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Opportunities and challenges for the integration of managing non-communicable diseases within HIV care and treatment services in Tanzania.
Rugakingira, Anzibert Andrew; Yondu, Emili; Thobias, Joseph Matobo; Dionis, Ikunda; Kamata, Costantine Chasama; Kilonzi, Manase; Metta, Emmy; Sirili, Nathanael.
Afiliação
  • Rugakingira AA; Maternal and Child Health Investment Program, Ministry of Health, Dodoma, Tanzania.
  • Yondu E; School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
  • Thobias JM; Department of Pediatrics, Muhimbili National Hospital, Dar es Salaam, Tanzania.
  • Dionis I; School of Medicine and Dentistry, The University of Dodoma, Dodoma, Tanzania.
  • Kamata CC; School of Medicine and Dentistry, The University of Dodoma, Dodoma, Tanzania.
  • Kilonzi M; School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
  • Metta E; School of Public Health and Social Services, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
  • Sirili N; School of Public Health and Social Services, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
HIV Res Clin Pract ; 25(1): 2398869, 2024 12.
Article em En | MEDLINE | ID: mdl-39235060
ABSTRACT

BACKGROUND:

People living with HIV and non-communicable diseases (NCDs) are reported to experience challenges in accessing affordable and high-quality NCD care services. Consequently, the World Health Organization (WHO) recommends care integration of NCDs within the HIV services in resource-limited regions. The available opportunities and challenges need to be understood and addressed for an effective integration process. This study explored opportunities and challenges for integrating NCDs within HIV care and treatment services in Tanzania.

METHODS:

An exploratory qualitative case study was conducted in Tanzania between April and July 2022. A total of 22 key informants working at the ministerial level, supervising the provision of healthcare services in Tanzania, were recruited purposefully for in-depth interviews. Thematic analysis was employed during the study.

RESULTS:

Several opportunities were identified in the study for HIV/NCD services integration including the existence of an integration policy, the availability of regulations and guidelines, the existence of donor support, the presence of physical space and reliable information and communication systems, human resources adequacy, and political will to support the process. However, participants voiced concerns over the costs related to service integration, difficulties in reallocating donor funds, and hesitance of the healthcare providers as likely challenges to effective integration.

CONCLUSION:

The findings of this study underscore that the effective and sustainable care integration of NCDs within HIV services relies on the availability of policy, funds, infrastructures, human resources, and stakeholders' willingness to support the process.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Pesquisa Qualitativa / Doenças não Transmissíveis Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Pesquisa Qualitativa / Doenças não Transmissíveis Idioma: En Ano de publicação: 2024 Tipo de documento: Article