170 Chapter 8 the quality of care. Illness and deaths of healthcare workers from COVID-19 also led to health workforce shortages. However, healthcare workers adopted staff rotation to address staff shortages, integrated patient-centred care, community outreaches and home-based care to ensure patients continue receiving care. A hybrid approach should be adopted to better prepare for future pandemics and disruptions in routine service delivery. In this approach, patients can be followed up and supported through phone calls and short message service (SMS) with community outreaches and home visits to provide medication refills, screening and testing for communicable and noncommunicable diseases. Implementing this, however, requires resource mobilization and effective coordination. In Chapter 7, we discussed the different results and their implications for diabetestuberculosis care in Sub-Saharan Africa with recommendations on areas for further research. We conclude that a comprehensive improvement in health systems with infrastructure to address NCD risk factors and TB services with contributions from all relevant stakeholders is necessary for sustained improvement in diabetes-tuberculosis services to match future increases in both diseases.
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