Leveraging Rapid Community-Based HIV Testing Campaigns for Non-Communicable Diseases in Rural Uganda

Chamie, Gabriel; Kwarisiima, Dalsone; Clark, Tamara D.; Kabami, Jane; Jain, Vivek; Geng, Elvin; Petersen, Maya; Thirumurthy, Harsha; Kamya, Moses R.; Havlir, Diane V.; Charlebois, Edwin D.

doi:10.1371/journal.pone.0043400

Cited by 130 publications

(222 citation statements)

References 26 publications

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“…The first model integrated HIV and AIDS services with diabetes (NCD-RisC, 2016;Tierney, Kimaiyo, & Mamlin, 2011;WHO, 2016). The second model integrated HIV and AIDS services with diabetes and hypertension (Chamie, Kwarisiima, Clark, Kabami, & Jain, 2012;Edwards, Bygrave, & Van Den Bergh, 2015;Kotwani, Balzer, & Kwarisiima, 2014;Monroe, Rowe, Moore, & Chander, 2012;Noble, Reeves, Jackson, & Abrahams, 2012;Tiam, Oyebanji, & Nkonyana, 2012;UNAIDS, 2011). The third model integrated cardiovascular services with HIV and AIDS services (Gwarzo, Maji, & Isa-Dutse, 2012;Nyabera, Yonga, Mwangemi, & Bukachi, 2011;UNAIDS, 2011); and the final model described studies where HIV and AIDS services were integrated with diabetes, hypertension, CVD and other diseases (Inouye et al, 2011;Namata, Kawuma, & Nakigudde, 2014;Tierney et al, 2011).…”

Section: Models Of Integrationmentioning

confidence: 99%

“…Fourteen articles representing 17 distinct studies integrating HIV and AIDS with diabetes, hypertension and/or CVD met inclusion criteria (Adeyemi, Vibhakar, & Max, 2009;Bury, Stroup, Stephens, & Baker, 2007;Chamie et al, 2012;Edwards et al, 2015;Gwarzo et al, 2012;Inouye et al, 2011;Kotwani et al, 2014;Monroe et al, 2012;Namata et al, 2014;Noble et al, 2012;Nyabera et al, 2011;M Rabkin et al, 2012;Tiam et al, 2012;Tierney et al, 2011;UNAIDS, 2011). Six were full papers (Adeyemi et al, 2009;Bury et al, 2007;Chamie et al, 2012;Edwards et al, 2015;Inouye et al, 2011;Kotwani et al, 2014), one was a report with four case studies(UNAIDS, 2011), and seven were abstracts (Gwarzo et al, 2012;Monroe et al, 2012;Namata et al, 2014;Noble et al, 2012;Nyabera et al, 2011;Tiam et al, 2012;Tierney et al, 2011).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Six were full papers (Adeyemi et al, 2009;Bury et al, 2007;Chamie et al, 2012;Edwards et al, 2015;Inouye et al, 2011;Kotwani et al, 2014), one was a report with four case studies(UNAIDS, 2011), and seven were abstracts (Gwarzo et al, 2012;Monroe et al, 2012;Namata et al, 2014;Noble et al, 2012;Nyabera et al, 2011;Tiam et al, 2012;Tierney et al, 2011). Eleven studies were from Sub-Saharan Africa (Ethiopia, Kenya, Lesotho, Nigeria, South Africa Uganda), (Chamie et al, 2012;Edwards et al, 2015;Gwarzo et al, 2012;Kotwani et al, 2014;Namata et al, 2014;Nyabera et al, 2011;Tiam et al, 2012;Tierney et al, 2011;UNAIDS, 2011), four from the United States (U.S.) (Adeyemi et al, 2009;Bury et al, 2007;Inouye et al, 2011;Monroe et al, 2012), one from the United Kingdom (U.K.) (Noble et al, 2012)and one from South-East Asia (Cambodia) (UNAIDS, 2011)( Figure 3). The majority of papers were published in 2011 and 2012 ( Figure 4).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The majority of papers were published in 2011 and 2012 ( Figure 4). Seven studies took place in community/mobile service points (Chamie et al, 2012;Inouye et al, 2011;Kotwani et al, 2014;Tiam et al, 2012;Tierney et al, 2011;UNAIDS, 2011); three in primary health centers or general outpatient clinics (Adeyemi et al, 2009;Edwards et al, 2015; UNAIDS, 2011); five in HIV clinics (Bury et al, 2007;Monroe et al, 2012;Namata et al, 2014;Nyabera et al, 2011;UNAIDS, 2011); and two were located in secondary health facilities (Gwarzo et al, 2012;Noble et al, 2012) (Table 2). There was one cohort study (Bury et al, 2007).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…There was one cohort study (Bury et al, 2007). One cross-sectional study (Noble et al, 2012), two retrospective record reviews (Adeyemi et al, 2009;Edwards et al, 2015); one qualitative study (Monroe et al, 2012); and 12 program descriptions (Chamie et al, 2012;Gwarzo et al, 2012;Inouye et al, 2011;Kotwani et al, 2014;Namata et al, 2014;Nyabera et al, 2011;Tiam et al, 2012;Tierney et al, 2011;UNAIDS, 2011) (Table 3). Further, the integration types described were entirely at the meso-level; these include clinical and service integrations (Table 4).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Integrating cardiovascular diseases, hypertension, and diabetes with HIV services: a systematic review

