plus initiation in Nepal can be replicated nationally.
The BMJ Highlights Opportunity to Save Lives Through PEN-Plus
An opinion article published this month in The BMJ spotlights the PEN-Plus strategy as a new hope for improving chronic disease care in sub-Saharan Africa.
Undaunted Spirit Despite Dual Diagnoses
“Tawonashe is exactly the kind of patient for whom PEN-Plus was designed,” said Dr. Alvern Mutengerere, project manager for noncommunicable diseases at SolidarMed, the implementing partner for the PEN-Plus clinic in Masvingo.
Language Matters: Both a PEN-Plus Primer and Promise
The NCDI Poverty Network has produced “Language Matters,” a primer intended to sensitize PEN-Plus providers to the communication nuances involved in caring for people living with severe, chronic noncommunicable diseases.