Conference abstract
Factors influencing integration of non-communicable diseases into HIV/AIDS Healthcare Services in Tanzania
Pan African Medical Journal - Conference Proceedings. 2024:21(36).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.36.2367
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Non-Communicable Diseases, HIV/AIDS, integration
Oral presentation
Factors influencing integration of non-communicable diseases into HIV/AIDS Healthcare Services in Tanzania
Anzibert Rugakingira1,&, Emmy Meta2, Nathanael Sirili2
1Ministry of Health, Tanzania, 2Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
&Corresponding author
Introduction: NCDs are becoming a more common cause of morbidity in LMICs, particularly among PLHIV due to the stimulation of inflammatory markers and ART-associated reactions. Integration of NCDs into HIV/AIDS services has been advocated as a key method for boosting the global HIV response's sustainability and achieving the aim of 'ending AIDS by 2030.' Various studies have been conducted to examine the models, policies, goals, and needs for integration systematically. However, studies on the factors influencing HIV & NCD integration services in Tanzania are limited. This study aimed to explore factors influencing the integration of NCDs into HIV/AIDS healthcare services in Tanzania.
Methods: an exploratory qualitative case study was conducted at the Ministry of Health, PORALG, NACP, TACAIDS, and TaNCDP where 22 key informants were interviewed, guided by SII, based on their experiences and decisions. Thematic analysis was employed for analysis assisted by NVivo software (QSRinternational) version 12. The analysis was carried out in five stages suggested by Virginia Braun and Victoria Clarke.
Results: motivation, positive attitude, awareness, adequate knowledge, and skills promote integration, perceived negative attitude and additional workloads to HIV service providers inhibit integration. Adequate human resources and funds were organizational factors for integration but hindered by perceived additional costs, varying donors' interests. Moreover, adequate data collecting tools and diagnostic devices were among health system factors for integration but were limited by perceived additional health infrastructures and the need for reorientation and refresher training.
Conclusion: integration increase access, improving quality, and sustaining NCDs control interventions in HIV/AIDS program.
Factors influencing integration of non-communicable diseases into HIV/AIDS Healthcare Services in Tanzania
Anzibert Rugakingira1,&, Emmy Meta2, Nathanael Sirili2
1Ministry of Health, Tanzania, 2Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
&Corresponding author
Introduction: NCDs are becoming a more common cause of morbidity in LMICs, particularly among PLHIV due to the stimulation of inflammatory markers and ART-associated reactions. Integration of NCDs into HIV/AIDS services has been advocated as a key method for boosting the global HIV response's sustainability and achieving the aim of 'ending AIDS by 2030.' Various studies have been conducted to examine the models, policies, goals, and needs for integration systematically. However, studies on the factors influencing HIV & NCD integration services in Tanzania are limited. This study aimed to explore factors influencing the integration of NCDs into HIV/AIDS healthcare services in Tanzania.
Methods: an exploratory qualitative case study was conducted at the Ministry of Health, PORALG, NACP, TACAIDS, and TaNCDP where 22 key informants were interviewed, guided by SII, based on their experiences and decisions. Thematic analysis was employed for analysis assisted by NVivo software (QSRinternational) version 12. The analysis was carried out in five stages suggested by Virginia Braun and Victoria Clarke.
Results: motivation, positive attitude, awareness, adequate knowledge, and skills promote integration, perceived negative attitude and additional workloads to HIV service providers inhibit integration. Adequate human resources and funds were organizational factors for integration but hindered by perceived additional costs, varying donors' interests. Moreover, adequate data collecting tools and diagnostic devices were among health system factors for integration but were limited by perceived additional health infrastructures and the need for reorientation and refresher training.
Conclusion: integration increase access, improving quality, and sustaining NCDs control interventions in HIV/AIDS program.
