2022
DOI: 10.1371/journal.pone.0272727
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Integrating hypertension and HIV care in Namibia: A quality improvement collaborative approach

Abstract: Background Hypertension (HTN) is highly prevalent among people with HIV (PWH) in Namibia, but screening and treatment for HTN are not routinely offered as part of HIV care delivery. We report the implementation of a quality improvement collaborative (QIC) to accelerate integration of HTN and HIV care within public-sector health facilities in Namibia. Methods Twenty-four facilities participated in the QIC with the aim of increasing HTN screening and treatment among adult PWH (>15 years). HTN was defined ac… Show more

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Cited by 10 publications
(25 citation statements)
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References 60 publications
(71 reference statements)
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“…Twenty-eight articles in the review identified barriers to diagnosing NCDs (hypertension and diabetes). 14 , 15 , 20 , 35 61 The included studies reported barriers to and facilitators of diagnosing depression among PLWH. 42 , 50 , 62 73 Two studies reported both NCDs and depression.…”
Section: Study Characteristicsmentioning
confidence: 99%
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“…Twenty-eight articles in the review identified barriers to diagnosing NCDs (hypertension and diabetes). 14 , 15 , 20 , 35 61 The included studies reported barriers to and facilitators of diagnosing depression among PLWH. 42 , 50 , 62 73 Two studies reported both NCDs and depression.…”
Section: Study Characteristicsmentioning
confidence: 99%
“…Sixteen studies conducted in SSA, including Namibia, Uganda, South Africa, Zimbabwe, Tanzania, Malawi, Kenya, Senegal, Cotidivor, and Nigeria, reported inadequate numbers of HCPs trained on NCDs 35 , 40 , 41 , 43 , 48 , 51 53 including depression screening and diagnosis. 42 , 50 , 62 64 , 68 70 …”
Section: Physical Opportunitymentioning
confidence: 99%
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“…HIV-CVD integration is used as an example in this article due to the high CVD comorbidity and excess CVD-associated mortality in PWH [6,16]. Although existing models for integrated HIV-CVD care in SSA have been positively received by PWH and have shown more patient-centered care, they have focused primarily on hypertension, and have been associated with a lack of care continuity due to the absence of longitudinal support embedded within patient communities [17][18][19][20]. Moreover, these models have only been implemented on a small scale due to infrastructural limitations.…”
Section: Introductionmentioning
confidence: 99%