IPCHS. Integrated People-Centred Health Services

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Contents tagged: antiretroviral therapy

Nov. 7, 2020 Africa Publication

Community-based antiretroviral therapy versus standard clinic-based services for HIV in South Africa and Uganda (DO ART): a randomised trial

Maintaining high levels of adherence to antiretroviral therapy (ART) is a challenge across settings and populations. Understanding the relative importance of different barriers to adherence will help inform the targeting of different interventions and future research priorities.

Community-based delivery of antiretroviral therapy (ART) for HIV, including ART initiation, clinical and laboratory monitoring, and refills, could reduce barriers to treatment and improve viral suppression, reducing the gap in access to care for individuals who have detectable HIV viral load, including men who are less likely than women to be virally suppressed. The aim to test the effect of community-based ART delivery on viral suppression among people living with HIV not on ART.

An unblinded, home-randomized trial (DO ART) of community-based ART administration compare with the clinic in rural and peri-urban settings in KwaZulu-Natal, South Africa and Sheema District, Uganda.

Aug. 7, 2020 Africa Publication

Integrating care for non-communicable diseases into routine HIV services: key considerations for policy design in sub-Saharan Africa

There is great interest for integrating care for non-communicable diseases (NCDs) into routine HIV services in sub-Saharan Africa (SSA) due to the steady rise of the number of people who are ageing with HIV. Suggested health system approaches for intervening on these comorbidities have mostly been normative, with little actionable guidance on implementation, and on the practical, economic and ethical considerations of favouring people living with HIV (PLHIV) versus targeting the general population.The authors summarize opportunities and challenges related to leveraging HIV treatment platforms to address NCDs among PLHIV. It is emphasized key considerations that can guide integrated care in SSA and point to possible interventions for implementation.