المستودع الأكاديمي جامعة المدينة

Offering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia.

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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.


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