Integrated care for human immunodeficiency virus, diabetes and hypertension in Africa

Anupam Garrib, Josephine Birungi, Sokoine Lesikari, Ivan Namakoola, Tsi Njim, Luis Cuevas, Louis Niessen, Kenneth Mugisha, Gerald Mutungi, Janneth Mghamba, Kaushik Ramaiya, Shabbar Jaffar, Sayoki Mfinanga, Moffat Nyirenda

Research output: Contribution to journalReview articlepeer-review


The rising burden from non-communicable diseases (NCDs) poses a huge challenge for health care delivery in Africa, where health systems are already struggling with the long-term care requirements for the millions of people now on antiretroviral therapy requiring regular visits to health facilities for monitoring, adherence support and drugs. The HIV chronic disease management programme is comparatively well-funded, well-organised and well-informed and offers many insights and opportunities for the expansion of NCD prevention and treatment services. Some degree of human immunodeficiency virus (HIV) and NCD service integration is essential, but how to do this without risking the HIV treatment gains is unclear. Both HIV and NCD services must expand within a resource-constrained environment and policymakers are in urgent need of evidence to guide cost-effective and acceptable changes in these health services.

Original languageEnglish (US)
Pages (from-to)808-811
Number of pages4
JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
Issue number12
StatePublished - Dec 1 2019
Externally publishedYes


  • Africa
  • Diabetes
  • HIV
  • Hypertension
  • Non-communicable diseases

ASJC Scopus subject areas

  • Parasitology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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