Evidence map›Paper›PMID 34682492›Full record

ArticleInternational journal of environmental research and public health2021

Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa.

Marie A Brault, Sten H Vermund, Muktar H Aliyu, Saad B Omer, Dave Clark, Donna Spiegelman

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.6field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 36 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Marie A BraultCenter for Interdisciplinary Research in AIDS, Department of Social Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT 06510, USA.ORCID 0000-0002-7152-785X
Sten H VermundCenter for Interdisciplinary Research in AIDS, Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT 06510, USA.ORCID 0000-0001-7289-8698
Muktar H AliyuDepartment of Health Policy, Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.ORCID 0000-0001-9504-4679
Saad B OmerDepartment of Epidemiology of Microbial Diseases, Yale Institute for Global Health, Yale School of Public Health, Yale University, New Haven, CT 06510, USA.
Dave ClarkThe Aurum Institute, Johannesburg 2194, South Africa.
Donna SpiegelmanCenter for Interdisciplinary Research in AIDS, Department of Biostatistics, Yale School of Public Health, Yale University, New Haven, CT 06510, USA.
Yale University · USAurum Institute · ZAVanderbilt University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
Engaging providers, community members, and young women to adapt and pilot a youth-friendly sexual and reproductive health package in low-income communities in IndiaK01TW011480 · FIC · YALE UNIVERSITY · PI BRAULT, MARIE AMANDA · 2020 to 2023
$591k
FIC NIH HHS K01 TW011480NCATS NIH HHS UL1 TR001863NIH HHS P30MH062294
6 · The paper itself

Abstract

In Sub-Saharan Africa, communicable and other tropical infectious diseases remain major challenges apart from the continuing HIV/AIDS epidemic. Recognition and prevalence of non-communicable diseases have risen throughout Africa, and the reimagining of healthcare delivery is needed to support communities coping with not only with HIV, tuberculosis, and COVID-19, but also cancer, cardiovascular disease, diabetes, and depression. Many non-communicable diseases can be prevented or treated with low-cost interventions, yet implementation of such care has been limited in the region. In this Perspective piece, we argue that deployment of an integrated service delivery model is an urgent next step, propose a South African model for integration, and conclude with recommendations for next steps in research and implementation. An approach that is inspired by South African experience would build on existing HIV-focused infrastructure that has been developed by Ministries of Health with strong support from the U.S. President's Emergency Response for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria. An integrated chronic healthcare model holds promise to sustainably deliver infectious disease and non-communicable disease care. Integrated care will be especially critical as health systems seek to cope with the unprecedented challenges associated with COVID-19 and future pandemic threats.

Indexed as

COVID-19HIV InfectionsAfrica South of the SaharaChronic DiseaseHumansPandemicsSARS-CoV-2health system strengtheningHIVinfectious diseasesintegrated carenon-communicable diseasesSub-Saharan Africa

Identifiers

PMID34682492
PMCPMC8535610
OpenAlexW3206213201

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.