Evidence map›Paper›PMID 41702635›Full record

ArticleBMJ global health2026

Strategies to integrate non-communicable disease interventions in HIV and tuberculosis care contexts in low- and middle-income countries: a scoping review.

Lingzi Luo, Reet Kapur, Mari Armstrong-Hough, Gloria Guevara Alvarez, Corrina Moucheraud, Jonathan Purtle, Kellen Nyamurungi Namusisi, Lawrence Yang, Ramesh Raghavan, Hope Lappen and 1 more

Abstract readScoping Review
In one paragraph

Article in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Lingzi LuoDepartment of Social and Behavioral Sciences, New York University School of Global Public Health, New York, New York, USA.ORCID 0000-0001-5045-7349
Reet KapurDepartment of Health Policy and Management, New York University School of Global Public Health, New York, New York, USA rk3968@nyu.edu.ORCID 0000-0001-5734-0098
Mari Armstrong-HoughDepartment of Social and Behavioral Sciences, New York University School of Global Public Health, New York, New York, USA.ORCID 0000-0002-4971-8676
Gloria Guevara AlvarezDepartment of Health Policy and Management, New York University School of Global Public Health, New York, New York, USA.ORCID 0000-0002-4939-9695
Corrina MoucheraudDepartment of Health Policy and Management, New York University School of Global Public Health, New York, New York, USA.ORCID 0000-0001-7862-7928
Jonathan PurtleDepartment of Health Policy and Management, New York University School of Global Public Health, New York, New York, USA.ORCID 0000-0001-6908-5944
Kellen Nyamurungi NamusisiNYU Langone Health Department of Medicine, New York, New York, USA.
Lawrence YangDuke University School of Nursing, Durham, North Carolina, USA.
Ramesh RaghavanNew York University Silver School of Social Work, New York, New York, USA.ORCID 0009-0002-2327-2896
Hope LappenDivision of Libraries, New York University, New York, New York, USA.ORCID 0000-0002-4192-3392
Donna ShelleyDepartment of Health Policy and Management, New York University School of Global Public Health, New York, New York, USA.ORCID 0000-0003-1677-2577

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntegration of management of tuberculosis (TB) and HIV with prevention and treatment of non-communicable diseases (NCDs) is a global priority. However, delivering the full spectrum of HIV/TB and NCD services is hindered by a lack of evidence regarding effective models and strategies for integrating NCDs and HIV/TB care services in varying contexts and across interventions. We conducted a scoping review to describe service delivery models and strategies used to facilitate integration of NCD care in HIV and/or TB care settings in low- and middle-income countries (LMICs).

methodsWe searched eight electronic databases for studies published from 2010 to 2025 that evaluated methods to integrate evidence-based screening and/or treatment of NCDs (diabetes, cervical cancer, hypertension and depression) and NCD risk factors (alcohol and tobacco use) in the context of HIV and/or TB care in LMICs. We applied a framework for categorising integration models ranging from coordination to full integration and used implementation science taxonomies to define implementation strategies and outcomes.

results72 articles were included; 62.5% evaluated implementation of NCD interventions in HIV care settings, 31.9% in TB care and 5.6% in both. Less than a third (27.8%) reported a fully integrated service delivery model (shared systems and services). Commonly described implementation strategies included training (81.9%), evaluation strategies (43.1%), interactive assistance for providers (40.3%) and infrastructure change (eg, changing record systems) (37.5%).

conclusionStudies in LMICs are evaluating a range of strategies and service models for integrating NCD interventions into HIV and TB care in LMICs. This reflects differences in health system capacity and priorities. Greater alignment with WHO systems-integration models and implementation science frameworks could strengthen the evidence base and support progress towards global NCD goals through more consistent reporting of frameworks, integration strategies and implementation outcomes.

Indexed as

Delivery of Health Care, IntegratedDeveloping CountriesHIV InfectionsNoncommunicable DiseasesTuberculosisHumansResource-Limited SettingsHealth services researchHIVPublic HealthReviewTuberculosis

Identifiers

PMID41702635
PMCPMC12918691

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Registered trials

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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.