Integrated management of HIV/NCDs: knowledge, attitudes, and practices of health care workers in Gaborone, Botswana.

Abstract:

Background:The epidemiologic transition and double disease burden from chronic infections and Non-communicable diseases (NCDs) worldwide requires re-engineering of healthcare delivery systems. Healthcare workers (HCWs) need to adapt to new integrated disease management approaches and change from current disease-specific management. Objectives:The study aimed to determine HCWs knowledge, capacity and skills for management of NCDs among HIV patients and their attitudes towards integrated HIV/NCDs disease management approaches for future clinical practice. Methods:Descriptive cross-sectional survey among HCWs attending to HIV patients at selected government facilities. Results:One hundred out of 105 responses were analysed. Only 6% could fully define NCDs. Awareness levels of NCDs were high: Diabetes and hypertension 98%; cancer 96%; cardiovascular diseases 86%. However, 11.8% and 58% classified HIV and malaria respectively as NCDs. Most respondents (88%) believe that integrating HIV/NCDs care would be good use of resources while 62% disagreed with current separate facility management of HIV patients with NCDs. Over 60% routinely screened HIV patients for NCDs risk factors: Smoking (87.2%), alcohol (90.8%), diet (84.9%) and physical activity (73.5%). Conclusion:There were gaps in detailed knowledge on NCDs, but positive attitude towards routine primary care integrated HIV/NCDs management, showing likely support for implementation of such policy.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Masupe T,Mashalla Y,Seloilwe E,Jibril H,Medhin H

doi

10.4314/ahs.v19i3.3

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

2312-2323

issue

3

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v19.i3.pg2312

journal_volume

19

pub_type

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