Integrated care shows substantially reduced health costs for people with HIV, diabetes and hypertension

Aging for total health service costs to manage people living in multiple conditions (HIV and / or diabetes and / or hypertension) in Uganda and Tanzania in 2020, 2025 and 2030 compared to baseline And the effect of reduced survival. Credit: DOI: 10.1186 / s12916-021-02094-2

A study conducted through a fair partnership between NIMR in Tanzania, MRC / UVRI in Uganda and the LSHTM Uganda Research Unit and its partners (RESPOND-African Consortium) “one-stop clinic” for the care of HIV, diabetes and hypertension. Can reduce the cost of both Ugandan and Tanzania patients and medical services.

The burden of non-communicable diseases (NCDs) is rising rapidly in Africa, and these diseases usually affect the younger workforce than are found in developed countries. Diabetes and high blood pressure alone kill about 2 million people annually on the continent. Africa also continues to be burdened with HIV transmission. The results of quality HIV programs are remarkable, with more than 60% of people living with HIV receiving regular treatment in eastern and southern Africa. In contrast, Healthcare services In the case of diabetes and hypertension, these are also often organized separately, but it is estimated that only about 10-20% of people with these conditions are being treated and have spots.

In a treatise published in BMC medicine, Tanzania, Uganda, led by Professor Luini Senand of LSTM, supported by interdisciplinary teams in the United Kingdom, RESPOND-Africa reports society-Economic impact On actual integrated care across all disease programs, setting up 10 new integrated care clinics in Uganda and Tanzania to establish the potential benefits of treating patients with HIV, diabetes, or hypertension in the same clinic The first such study to report detailed economics.

Dr. Josephine Birungi, Senior Research Scientist at the MRC / UVRI and LSHTM Uganda Research Units, said: Therefore, patients had to take two days off, remembering that they had to pay for shipping for two appointments to the same facility and sometimes travel with their caregivers. .. At home! “

Sayoki Mfinanga, an emeritus professor at LSTM, is a senior researcher at the National Institute of Medicine in Tanzania. He states: “One year after the integrated clinic was set up, we found that the integration of HIV services with diabetes and hypertension management reduced costs for both medical services and households. More than one condition, patient households Medical costs were kept on average at 12% of the household’s monthly income, so this first exploratory, non-randomized study found that integrated care for these chronic conditions was efficient and in Africa. A fair way to deal with the increasing burden of economically vulnerable patient groups in multiple states among aging people. “

The consortium also generates more financial evidence through long-term, large-scale trials and includes more evidence of clinical benefit compared to extended integrated care packages with standard treatments in cluster randomized trials. ..

Answer-Africa works with patients, community groups, civil society and policy makers to ensure that research is appropriate and that evidence is used to inform policy and practice.

Professor Andrew Swai of the Tanzania NCD Alliance said: To guide policies and practices to improve drug supply for these chronic diseases. “

Professor Kausik Ramaya, Hong. The General Secretary of the East Africa NCD Alliance said: “The Respond Africa Partnership, which led this study, involves people living with NCDs to share their findings and shape future studies. Live with NCDs launched by the NCD Alliance this week.”

Disparities in Internet access for people with chronic illness

For more information:
Tinevimbo Shiri et al, Costs of Patients and Healthcare Providers for Integrated HIV, Diabetes, and Hypertension Outpatient Care Services in Low Income Environments-Experiential Socio-Economic Cohort Study in Tanzania and Uganda, BMC medicine (2021). DOI: 10.1186 / s12916-021-02094-2

Quote: Integrated Care is available from on September 10, 2021 for people with HIV, diabetes and hypertension (9 2021) 10th of March) shows that medical expenses have been significantly reduced.html

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