Expanding access to non-communicable disease care in rural Malawi: outcomes from a retrospective cohort in an integrated NCD-HIV model.

ABSTRACT:

Objectives

Non-communicable diseases (NCDs) account for one-third of disability-adjusted life years in Malawi, and access to care is exceptionally limited. Integrated services with HIV are widely recommended, but few examples exist globally. We report descriptive outcomes from an Integrated Chronic Care Clinic (IC3).

Design

This is a retrospective cohort study.

Setting

The study includes an HIV-NCD clinic across 14 primary care facilities in the rural district of Neno, Malawi.

Participants

All new patients, including 6233 HIV-NCD diagnoses, enrolled between January 2015 and December 2017 were included. This included 3334 patients with HIV (59.7% women) and 2990 patients with NCD (67.3% women), 10% overall under age 15 years.

Interventions

Patients were s

SUBMITTER: Wroe EB 

PROVIDER: S-EPMC7580053 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature