Lessons Learnt from HIV and Noncommunicable Disease Healthcare Integration in Sub-Saharan Africa

– Screening at home, local health facilities and hospitals

– Referral of patient

– Training of CHW

– Improved BP

– Reduced glucose levels

– None reported

– Reorganization of facilities

– Training of healthcare staff

– Providing clinical guidelines

– CHW for adherence support and screening

– Strengthened supply chains

– Increased BP control

– Increased HIV control

– Inadequate adaption of care model by staff

– Underresourced facilities

– Lack of privacy

– Lack of patient education

– Screening in the clinic

– Patient education

– Free supply of medication

– Referral of patients

– CHW for adherence and social support

– Training existing staff, including reducing high turnover rates

– Patient masterfile

– Increased NCD service accessibility

– Improved clinical outcomes and retention rates

– Stable HIV control

– None reported

– Screening at primary health centres

– Lifestyle counselling

– Referral of patients

– Taskshifting by nurses

– Reduced BP

– Increased HT control

– Reduced HIV stigma

– Lack of medication

– Insufficient referral system

– Lack of policies

– Taskshifting by existing staff

– Patient counselling

– Screening at hospital

– Using expert clients for data collection

– Provision of medication

– Electronic medical patient file

– Saving time for patient and provider

– Improving awareness among patients

– Increased workload

– Shortages of tools

– NCD screening at HIV facilities

– Training of nurses for counselling and referrals

– Health volunteers for data collection

– Increased number of NCD cases

– Low linkage to care rate

– Health campaigns in communities, offering screening and treatment.

– Training existing healthcare staff

– Providing a pleasant clinical environment

– Patient education

– Increased HT control

– Stable HIV control

– Lower mortality

– Medication stockouts

– Routine screening in clinic/hospital

– Delivery of care

– Patient education

– Taskshifting by nurses

– Free supply of medication

– Increased HT control

– Stable HIV control

– Lack of medication

– Lack of policies

– Lack of patient documentation

– HIV testing and counselling at primary healthcare facilities

– Enrolment in same facility

– Increased number of HIV case findings

– Increased efficiency of space, resources and staff time

– Decreased HIV stigma

– None reported.

– HIV screening for cervical cancer patients

– Referral of patients

– None reported.

– Lack of enough equipment

– Screening in communities

– Referral of patients

– Patient education

– Arrangement of transportation

– Increased number of HIV and NCD case findings

– Low linkage to care rate

– Screening in communities

– Referral of patients

– None reported.

– Low linkage to care rate

– Screening at home

– Health counselling

– Linkage to care nearby

– Training of CHW

– NCD risk factor screening

– Increased number of HIV and NCD case findings

– None reported

– Screening and treatment at clinics

– Training of existing staff

– Health counselling

– Improved retention rates

– Stable HIV control

– Acceptability by patients and providers

– Long waiting time

– Lack of medication

– Fear of HIV stigma