| dc.contributor |
Médecins Sans Frontières, Phnom Penh, Cambodia. b.janssens@bigfoot.com |
|
| dc.creator |
Janssens, B |
|
| dc.creator |
Van Damme, W |
|
| dc.creator |
Raleigh, B |
|
| dc.creator |
Gupta, J |
|
| dc.creator |
Khem, S |
|
| dc.creator |
Soy Ty, K |
|
| dc.creator |
Vun, M |
|
| dc.creator |
Ford, N |
|
| dc.creator |
Zachariah, R |
|
| dc.date |
2007-11 |
|
| dc.date.accessioned |
2017-01-31T07:10:34Z |
|
| dc.date.available |
2017-01-31T07:10:34Z |
|
| dc.identifier |
Offering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia. 2007, 85 (11):880-5 Bull. World Health Organ. |
|
| dc.identifier |
0042-9686 |
|
| dc.identifier |
18038079 |
|
| dc.identifier |
http://hdl.handle.net/10144/22652 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/22652 |
|
| dc.identifier |
Bulletin of the World Health Organization |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/22652 |
|
| dc.description |
PROBLEM: In Cambodia, care for people with HIV/AIDS (prevalence 1.9%) is expanding, but care for people with type II diabetes (prevalence 5-10%), arterial hypertension and other treatable chronic diseases remains very limited. APPROACH: We describe the experience and outcomes of offering integrated care for HIV/AIDS, diabetes and hypertension within the setting of chronic disease clinics. LOCAL SETTING: Chronic disease clinics were set up in the provincial referral hospitals of Siem Reap and Takeo, 2 provincial capitals in Cambodia. RELEVANT CHANGES: At 24 months of care, 87.7% of all HIV/AIDS patients were alive and in active follow-up. For diabetes patients, this proportion was 71%. Of the HIV/AIDS patients, 9.3% had died and 3% were lost to follow-up, while for diabetes this included 3 (0.1%) deaths and 28.9% lost to follow-up. Of all diabetes patients who stayed more than 3 months in the cohort, 90% were still in follow-up at 24 months. LESSONS LEARNED: Over the first three years, the chronic disease clinics have demonstrated the feasibility of integrating care for HIV/AIDS with non-communicable chronic diseases in Cambodia. Adherence support strategies proved to be complementary, resulting in good outcomes. Services were well accepted by patients, and this has had a positive effect on HIV/AIDS-related stigma. This experience shows how care for HIV/AIDS patients can act as an impetus to tackle other common chronic diseases. |
|
| dc.language |
en |
|
| dc.publisher |
WHO |
|
| dc.relation |
http://www.who.int/bulletin/en |
|
| dc.rights |
Archived on this site with permission of WHO |
|
| dc.title |
Offering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia. |
|