London School of Hygiene & Tropical Medicine (LSHTM) press release
Health systems in sub-Saharan Africa could safely expand access to chronic disease care by delivering integrated services in communities, according to a new multi-country clinical trial. The study found that community-based management of HIV, diabetes and hypertension achieved clinical outcomes comparable to facility-based care while improving access and convenience for patients.
The findings come from the ‘Integrated community-based versus integrated facility-based care for people living with HIV, diabetes or hypertension (INTE-COMM) trial’, a cluster-randomised study conducted in Uganda and Tanzania and published in The Lancet. The trial shows that integrated care delivered at the community level can maintain clinical outcomes comparable to facility-based integrated care for clinically stable patients with diabetes and/or hypertension, without compromising HIV care. These results build on earlier evidence from the INTE-AFRICA trial, which demonstrated that integrating HIV, diabetes, and hypertension services within health facilities maintained high-quality care while reducing service duplication and patient costs.
Read the full press release here.
Source : LSHTM
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