Non-Communicable Diseases
Screen, treat, and track adherence for chronic conditions, right in the community.
The Challenge
Chronic disease care plays out over months and years, not a single visit.
Medication adherence
Missed doses quietly set patients back over time.
Referrals across facilities
Patients move between clinics, labs, and hospitals.
Reaching rural patients
Many live far from clinics with poor connectivity.
CommCare for Non-Communicable Diseases Programs
Find high-risk patients before complications develop
- Capture blood pressure, glucose, and BMI in the community
- Auto-classify risk and flag patients for clinical follow-up
- Refer high-risk cases straight to a facility
Guide treatment and keep patients on their meds
- Follow protocol prompts for hypertension and diabetes
- Record each visit and dispense refills on schedule
- Track adherence and flag patients slipping off target
Watch your cohort from one registry
- See who is enrolled, controlled, overdue, and high risk
- Spot patients slipping out of care before they are lost
- Live readings sync from community health workers on every visit
Show control rates across every facility
- Track screened, on-treatment, and controlled on one dashboard
- Break results down by facility and condition
- Push straight to DHIS2 and national health systems
Want to see how this would work for your chronic disease program?
Talk to our teamNon-communicable disease programs built on CommCare
From sickle cell disease management to hypertension and diabetes programs, here’s how CommCare supports chronic disease care at the last mile.
Hagadera refugee camp: 99.6% follow-up vs 14.7% with a generic EMR
A peer-reviewed study in Kenyan refugee camps found that a purpose-built CommCare non-communicable disease application recorded blood pressure in 100% of cases and scheduled follow-up visits in 99.6% of records, compared with 75% and 14.7% in a generic electronic medical record, demonstrating the critical role of fit-for-purpose digital tools in humanitarian non-communicable disease care.
Sickle Cell Foundation of Ghana: digitizing national newborn screening on CommCare
The Sickle Cell Foundation of Ghana digitized its National Newborn Screening Program on CommCare, registering 12,500+ newborns and tightening follow-up.
Read the case study
IRC & Elrha, Jordan: 90% medication adherence for Syrian refugees
IRC and Elrha’s community health volunteer program for Syrian refugees in Jordan hit 90% medication adherence and 87% retention over 33 months on CommCare.
Read the case study
Abt Associates: digital tools for high-risk sickle cell communities
Dimagi and Abt Associates built CommCare tools to combat vaccine hesitancy among sickle cell communities, who faced over 6x higher COVID-19 mortality risk.
Read the case studyLifelong chronic care, across every use case.
Use the power of CommCare to run NCD programs end to end, across every use case.
One platform, every workflow.
From service delivery and monitoring to research and engagement, the same platform adapts to whatever your NCD program needs. Pick a use case to see how it tunes.
- No-code workflows for frontline teams
- Offline-first, multi-language, multi-country
- Real-time dashboards and donor-ready reporting