Models of integration of HIV and noncommunicable disease care in sub-Saharan Africa: lessons learned and evidence gaps.
Models of integration of HIV and noncommunicable disease care in sub-Saharan Africa: lessons learned and evidence gaps.
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DOI：
10.1097/qad.0000000000001887
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发表时间：
2018-07-01
期刊：
影响因子：
--
通讯作者：
Pastakia SD
中科院分区：
文献类型：
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作者：
Njuguna B;Vorkoper S;Patel P;Reid MJA;Vedanthan R;Pfaff C;Park PH;Fischer L;Laktabai J;Pastakia SD
描述撒哈拉以南非洲（SSA）艾滋病毒和非传染性疾病（NCD）护理整合的现有模式。对描述撒哈拉以南非洲艾滋病毒和非传染性疾病护理整合的各种模式的已发表文章进行叙述性评论。我们确定了五种模式的护理整合在不同的SSA国家。这些措施是：在一般人群中进行基于社区的艾滋病毒和非传染性疾病综合筛查;在登记接受护理的艾滋病毒患者中进行非传染性疾病和非传染性疾病风险因素筛查;在诊所内整合艾滋病毒和非传染性疾病护理;对艾滋病毒和/或非传染性疾病患者进行差别化护理;以及全民保健。我们用描述性案例研究说明了这些模型，强调了从各种模型中吸取的经验教训和证据差距。利用现有的艾滋病毒基础设施进行非传染性疾病护理是可行的，可以根据现有的方案能力采取各种办法。现有的护理一体化模式的过程和临床结果尚未描述，但迫切需要进一步建议艾滋病毒/非传染性疾病护理一体化的政策决定。
To describe available models of HIV and noncommunicable disease (NCD) care integration in sub-Saharan Africa (SSA). Narrative review of published articles describing various models of HIV and NCD care integration in SSA. 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. 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.