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Utilizing HIV/AIDS infrastructure as a gateway to chronic care of hypertension in Africa

Rwanda, South Africa, Uganda

Investigating the presence of cardiovascular risk factors in patients attending antiretroviral treatment facilities.

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Background

The introduction of highly active antiretroviral therapy (HAART) has improved life expectancy but has also been found to increase the risk of hypertension, and cardiometabolic diseases in general. Limited data is available on local trends in cardiovascular risk and how non-communicable diseases (NCDs) are screened, assessed and managed in HIV positive people.

Aims

The study aimed to investigate the presence of cardiovascular risk factors in patients attending antiretroviral treatment facilities. Furthermore, perceptions and attitudes of HIV-clinic health care workers and attendees to co-management of HIV and non-communicable diseases was explored. These findings informed intervention programs seeking to ensure optimum integrated HIV and NCD care to HIV+ individuals.

Project plan

In phase 1, a cross-sectional survey was conducted among people with HIV receiving care across randomly selected urban and non-urban public health facilities in Western Cape. Phase 2 used focus groups and key-informant interviews in an exploratory design to triangulate and explore the integrated care for HIV/AIDS and NCDs simultaneously from the perspective of different role-players.

Principal investigators

  • André Kengne South African Medical Research Council, South Africa

  • Barbara N.M. Mukasa Mildmay Uganda, Uganda

Team members

  • Amber Featherstone University of Ottawa,, Canada

  • Edward Mills University of Ottawa, Canada

  • Ivy Bourgeault University of Ottawa, Canada

  • Sanni Yaya University of Ottawa, Canada

  • Norm Campbell University of Calgary, Canada

  • Michel Joffres Simon Fraser University, Canada

  • P J Deveraux McMaster University, Canada

  • Lehana Thabane McMaster University, Canada

  • Richard Lester University of British Columbia, Canada

  • Nick Bansback University of British Columbia, Canada

  • Nathan Ford Medecins Sans Frontieres, United Kingdom

  • Anniza de Villiers South African Medical Research Council, South Africa

  • Jean Nachega Stellenbosch University, South Africa

  • Isadore Kanfer Rhodes University, South Africa

  • Robert Kalyesubula Makerere University, Uganda

  • Emmanuel Luyirika Mildmay Uganda, Uganda

  • Julius Kamwesiga IntraHealth Rwanda, Rwanda

  • Jean Claude Tayari Rwanda Ministry of Health, Rwanda

  • Vincent Mutabazi Rwanda Ministry of Health, Rwanda

  • Jamie Forrest Global Evaluative Sciences, Canada

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