Offering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia.
AffiliationMédecins Sans Frontières, Phnom Penh, Cambodia. firstname.lastname@example.org
MetadataShow full item record
AbstractPROBLEM: In Cambodia, care for people with HIV/AIDS (prevalence 1.9%) is expanding, but care for people with type II diabetes (prevalence 5-10%), arterial hypertension and other treatable chronic diseases remains very limited. APPROACH: We describe the experience and outcomes of offering integrated care for HIV/AIDS, diabetes and hypertension within the setting of chronic disease clinics. LOCAL SETTING: Chronic disease clinics were set up in the provincial referral hospitals of Siem Reap and Takeo, 2 provincial capitals in Cambodia. RELEVANT CHANGES: At 24 months of care, 87.7% of all HIV/AIDS patients were alive and in active follow-up. For diabetes patients, this proportion was 71%. Of the HIV/AIDS patients, 9.3% had died and 3% were lost to follow-up, while for diabetes this included 3 (0.1%) deaths and 28.9% lost to follow-up. Of all diabetes patients who stayed more than 3 months in the cohort, 90% were still in follow-up at 24 months. LESSONS LEARNED: Over the first three years, the chronic disease clinics have demonstrated the feasibility of integrating care for HIV/AIDS with non-communicable chronic diseases in Cambodia. Adherence support strategies proved to be complementary, resulting in good outcomes. Services were well accepted by patients, and this has had a positive effect on HIV/AIDS-related stigma. This experience shows how care for HIV/AIDS patients can act as an impetus to tackle other common chronic diseases.
- Integrating cardiovascular diseases, hypertension, and diabetes with HIV services: a systematic review.
- Authors: Haldane V, Legido-Quigley H, Chuah FLH, Sigfrid L, Murphy G, Ong SE, Cervero-Liceras F, Watt N, Balabanova D, Hogarth S, Maimaris W, Buse K, McKee M, Piot P, Perel P
- Issue date: 2018 Jan
- High prevalence of non-communicable diseases and associated risk factors amongst adults living with HIV in Cambodia.
- Authors: Chhoun P, Tuot S, Harries AD, Kyaw NTT, Pal K, Mun P, Brody C, Mburu G, Yi S
- Issue date: 2017
- Educational Outreach with an Integrated Clinical Tool for Nurse-Led Non-communicable Chronic Disease Management in Primary Care in South Africa: A Pragmatic Cluster Randomised Controlled Trial.
- Authors: Fairall LR, Folb N, Timmerman V, Lombard C, Steyn K, Bachmann MO, Bateman ED, Lund C, Cornick R, Faris G, Gaziano T, Georgeu-Pepper D, Zwarenstein M, Levitt NS
- Issue date: 2016 Nov
- Monitoring treatment outcomes in patients with chronic disease: lessons from tuberculosis and HIV/AIDS care and treatment programmes.
- Authors: Harries AD, Kumar AM, Karpati A, Jahn A, Douglas GP, Gadabu OJ, Chimbwandira F, Zachariah R
- Issue date: 2015 Jul
- Non-communicable diseases and related risk behaviors among men and women living with HIV in Cambodia: findings from a cross-sectional study.
- Authors: Chhoun P, Ngin C, Tuot S, Pal K, Steel M, Dionisio J, Pearson H, Mburu G, Brody C, Yi S
- Issue date: 2017 Jul 14