The Multitilink Consortium, a collaboration funded by NIHR between Liverpool’s Tropical Medicine School, Malawi-Liverpool-Wellcome, Muhimbili University of Health and Allied Sciences and Kilimanjaro Christian Medical for the hospital scale. Polymorphism refers to the presence of two or more chronic diseases.
Researchers found that from 1007 patients accepted by four hospitals in Malawi and Tanzania, 47% had polymorphism, more often hypertension, diabetes or HIV. Such conditions increase the risk of ending diseases, such as heart failure, stroke and chronic kidney disease and premature death.
Patients with polymorphism were significantly more likely to die within 90 days of hospital admission (41.7%), compared to those with a long -term condition (28.3%) or without long -term conditions (13.5%).
The study, published in Lancet Global Health, also showed the financial cost of polytheism, with patients with acute illness reporting income loss, poorer quality of life and higher medical accounts, especially in Tanzania where healthcare is not free.
The findings demonstrate the significant burden of diversity in healthcare systems that do not usually project in long -term conditions. Unfortunately, this often means that the initial diagnosis is made after complications.
Researchers argue that their findings show how diversity is an urgent threat to public health that requires changes in health care to address the needs of the population. Further research is needed to test health -sensitive health models to identify and control chronic diseases, prevent complications, reducing disability and mortality and ensuring financial protection for patients.
Dr. Stephen Spencer, Wellcome Trust Clinical PhD Fellow at Liverpool’s Tropical Medicine School and the Malawi-Liverpool-Wellcome (MLW) program, and co-authorship on paper, said: “Divine Liturgy is a growing problem in subsoils, Africa, illnesses such as high blood pressure, high blood pressure, Or heart disease, and we see polymorphism in young adults as well as in older adults.
“When someone with an unaccountable or uncontrolled multimodality comes to the hospital, we have the opportunity to detect and deal with all the conditions that may suffer, but this is a challenge to limit the hospitals that are limited and exploit the models we face and evaluate and evaluate and evaluate them and evaluate and evaluate Assessment of the system and health reduces the risk of death and disability that can be prevented. “
Professor Eve Worrall, Professor of LSTM Health Economics and Multitilink’s co-head, said: “I am proud of the multi-zone team for the evidence presented in this document. Not only does it underline some of the critical challenges that people face and Restrictions of resources, but represents a controversy shown by the international collection through a part representing an excerpt representing an excerpt representing an excerpt representing a passage representing an excerpt representing a passage representing a part that represents a part They represent a place through a place, to be fair.
“The document shows how polymorphism has not been diagnosed in Malawi and Tanzania, which may affect the cost of the health system, the cost of patients and the health associated with quality of life and leads to avoided mortality. Since many people who live with a long -awaited age. and the management of African and the management of Africa and the management of Africa and the management of Africa and the management of Africa.
Malawi’s health system, as is the case with most health systems in sub -Saharan Africa, is currently overwhelmed by the treatment of a DUO load of communicable and non -communicable diseases. Recent research findings that almost half of medical imports have multiple long -term conditions are additional stress in the system. Preparing our health system for identifying and treating polymorphism should be a priority. ”
Dr. Felix Limbani, Co-Prokarist researcher, multilevel and senior researcher in MLW
The document also included authors from Queen Elizabeth Central Hospital, Kamuzu University of Health Sciences and Achikondi Community Clinic in Malawi, Kilimanjaro Clinical Research at Tanzania at the University of Manzester, University in the US.
Source:
Magazine report:
Spencer, SA, et al. (2025). The weight of the Multi -Hospital Hospital Introduction to Malawi and Tanzania: a future study of multicenter coorde. The Lancet Global Health. Doi.org/10.1016/s2214-109x(25)).
