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PMID- 28235324
DA  - 20170225
DCOM- 20170317
LR  - 20170317
IS  - 2071-2936 (Electronic)
IS  - 2071-2928 (Linking)
VI  - 9
IP  - 1
DP  - 2017 Feb 15
TI  - You can treat my HIV - But can you treat my blood pressure? Availability of
      integrated HIV and non-communicable disease care in northern Malawi.
PG  - e1-e8
LID - 10.4102/phcfm.v9i1.1151 [doi]
AB  - BACKGROUND: Many patients on antiretroviral therapy (ART) in Malawi have or will 
      develop non-communicable diseases (NCDs). The current capacity of ART sites to
      provide care for NCDs is not known. AIM: This study aimed to assess the capacity 
      of ART sites to provide care for hypertension and diabetes in rural Malawi.
      SETTING: Twenty-five health centres and five hospitals in two rural districts in 
      northern Malawi. METHODS: A cross-sectional survey was performed between March
      and May 2014 at all facilities. Qualitative interviews were held with three NCD
      coordinators. RESULTS: Treatment of hypertension and diabetes was predominantly
      hospital-based. Sixty percent of hospitals had at least one clinician and one
      nurse trained in NCD care, whereas 5% of health centres had a clinician and 8%
      had a nurse trained in NCD care. Hundred percent of hospitals and 92% of health
      centres had uninterrupted supply of hydrochlorothiazide in the previous 6 months,
      but only 40% of hospitals and no health centres had uninterrupted supply of
      metformin. Hundred percent of hospitals and 80% of health centres had at least
      one blood pressure machine, and 80% of hospitals and 32% of health centres had
      one glucometer. Screening for hypertension amongst ART patients was only
      conducted at one hospital and no health centres. At health centres, integrated
      NCD and ART care was more common, with 48% (12/25) providing ART and NCD
      treatment in the same consultation. CONCLUSIONS: The results reflect the status
      of the initial stages of the Malawi NCD programme at sites currently providing
      ART care.
FAU - Pfaff, Colin
AU  - Pfaff C
AD  - Partners in Hope Medical Center, Lilongwe. [email protected]
FAU - Scott, Vera
AU  - Scott V
FAU - Hoffman, Risa
AU  - Hoffman R
FAU - Mwagomba, Beatrice
AU  - Mwagomba B
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170215
PL  - South Africa
TA  - Afr J Prim Health Care Fam Med
JT  - African journal of primary health care & family medicine
JID - 101520860
RN  - 0 (Anti-Retroviral Agents)
SB  - IM
MH  - Anti-Retroviral Agents/therapeutic use
MH  - Chronic Disease
MH  - Cross-Sectional Studies
MH  - Delivery of Health Care, Integrated/*statistics & numerical data
MH  - Diabetes Mellitus/*therapy
MH  - HIV Infections/*complications/drug therapy
MH  - Health Care Surveys/*statistics & numerical data
MH  - Health Services Accessibility/*statistics & numerical data
MH  - Humans
MH  - Hypertension/complications/*therapy
MH  - Malawi
MH  - Rural Population
PMC - PMC5320467
EDAT- 2017/02/27 06:00
MHDA- 2017/03/18 06:00
CRDT- 2017/02/26 06:00
PHST- 2016/01/21 [received]
PHST- 2016/07/21 [accepted]
PHST- 2016/08/24 [revised]
AID - 1151 [pii]
PST - epublish
SO  - Afr J Prim Health Care Fam Med. 2017 Feb 15;9(1):e1-e8. doi:

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