Offering integrated care for HIV/AIDS, diabetes and hypertension within chronic disease clinics in Cambodia

作者: B Janssens , W Van Damme , B Raleigh , J Gupta , S Khem

DOI: 10.2471/BLT.06.036574

关键词: Diabetes mellitusManaged carePublic healthFamily medicinePhysical therapyAcquired immunodeficiency syndrome (AIDS)ReferralMedicineSidaCohortIntegrated care

摘要: Problem In Cambodia, care for people with HIV/AIDS (prevalence 1.9%) is expanding, but type II diabetes 5–10%), arterial hypertension and other treatable chronic diseases remains very limited. Approach We describe the experience outcomes of offering integrated HIV/AIDS, within setting disease clinics. Local Chronic clinics were set up in provincial referral hospitals Siem Reap Takeo, 2 capitals Cambodia. Relevant changes At 24 months care, 87.7% all patients alive active follow–up. For patients, this proportion was 71%. Of 9.3% had died 3% lost to follow-up, while included 3 (0.1%) deaths 28.9% follow-up. who stayed more than cohort, 90% still follow-up at months. Lessons learned Over first three years, have demonstrated feasibility integrating non-communicable Adherence support strategies proved be complementary, resulting good outcomes. Services well accepted by has a positive effect on HIV/AIDS-related stigma. This shows how can act as an impetus tackle common diseases.

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