Our Work

Non-Communicable Diseases

We are addressing non-communicable diseases with an approach that strengthens the entire health system.


Non-communicable diseases (NCDs), also known as chronic diseases, are not passed from person to person.  They are generally slow to progress.  They include cardiovascular diseases (like heart attacks and stroke), cancers, chronic respiratory diseases, and diabetes, and they disproportionately affect low- and middle-income countries, where nearly three quarters of NCD deaths—28 million–occur.  A person in Tanzania is nearly three times more likely to die of diabetes or heart disease than in the United States. These are often premature deaths and preventable diseases.  Tobacco use, physical inactivity, unhealthy diet and alcohol consumption can increase the risk of NCDs.

Touch is focusing on cardiovascular health

Of the non-communicable diseases, cardiovascular complications account for the greatest number of deaths in developing countries.


We are working with our flagship partner Bugando to improve their capacity to serve cardiovascular patients and we are part of Rheumatic Heart Disease Action Alliance, a coalition of organizations leading a global movement to reduce the burden of rheumatic heart disease.

Rheumatic heart disease is a preventable, treatable form of cardiovascular disease that affects over 32 million people around the world.  It affects the world’s poorest, most vulnerable populations and imposes heavy costs on the health systems that can least afford it.

Rheumatic heart disease is the most commonly acquired heart disease in people under the age of 25 and often begins in childhood as strep throat.  If left untreated, it can develop into rheumatic fever. Rheumatic fever damages heart valves, resulting in rheumatic heart disease, which can cause heart failure, stroke, or cardiac rhythm abnormalities.  Women with rheumatic heart disease are at particular risk of significant illness or death during pregnancy and labor, since symptoms of heart failure are often confused with symptoms of late pregnancy.

Building upon our work in maternal and child health in the Treat & Train Network, we are reducing preventable cardiovascular deaths by improving cardiovascular health services through staff training, upgrading equipment, and piloting screening days for school-aged children to be screened for rheumatic heart disease.