01626nas a2200265   4500000000100000008004100001100001300042700001400055700001500069700001600084700001100100700001300111700001400124700001400138700001400152700001400166700001400180700001300194700001500207700001500222245009100237856008600328520093200414022001401346       2018                            d1 aGarrib A1 aBirungi J1 aLesikari S1 aNamakoola I1 aNjim T1 aCuevas L1 aNiessen L1 aMugisha K1 aMutungi G1 aMghamba J1 aRamaiya K1 aJaffar S1 aMfinanga S1 aNyirenda M00aIntegrated care for human immunodeficiency virus, diabetes and hypertension in Africa.  uhttps://academic.oup.com/trstmh/advance-article/doi/10.1093/trstmh/try098/51085253 a<p>The rising burden from non-communicable diseases (NCDs) poses a huge challenge for health care delivery in Africa, where health systems are already struggling with the long-term care requirements for the millions of people now on antiretroviral therapy requiring regular visits to health facilities for monitoring, adherence support and drugs. The HIV chronic disease management programme is comparatively well-funded, well-organised and well-informed and offers many insights and opportunities for the expansion of NCD prevention and treatment services. Some degree of human immunodeficiency virus (HIV) and NCD service integration is essential, but how to do this without risking the HIV treatment gains is unclear. Both HIV and NCD services must expand within a resource-constrained environment and policymakers are in urgent need of evidence to guide cost-effective and acceptable changes in these health services.</p>
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