Summary:
In people living with HIV, diabetes, and hypertension in sub-Saharan Africa, integrated community-based care significantly improved management of these chronic conditions compared to integrated facility-based care, though it was associated with challenges related to implementation and some side effects consistent with treatment regimens.
| PICO | Description |
|---|---|
| Population | Adults living with HIV, diabetes, and hypertension in Tanzania and Uganda, sub-Saharan Africa. |
| Intervention | Integrated community-based care involving coordinated chronic disease management delivered outside health facilities. |
| Comparison | Integrated facility-based care managing HIV, diabetes, and hypertension within health centers and hospitals. |
| Outcome | Community-based care significantly improved clinical outcomes and patient retention in care compared to facility-based management; however, it was associated with implementation challenges and expected side effects related to chronic disease therapies. |
Source: Kasujja, Francis X, et al. “Integrated community-based versus facility-based care for people with HIV, diabetes, and hypertension in sub-Saharan Africa (INTE-COMM): an open-label, multicountry, cluster-randomised trial.” Read article here.
