Benson Njuguna1, Susan Vorkoper2, Pragna Patel3, Mike J A Reid4, Rajesh Vedanthan5, Colin Pfaff6, Paul H Park7, Lydia Fischer8, Jeremiah Laktabai9, Sonak D Pastakia10. 1. Department of Pharmacy, Moi Teaching and Referral Hospital, Eldoret, Kenya. 2. Fogarty International Center, National Institutes of Health, Bethesda, Maryland. 3. Centers for Disease Control and Prevention, Center of Global Health, Division of Global HIV and TB, Atlanta, Georgia. 4. Institute for Global Health Delivery & Diplomacy, Global Health Sciences, UCSF & Divisions of HIV, Infectious Diseases and Global Health, UCSF, San Francisco, California. 5. Department of Medicine, Department of Population Health Science and Policy, and Department of Health System Design and Global Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA. 6. Department of Family Medicine, College of Medicine, Dignitas International, Zomba, Malawi. 7. Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. 8. Department of Pediatrics and Psychiatry, Indiana University, Bloomington, Indiana, USA. 9. Department of Family Medicine, College of Health Sciences, Moi University School of Medicine, Eldoret, Kenya. 10. Purdue University College of Pharmacy, West Lafayette, Indiana, USA.
Abstract
OBJECTIVE: To describe available models of HIV and noncommunicable disease (NCD) care integration in sub-Saharan Africa (SSA). DESIGN: Narrative review of published articles describing various models of HIV and NCD care integration in SSA. RESULTS: We identified five models of care integration across various SSA countries. These were integrated community-based screening for HIV and NCDs in the general population; screening for NCDs and NCD risk factors among HIV patients enrolled in care; integration of HIV and NCD care within clinics; differentiated care for patients with HIV and/or NCDs; and population healthcare for all. We illustrated these models with descriptive case studies highlighting the lessons learned and evidence gaps from the various models. CONCLUSION: Leveraging existing HIV infrastructure for NCD care is feasible with various approaches possible depending on available program capacity. Process and clinical outcomes for existing models of care integration are not yet described but are urgently required to further advise policy decisions on HIV/NCD care integration.
OBJECTIVE: To describe available models of HIV and noncommunicable disease (NCD) care integration in sub-Saharan Africa (SSA). DESIGN: Narrative review of published articles describing various models of HIV and NCD care integration in SSA. RESULTS: We identified five models of care integration across various SSA countries. These were integrated community-based screening for HIV and NCDs in the general population; screening for NCDs and NCD risk factors among HIVpatients enrolled in care; integration of HIV and NCD care within clinics; differentiated care for patients with HIV and/or NCDs; and population healthcare for all. We illustrated these models with descriptive case studies highlighting the lessons learned and evidence gaps from the various models. CONCLUSION: Leveraging existing HIV infrastructure for NCD care is feasible with various approaches possible depending on available program capacity. Process and clinical outcomes for existing models of care integration are not yet described but are urgently required to further advise policy decisions on HIV/NCD care integration.
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