Barriers and facilitators to integration of screening for hypertension, diabetes mellitus and dyslipidaemia, among adult people living with HIV at district hospital ART clinics in Southern Malawi
2024

Barriers to Screening for Health Issues in People Living with HIV in Malawi

Sample size: 875 publication Evidence: moderate

Author Information

Author(s): Katundu Kondwani G.H., Mukhula Victoria, Matemvu Zaithwa, Mtonga Angel J., Kasanda-Ndambo Myness, Lubanga Adriano F., Malenje Monalisa G., Nyangulu Wongani, momba Grace, Triulzi Isotta, Kalanga Noel, Mipando Mwapatsa, Nyondo-Mipando Alinane Linda, Hosseinipour Mina C.

Hypothesis

What are the barriers and facilitators to integrating screening for hypertension, diabetes mellitus, and dyslipidaemia among adult people living with HIV at district hospital ART clinics in Southern Malawi?

Conclusion

The study found poor integration of hypertension, diabetes, and dyslipidaemia screening among people living with HIV in Southern Malawi, but highlighted opportunities for successful implementation.

Supporting Evidence

  • One district hospital ART clinic facility only performed the screening for hypertension and diabetes mellitus.
  • Facilitators for integration included time efficiency and existing infrastructure utilization.
  • Barriers included clinic flow delays and lack of prioritization and resources.

Takeaway

The study looked at why it's hard to check for certain health problems in people with HIV in Malawi, and found some ways to make it better.

Methodology

This was a mixed-methods study that included quantitative data from ART clinic records and qualitative data from interviews and observations.

Limitations

The study was limited to five district hospital ART clinics and may not represent all facilities in Malawi.

Participant Demographics

Adult people living with HIV at district hospital ART clinics in Southern Malawi.

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5373585

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