Delivery of health care for cardiovascular and metabolic diseases among people living with HIV/AIDS in African countries: a systematic review protocol

 

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dc.contributor.author Watkins, David A
dc.contributor.author Tulloch, Nathaniel L
dc.contributor.author Anderson, Molly E
dc.contributor.author Barnhart, Scott
dc.contributor.author Steyn, Krisela
dc.contributor.author Levitt, Naomi S
dc.date.accessioned 2016-05-23T07:50:46Z
dc.date.available 2016-05-23T07:50:46Z
dc.date.issued 2016
dc.identifier.citation Watkins, D. A., Tulloch, N. L., Anderson, M. E., Barnhart, S., Steyn, K., & Levitt, N. S. (2016). Delivery of health care for cardiovascular and metabolic diseases among people living with HIV/AIDS in African countries: a systematic review protocol. Systematic Reviews, 5(1), 1. en_ZA
dc.identifier.issn 2046-4053 en_ZA
dc.identifier.uri http://dx.doi.org/10.1186/s13643-016-0241-5
dc.identifier.uri http://hdl.handle.net/11427/19769
dc.description.abstract Background: People living with HIV (PLHIV) in African countries are living longer due to the rollout of antiretroviral drug therapy programs, but they are at increasing risk of non-communicable diseases (NCDs). However, there remain many gaps in detecting and treating NCDs in African health systems, and little is known about how NCDs are being managed among PLHIV. Developing integrated chronic care models that effectively prevent and treat NCDs among PLHIV requires an understanding of the current patterns of care delivery and the major barriers and facilitators to health care. We present a systematic review protocol to synthesize studies of healthcare delivery for an important subset of NCDs, cardiovascular and metabolic diseases (CMDs), among African PLHIV. Methods/design: We plan to search electronic databases and reference lists of relevant studies published in African settings from January 2003 to the present. Studies will be considered if they address one or both of our major objectives and focus on health care for one or more of six interrelated CMDs (ischemic heart disease, stroke, heart failure, hypertension, diabetes, and hyperlipidemia) in PLHIV. Our first objective will be to estimate proportions of CMD patients along the “cascade of care”—i.e., screened, diagnosed, aware of the diagnosis, initiated on treatment, adherent to treatment, and with controlled disease. Our second objective will be to identify unique barriers and facilitators to health care faced by PLHIV in African countries. For studies deemed eligible for inclusion, we will assess study quality and risk of bias using previously published criteria. We will extract study data using standardized instruments. We will meta-analyze quantitative data at each level of the cascade of care for each CMD (first objective). We will use meta-synthesis techniques to understand and integrate qualitative data on health-related behaviors (second objective). Discussion: CMDs and other NCDs are becoming major health concerns for African PLHIV. The results of our review will inform the development of research into chronic care models that integrate care for HIV/AIDS and CMDs among PLHIV. Our findings will be highly relevant to health policymakers, administrators, and practitioners in African settings. en_ZA
dc.language eng en_ZA
dc.publisher BioMed Central en_ZA
dc.rights Creative Commons Attribution 4.0 International (CC BY 4.0) *
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en_ZA
dc.source Systematic Reviews en_ZA
dc.source.uri http://systematicreviewsjournal.biomedcentral.com/
dc.subject HIV/AIDS
dc.subject Non-communicable diseases
dc.subject Cardiovascular disease
dc.subject Diabetes
dc.subject Delivery of health care
dc.subject Access to health care
dc.subject Screening
dc.subject Diagnosis
dc.subject Medication adherence
dc.subject Africa
dc.title Delivery of health care for cardiovascular and metabolic diseases among people living with HIV/AIDS in African countries: a systematic review protocol en_ZA
dc.type Journal Article en_ZA
dc.date.updated 2016-05-19T09:27:05Z
dc.language.rfc3066 en
dc.rights.holder Watkins et al.
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image


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