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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Building on the HIV chronic care platform to address noncommunicable diseases in sub-Saharan Africa: A research agenda
AIDS, Volume 32, Year 2018
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Description
Objective: The remarkable progress made in confronting the global HIV epidemic offers a unique opportunity to address the increasing threat of noncommunicable diseases (NCDs). However, questions remain about how to enhance the HIV platforms to deliver integrated HIV and NCD care to people living with HIV (PLHIV) in sub-Saharan Africa (SSA). We aimed to develop a priority research agenda to advance this effort. Methods: Researchers, policymakers, and implementers from the United States and SSA conducted three scoping reviews on HIV/NCD prevention and care focused on clinical, health system, and community levels. Based on the review findings and expert inputs, we conducted iterative consensus-development activities to generate a prioritized research agenda. Results: Population-level data on NCD prevalence among PLHIV in SSA are sparse. The review identified NCD screening and management approaches that could be integrated into HIV programs in SSA. However, few studies focused on the effectiveness, cost, and best practices for integrated chronic care platforms, making it difficult to derive policy recommendations. To address these gaps, we propose a prioritized research agenda focused on developing evidence-based service delivery models, increasing human capacity through workforce education, generating data through informatics platforms and research, managing the medication supply chain, developing new financing and sustainability models, advancing research-informed policy, and addressing other crosscutting health system issues. Conclusion: Based on collaborative, interdisciplinary efforts, a research agenda was developed to provide guidance that advances efforts to adapt the current health system to deliver integrated chronic care for PLHIV and the population at large. © Copyright 2018 Wolters Kluwer Health, Inc. All rights reserved.
Authors & Co-Authors
Vorkoper, Susan
United States, Bethesda
Fogarty International Center
Kupfer, Linda E.
United States, Bethesda
Fogarty International Center
Anand, Nalini P.
United States, Bethesda
Fogarty International Center
Patel, Pragna
United States, Atlanta
Centers for Disease Control and Prevention
Beecroft, Blythe
United States, Bethesda
Fogarty International Center
Tierney, William M.
United States, Austin
The University of Texas at Austin
Ferris, Robert E.
United States, Washington, D.c.
United States Agency for International Development
El-Sadr, W. M.
United States, New York
Columbia University
Bacon, Melanie C.
Unknown Affiliation
Berman, Josh
Unknown Affiliation
Bongomin, Pido
Unknown Affiliation
Castor, Delivette
Unknown Affiliation
Collins, Pamela Y.
Unknown Affiliation
Dirks, Rebecca
Unknown Affiliation
Ejigu, Atalay Alem
Unknown Affiliation
Engelgau, Michael M.
Unknown Affiliation
Farmer, Mychelle Y.
Unknown Affiliation
Flanigan, John S.
Unknown Affiliation
Goosby, Eric P.
Unknown Affiliation
Johnson, Michael
Unknown Affiliation
Langley, Carol L.
Unknown Affiliation
Levitt, Naomi S.
Unknown Affiliation
Mensah, George A.
Unknown Affiliation
Matanje-Mwagomba, Beatrice L.
Unknown Affiliation
Miotti, Paolo G.
Unknown Affiliation
Nuche-Berenguer, Bernardo
Unknown Affiliation
Nugent, Rachel A.
Unknown Affiliation
Park, Paul H.
Unknown Affiliation
Pastakia, Sonak Dinesh
Unknown Affiliation
Peprah, Emmanuel Kwame
Unknown Affiliation
Rabkin, Miriam
Unknown Affiliation
Ramogola-Masire, D.
Unknown Affiliation
Reid, Michael J.A.
Unknown Affiliation
Sahasrabuddhe, Vikrant V.
Unknown Affiliation
Williams, Makeda J.
Unknown Affiliation
von Zinkernagel, Deborah J.
Unknown Affiliation
Yonga, Gerald O.
Unknown Affiliation
Statistics
Citations: 32
Authors: 37
Affiliations: 5
Identifiers
Doi:
10.1097/QAD.0000000000001898
ISSN:
02699370
Research Areas
Health System And Policy
Infectious Diseases
Noncommunicable Diseases
Study Design
Cross Sectional Study