ArticleBMC public health2016
Preparedness of HIV care and treatment clinics for the management of concomitant non-communicable diseases: a cross-sectional survey.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review.Journal of diabetes research · 2018Pooled it
- Key determinants of integrated health service delivery: lessons from a pilot study on HIV and non-communicable disease integration in Zambia.BMC health services research · 2026Article
- Observational
- "I only seek treatment when I am ill": experiences of hypertension and diabetes care among adults living with HIV in urban Tanzania.BMC health services research · 2024Article
- Challenges in the delivery of health services for people living with HIV in Dar es Salaam, Tanzania: a qualitative descriptive study among healthcare providers.Frontiers in health services · 2024Article
- Mapping evidence on barriers to and facilitators of diagnosing noncommunicable diseases among people living with human immunodeficiency virus in low- and middle-income countries in Africa: A scoping review.SAGE open medicine · 2024Article
- Article
- Review
- Association between socio-economic status and non-communicable disease risk in young adults from Kenya, South Africa, and the United Kingdom.Scientific reports · 2023Article
- Correlates of Blood Pressure Awareness, Treatment, and Control Among Adults 50 Years or Older by HIV Status in Northwestern Tanzania.Current hypertension reports · 2022Review
- Rationale for integration of services for diabetes mellitus and diabetic retinopathy in Kenya.Eye (London, England) · 2022Article
- Ideal Cardiovascular Health: Distribution, Determinants and Relationship with Health Status among People Living with HIV in Urban Tanzania.Global heart · 2022Article
- Hypertension among adults enrolled in HIV care in northern Tanzania: comorbidities, cardiovascular risk, and knowledge, attitudes and practices.The Pan African medical journal · 2022Observational
- Article
- Knowledge, attitudes, and preventive practices regarding ischemic heart disease among HIV-positive individuals in northern Tanzania.Tropical medicine & international health : TM & IH · 2021Article
- Capacity and site readiness for hypertension control program implementation in the Federal Capital Territory of Nigeria: a cross-sectional study.BMC health services research · 2021Article
- Pathways to Care for Patients With Type 2 Diabetes and HIV/AIDS Comorbidities in Soweto, South Africa: An Ethnographic Study.Global health, science and practice · 2021Article
- Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia.Journal of virus eradication · 2020Article
- "It's because I think too much": Perspectives and experiences of adults with hypertension engaged in HIV care in northern Tanzania.PloS one · 2020Article
- Prevalence of hypertension and cardiovascular risk factors among long-term AIDS survivors: A report from the field.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
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11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Sub-Saharan Africa, epidemiological studies have reported an increasing burden of non-communicable diseases (NCD) among people living with HIV. NCD management can be feasibly integrated into HIV care; however, clinic readiness to provide NCD services in these settings should first be assessed and gaps in care identified.
methodsA cross-sectional survey conducted in July 2013 assessed the resources available for NCD care at 14 HIV clinics in Dar es Salaam, Tanzania. Survey items related to staff training, protocols, and resources for cardiovascular disease risk factor screening, management, and patient education.
results43 % of clinics reported treating patients with hypertension; however, only 21 % had a protocol for NCD management. ECHO International Health standards for essential clinical equipment were used to measure clinic readiness; 36 % met the standard for blood pressure cuffs, 14 % for glucometers. Available laboratory tests for NCD included blood glucose (88 %), urine dipsticks (78 %), and lipid panel (57 %). 21 % had a healthcare worker with NCD training. All facilities provided some form of patient education, but only 14 % included diabetes, 57 % tobacco cessation, and 64 % weight management.
conclusionsA number of gaps were identified in this sample of HIV clinics that currently limit the ability of Tanzanian healthcare workers to diagnose and manage NCD in the context of HIV care. Integrated NCD and HIV care may be successfully achieved in these settings with basic measures incorporated into existing infrastructures at minimal added expense, i.e., improving access to basic functioning equipment, introducing standardized treatment guidelines, and improving healthcare worker education.
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