HIV-infection, diabetes, or hypertension or combinations of these conditions Infections and Infestations
Conditions
Interventions
Experimental arm: Integrated health service provision at health facilities providing primary care for HIV infection, diabetes and hypertension.
Control arm: standard care – separate stand-alone servi
Sponsors
Liverpool School of Tropical Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adults aged 18 years and above 2. Confirmed HIV infection, diabetes, hypertension or any combination of these 3. Living within the catchment population of the health facility 4. Likely to remain in the catchment population for 6 months 5. Willing to provide written informed consent
Exclusion criteria
Exclusion criteria: Sick patients requiring immediate hospital care at time of assessment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Retention in care for patients on diabetes and hypertension management measured using patient records at 12 months 2. Plasma viral load suppression among persons HIV-infected measured using lab test (suppression will be defined as plasma viral load <1000 copies per ml.) at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Cost-effectiveness measured using a decision analytical model at 12 months 2. Biomedical indicators measured at baseline and 12 months 2.1. Fasting blood glucose 2.2. HbA1c 2.3. Blood pressure (mmHg) 3. Clinic usage (aggregated data on day-to-day patient numbers, time spent at clinic by patients, and basic indicators of quality of service such as consultation times) measured over 12 months | — |
Countries
Tanzania, Uganda
Outcome results
None listed