Evidence map›Paper›PMID 29952788›Full record

SynthesisAIDS (London, England)2018

Models of integration of HIV and noncommunicable disease care in sub-Saharan Africa: lessons learned and evidence gaps.

Benson Njuguna, Susan Vorkoper, Pragna Patel, Mike J A Reid, Rajesh Vedanthan, Colin Pfaff, Paul H Park, Lydia Fischer, Jeremiah Laktabai, Sonak D Pastakia

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in AIDS (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 4 pooled it
33.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 4 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. BMJ open · 2021
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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 3 countries.

Benson NjugunaDepartment of Pharmacy, Moi Teaching and Referral Hospital, Eldoret, Kenya.
Susan VorkoperFogarty International Center, National Institutes of Health, Bethesda, Maryland.
Pragna PatelCenters for Disease Control and Prevention, Center of Global Health, Division of Global HIV and TB, Atlanta, Georgia.
Mike J A ReidInstitute for Global Health Delivery & Diplomacy, Global Health Sciences, UCSF & Divisions of HIV, Infectious Diseases and Global Health, UCSF, San Francisco, California.
Rajesh VedanthanDepartment 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.
Colin PfaffDepartment of Family Medicine, College of Medicine, Dignitas International, Zomba, Malawi.
Paul H ParkBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Lydia FischerDepartment of Pediatrics and Psychiatry, Indiana University, Bloomington, Indiana, USA.
Jeremiah LaktabaiDepartment of Family Medicine, College of Health Sciences, Moi University School of Medicine, Eldoret, Kenya.
Sonak D PastakiaPurdue University College of Pharmacy, West Lafayette, Indiana, USA.
Moi University · KECenters for Disease Control and Prevention · USDignitas International · MWFogarty International Center · USHarvard University · USIcahn School of Medicine at Mount Sinai · USIndiana University Bloomington · USPurdue University West Lafayette · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
TRAINEESHIPS IN AIDS PREVENTION STUDIEST32MH019105 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Carol Suzanne Camlin, Glenn-Milo Santos · 1989 to 2026
$15.3M
Intramural NIH HHS Z99 TW999999NIMH NIH HHS P30 MH062246NIMH NIH HHS T32 MH019105
6 · The paper itself

Abstract

objectiveTo describe available models of HIV and noncommunicable disease (NCD) care integration in sub-Saharan Africa (SSA).

designNarrative review of published articles describing various models of HIV and NCD care integration in SSA.

resultsWe 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.

conclusionLeveraging 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.

Indexed as

Disease ManagementAdultAfrica South of the SaharaAgedAged, 80 and overDelivery of Health Care, IntegratedFemaleHIV InfectionsHumansMaleMiddle AgedNoncommunicable Diseases

Identifiers

PMID29952788
PMCPMC6779053
OpenAlexW2809926626

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.