Healthcare provider perspectives on barriers and facilitators to integration of cardiovascular disease-related care into HIV care and treatment clinics in urban Tanzania
2024

Barriers and Facilitators to Integrating Cardiovascular Care into HIV Clinics in Tanzania

Sample size: 12 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ottaru Theresia A., Ngakongwa Fileuka C., Butt Zeeshan, Hawkins Claudia A., Kaaya Sylvia F., Metta Emmy O., Chillo Pilly, Siril Helen N., Hirschhorn Lisa R., Kwesigabo Gideon P.

Primary Institution: Muhimbili University of Health and Allied Sciences

Hypothesis

What are the barriers and facilitators to the integration of cardiovascular disease-related care into HIV care and treatment clinics in urban Tanzania?

Conclusion

Effective integration of HIV and cardiovascular care requires addressing key barriers and leveraging facilitators within HIV clinics.

Supporting Evidence

  • Providers reported a high demand for CVD services among clients within HIV CTCs.
  • Integration of CVD care is seen as beneficial for early diagnosis and holistic management.
  • Providers expressed willingness to provide integrated care despite potential increased workload.
  • Implementing partners have started to support CVD care within HIV CTCs.

Takeaway

This study found that combining heart disease care with HIV treatment can help patients, but there are challenges like not having enough doctors or equipment.

Methodology

Qualitative study using 12 key informant interviews guided by the Consolidated Framework for Implementation Research (CFIR).

Limitations

Findings may not be generalizable to HIV CTCs supported by different implementing partners or in rural settings.

Participant Demographics

Median age of participants was 46 years, with 83% being female and 50% having served in their roles for over 5 years.

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1483476

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