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Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa

Author

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  • Marie A. Brault

    (Center for Interdisciplinary Research in AIDS, Department of Social Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT 06510, USA
    Current affiliation: University of Texas Health Science Center, Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas, San Antonio, TX 78249, USA.)

  • Sten H. Vermund

    (Center for Interdisciplinary Research in AIDS, Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT 06510, USA)

  • Muktar H. Aliyu

    (Department of Health Policy, Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN 37232, USA)

  • Saad B. Omer

    (Department of Epidemiology of Microbial Diseases, Yale Institute for Global Health, Yale School of Public Health, Yale University, New Haven, CT 06510, USA)

  • Dave Clark

    (The Aurum Institute, Johannesburg 2194, South Africa)

  • Donna Spiegelman

    (Center for Interdisciplinary Research in AIDS, Department of Biostatistics, Yale School of Public Health, Yale University, New Haven, CT 06510, USA)

Abstract

In Sub-Saharan Africa, communicable and other tropical infectious diseases remain major challenges apart from the continuing HIV/AIDS epidemic. Recognition and prevalence of non-communicable diseases have risen throughout Africa, and the reimagining of healthcare delivery is needed to support communities coping with not only with HIV, tuberculosis, and COVID-19, but also cancer, cardiovascular disease, diabetes, and depression. Many non-communicable diseases can be prevented or treated with low-cost interventions, yet implementation of such care has been limited in the region. In this Perspective piece, we argue that deployment of an integrated service delivery model is an urgent next step, propose a South African model for integration, and conclude with recommendations for next steps in research and implementation. An approach that is inspired by South African experience would build on existing HIV-focused infrastructure that has been developed by Ministries of Health with strong support from the U.S. President’s Emergency Response for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria. An integrated chronic healthcare model holds promise to sustainably deliver infectious disease and non-communicable disease care. Integrated care will be especially critical as health systems seek to cope with the unprecedented challenges associated with COVID-19 and future pandemic threats.

Suggested Citation

  • Marie A. Brault & Sten H. Vermund & Muktar H. Aliyu & Saad B. Omer & Dave Clark & Donna Spiegelman, 2021. "Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10751-:d:655447
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    References listed on IDEAS

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    Cited by:

    1. Liseth Lourdes Arias López & Maria Teresa Solis-Soto, 2022. "Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia," IJERPH, MDPI, vol. 19(20), pages 1-16, October.

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