Integrating HIV, hypertension, and diabetes primary care in Africa

Proving wrong the pessimists who believed that HIV treatment would never be possible in Africa, we learned that the real problems were the unreasonably high cost of antiretroviral therapy and the low standard of care in primary care health systems.1 National governments partnered with global donors...

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Bibliographic Details
Published in:The Lancet (British edition) 2023-10, Vol.402 (10409), p.1211-1213
Main Authors: Kisigo, Godfrey A, Peck, Robert N
Format: Article
Language:English
Subjects:
Africa - epidemiology
Antiretroviral agents
Antiretroviral therapy
Clinics
Comorbidity
Cost control
Diabetes
Diabetes mellitus
Diabetes Mellitus - epidemiology
Diabetes Mellitus - therapy
Drug therapy
Fatalities
Funding
Global health
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Hypertension
Hypertension - epidemiology
Integrated delivery systems
Medical records
Primary care
Primary Health Care
Public health
Retention
South Africa
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Summary:Proving wrong the pessimists who believed that HIV treatment would never be possible in Africa, we learned that the real problems were the unreasonably high cost of antiretroviral therapy and the low standard of care in primary care health systems.1 National governments partnered with global donors to build excellent, equitable HIV primary care systems where antiretroviral therapy is provided free of cost. According to WHO global health estimates, NCDs accounted for 17 million premature deaths in 2019, and 86% of these premature deaths occurred in lower-income countries. [...]this landmark trial demonstrates that integration of services for NCDs into existing HIV primary care clinics has the potential to achieve excellent NCD outcomes without compromising HIV care, and could save both money and time for people living with multimorbidity.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(23)01884-6