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    Mar 04, 2021
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    Offering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia.

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    Authors
    Janssens, B
    Van Damme, W
    Raleigh, B
    Gupta, J
    Khem, S
    Soy Ty, K
    Vun, M
    Ford, N
    Zachariah, R
    Affiliation
    Médecins Sans Frontières, Phnom Penh, Cambodia. b.janssens@bigfoot.com
    Issue Date
    2007-11
    
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    Journal
    Bulletin of the World Health Organization
    Abstract
    PROBLEM: 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.
    Publisher
    WHO
    URI
    http://hdl.handle.net/10144/22652
    PubMed ID
    18038079
    Additional Links
    http://www.who.int/bulletin/en
    Language
    en
    ISSN
    0042-9686
    Collections
    HIV/AIDS
    Other Diseases

    entitlement

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