et al. 2017

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Non-communicable diseases (NCDs), including cardiovascular diseases (CVD), hypertension and diabetes together with HIV infection are among the major public health concerns worldwide. Health services for HIV and NCDs require health systems that provide for people's chronic care needs, which present an opportunity to coordinate efforts and create synergies between programmes to benefit people living with HIV and/or AIDS and NCDs. This review included studies that reported service integration for HIV and/or AIDS with coronary heart diseases, chronic CVD, cerebrovascular diseases (stroke), hypertension or diabetes. We searched multiple databases from inception until October 2015. Articles were screened independently by two reviewers and assessed for risk of bias. 11,057 records were identified with 7,616 after duplicate removal. After screening titles and abstracts, 14 papers addressing 17 distinct interventions met the inclusion criteria. We categorized integration models by diseases (HIV with diabetes, HIV with hypertension and diabetes, HIV with CVD and finally HIV with hypertension and CVD and diabetes). Models also looked at integration from micro (patient focused integration) to macro (system level integrations). Most reported integration of hypertension and diabetes with HIV and AIDS services and described multidisciplinary collaboration, shared protocols, and incorporating screening activities into community campaigns. Integration took place exclusively at the meso-level, with no micro-or macro-level integrations described. Most were descriptive studies, with one cohort study reporting evaluative outcomes. Several innovative initiatives were identified and studies showed that CVD and HIV service integration is feasible.Integration should build on existing protocols and use the community as a locus for advocacy and health services, while promoting multidisciplinary teams, including greater involvement of pharmacists. There is a need for robust and well-designed studies at all levels -particularly macrolevel studies, research looking at long-term outcomes of integration, and research in a more diverse range of countries.

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Section: Models Of Integrationmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Integrating cardiovascular diseases, hypertension, and diabetes with HIV services: a systematic review

et al. 2017

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Cervical cancer screening through human papillomavirus testing in community health campaigns versus health facilities in rural western Kenya

Huchko

Ibrahim

Blat

et al. 2018

Intl J Gynecology & Obste

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Cervical cancer screening using HPV testing of self-collected samples reached a larger proportion of women when offered through periodic CHCs compared with health facilities. The community-based model is a promising strategy for cervical cancer prevention. Lessons learned from this trial can be used to identify ways of maximizing the impact of such strategies through greater community participation and improved linkage to treatment. ClinicalTrials.gov registration: NCT02124252.

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HPV‐based cervical cancer screening in low‐resource settings: Maximizing the efficiency of community‐based strategies in rural Kenya

Huchko

Olwanda

Choi

et al. 2020

Intl J Gynecology & Obste

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Objective: To characterize the efficiency of screening through high-volume community health campaigns (CHCs) by comparing the costs and population reach and identify factors associated with gains in efficiency. Access to effective cervical cancer screening remains limited in low-resource settings, especially in rural areas. Periodic CHCs are a novel method of offering screening for HPV at lower costs and higher population coverage than health facilities. Methods:A micro-costing study was conducted within a cervical cancer screening trial to measure efficiency (cost per woman screened) and population uptake of HPVbased screening offered through CHCs in Migori County, Kenya between January and September 2016. Regression analysis assessed relationships between population size and efficiency. Structured observations and qualitative interviews identified implementation factors that affected efficiency in individual campaigns.Results: Communities screening through CHCs had costs per woman screened ranging from US $22.06 to $30.21. Efficiency was directly correlated to overall numbers of women screened, but not to proportion of population screened. Modifiable factors that acted as context-specific facilitators and barriers with a potential impact on efficiency were identified. Conclusion:There was substantial variation in efficiency among CHCs. Cultural factors, health beliefs, and poor coordination among implementation partners as potential key barriers to screening uptake were identified. K E Y W O R D S

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Leveraging Rapid Community-Based HIV Testing Campaigns for Non-Communicable Diseases in Rural Uganda

Cited by 130 publications

References 26 publications

Integrating cardiovascular diseases, hypertension, and diabetes with HIV services: a systematic review

Integrating cardiovascular diseases, hypertension, and diabetes with HIV services: a systematic review

Cervical cancer screening through human papillomavirus testing in community health campaigns versus health facilities in rural western Kenya

HPV‐based cervical cancer screening in low‐resource settings: Maximizing the efficiency of community‐based strategies in rural Kenya

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