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dc.contributor.authorJanssens, B
dc.contributor.authorVan Damme, W
dc.contributor.authorRaleigh, B
dc.contributor.authorGupta, J
dc.contributor.authorKhem, S
dc.contributor.authorSoy Ty, K
dc.contributor.authorVun, M
dc.contributor.authorFord, N
dc.contributor.authorZachariah, R
dc.date.accessioned2008-04-09T08:41:57Z
dc.date.available2008-04-09T08:41:57Z
dc.date.issued2007-11
dc.identifier.citationOffering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia. 2007, 85 (11):880-5 Bull. World Health Organ.en
dc.identifier.issn0042-9686
dc.identifier.pmid18038079
dc.identifier.urihttp://hdl.handle.net/10144/22652
dc.description.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.
dc.language.isoenen
dc.publisherWHOen
dc.relation.urlhttp://www.who.int/bulletin/en
dc.rightsArchived on this site with permission of WHOen
dc.subject.meshAmbulatory Care Facilitiesen
dc.subject.meshCambodiaen
dc.subject.meshChronic Diseaseen
dc.subject.meshDiabetes Mellitus, Type 2en
dc.subject.meshHIV Infectionsen
dc.subject.meshHumansen
dc.subject.meshHypertensionen
dc.subject.meshTreatment Outcomeen
dc.titleOffering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia.en
dc.contributor.departmentMédecins Sans Frontières, Phnom Penh, Cambodia. b.janssens@bigfoot.comen
dc.identifier.journalBulletin of the World Health Organizationen
refterms.dateFOA2019-03-04T09:50:47Z
html.description.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.


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