Opportunities and Challenges for Evidence-Informed HIV-Noncommunicable Disease Integrated Care Policies and Programs: Lessons from Malawi, South Africa, Swaziland and Kenya

Simple item page
dc.contributor.author Bermand, Josh
dc.contributor.authorMwagomba, Beatrice Matanje
dc.contributor.authorAmehe, Soter
dc.contributor.authorBongoming, Pido
dc.contributor.authorJuma, Pamela A.
dc.contributor.authorMacKenzied, Rachel K.
dc.contributor.authorKyobutungi, Catherine
dc.contributor.authorLukhelei, Nomthandazo
dc.contributor.authorMwangi, Kibachio Joseph Muiruri
dc.contributor.authorAmberbird, Alemayehu
dc.contributor.authorKlipstein-Grobusch, Kerstin
dc.contributor.authorGomez-Olive, Francesc Xavier
dc.date.accessioned2024-07-19T07:09:31Z
dc.date.available2024-07-19T07:09:31Z
dc.date.issued2018
dc.descriptionJournal Article
dc.description.abstractIntroduction: Countries in sub-Saharan Africa (SSA) are recognizing the growing dual burden of HIV and noncommunicable diseases (NCDs). This article explores the availability, implementation processes, opportunities and challenges for policies and programs for HIV/NCD integration in four SSA countries: Malawi, Kenya, South Africa and Swaziland. Methods: We conducted a cross-sectional analysis of current policies and programs relating to HIV/NCD care integration from January to April 2017 using document review and expert opinions. The review focussed on availability and content of relevant policy documents and processes towards implementating national HIV/NCD integration policies. Results: All four case study countries had at least one policy document including aspects of HIV/NCD care integration. Apart from South Africa that had a phased nation-wide implementation of a comprehensive integrated chronic disease model, the three other countries – Malawi, Kenya and Swaziland, had either pilot implementations or nation-wide single-disease integration of NCDs and HIV. Opportunities for HIV/NCD integration policies included: presence of overarching health policy documents that recognize the need for integration, and coordinated action by policymakers, researchers and implementers. Evidence gaps for cost-effectiveness, effects of integration on key HIV and NCD outcomes and funding mechanisms for sustained implementation of integrated HIV/NCD care strategies, were among challenges identified. Conclusion: Policymakers in Malawi, Kenya, South Africa and Swaziland have considered integration of NCD and HIV care but a lack of robust evidence hampers large-scale implementation of HIV/NCD integration. It is crucial for SSA Ministries of Health and throughout low-and-middle-income countries to utilize existing opportunities and advocate for evidence-informed HIV/NCD integration strategies.
dc.identifier.citationMwagomba et al. (2018).: Opportunities and Challenges for Evidence-Informed HIV-Noncommunicable Disease Integrated Care Policies and Programs: Lessons from Malawi, South Africa, Swaziland and Kenya.: Wolters Kluwer Health.: DOI:10.1097/QAD.0000000000001885
dc.identifier.issn0269-9370
dc.identifier.urihttps://repository.daystar.ac.ke/handle/123456789/4775
dc.language.isoen
dc.publisherWolters Kluwer Health
dc.relation.ispartofseriesVol 32 (Suppl 1)
dc.subjectchallenges
dc.subjectHIV
dc.subjectHIV–noncommunicable disease
dc.subjectintegration
dc.subjectKenya
dc.subjectMalawi
dc.subjectnoncommunicable disease
dc.subjectopportunities
dc.subjectpolicies
dc.subjectSouth Africa
dc.subjectsub-Saharan Africa
dc.subjectSwaziland
dc.titleOpportunities and Challenges for Evidence-Informed HIV-Noncommunicable Disease Integrated Care Policies and Programs: Lessons from Malawi, South Africa, Swaziland and Kenya
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Opportunities and challenges for evidence-informed HIV noncommunicable disease integrated care policies and programs.pdf
Size:
311.74 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Journal Articles