Integrating care for diabetes and hypertension with HIV care in sub-Saharan Africa: A scoping review

McCombe, Geoff, Lim, Jayleigh, Hout, Marie Claire Van, Lazarus, Jeffrey V., Bachmann, Max, Jaffar, Shabbar, Garrib, Anupam, Ramaiya, Kaushik, Sewankambo, Nelson K., Mfinanga, Sayoki and Cullen, Walter (2022) Integrating care for diabetes and hypertension with HIV care in sub-Saharan Africa: A scoping review. International Journal of Integrated Care, 22 (1). ISSN 1568-4156

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Introduction: Although HIV continues to have a high prevalence among adults in sub-Saharan Africa (SSA), the burden of noncommunicable diseases (NCD) such as diabetes and hypertension is increasing rapidly. There is an urgent need to expand the capacity of healthcare systems in SSA to provide NCD services and scale up existing chronic care management pathways. A scoping review mapped extant policy and evidence based literature on the feasibility of integrating NCD care with HIV in the region. Methods: A scoping review methodology was utilised to conduct a systematic search of peer-reviewed and grey literature published in English language and with no date limitation. A systematic search was conducted on PubMed, Embase, CINAHL, and the Cochrane library. The initial search identified 231 records considered for inclusion in this review. Twelve duplicate records were removed. The remaining 219 records were screened by title and abstract of which 165 records were excluded and 54 records were selected for full-text review. A further 16 records were excluded due to a lack of relevance or the unavailability of the full text article. Finally, 38 were charted and analysed thematically. Results: Thirty-eight studies were included. These comprised a range of different models to integrate NCD and HIV care in the region, reflecting differences in health system environments, and disease epidemiology. The studies provide a variety of evidence that integration of HIV and NCD care can be feasible and can improve clinical effectiveness and identify barriers and facilitators to integration and task shifting. The review confirms that integrated HIV and NCD care services is by-and-large feasible, being both clinically effective and cost-effective. Conclusion: The review may inform the understanding of how best to develop an integrated model of care service by reducing barriers to uptake, linkage and retention in HIV, diabetes and hypertension treatment in SSA countries.

Item Type: Article
Additional Information: Acknowledgements: We thank our colleagues on the INTE-AFRICA Work Package 3 Project Steering Group who have contributed to the design and write up of this review. In addition, we are grateful to the European Commission who funded this project through the Horizon 2020 Programme. JVL acknowledges support by a Spanish Ministry of Science, Innovation and Universities Miguel Servet grant (Instituto de Salud Carlos III/ESF, European Union [CP18/00074]). JVL further acknowledges support from the Spanish Ministry of Science, Innovation and Universities through the “Centro de Excelencia Severo Ochoa 2019–2023” Programme (CEX2018-000806-S), and support from the Government of Catalonia through the CERCA Programme. Publisher Copyright: © 2022, Ubiquity Press. All rights reserved.
Uncontrolled Keywords: aids,diabetes,hiv,hypertension,review,health(social science),health policy,sociology and political science,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3300/3306
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 10 Mar 2022 14:30
Last Modified: 24 Mar 2022 15:36
DOI: 10.5334/ijic.5839

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