Author(s): Janssens B, Van Damme W, Raleigh B, Gupta J, Khem S,
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Abstract PROBLEM: In Cambodia, care for people with HIV/AIDS (prevalence 1.9\%) is expanding, but care for people with type II diabetes (prevalence 5-10\%), arterial hypertension and other treatable chronic diseases remains very limited. APPROACH: We describe the experience and outcomes of offering integrated care for HIV/AIDS, diabetes and hypertension within the setting of chronic disease clinics. LOCAL SETTING: Chronic disease clinics were set up in the provincial referral hospitals of Siem Reap and Takeo, 2 provincial capitals in Cambodia. RELEVANT CHANGES: At 24 months of care, 87.7\% of all HIV/AIDS patients were alive and in active follow-up. For diabetes patients, this proportion was 71\%. Of the HIV/AIDS patients, 9.3\% had died and 3\% were lost to follow-up, while for diabetes this included 3 (0.1\%) deaths and 28.9\% lost to follow-up. Of all diabetes patients who stayed more than 3 months in the cohort, 90\% were still in follow-up at 24 months. LESSONS LEARNED: Over the first three years, the chronic disease clinics have demonstrated the feasibility of integrating care for HIV/AIDS with non-communicable chronic diseases in Cambodia. Adherence support strategies proved to be complementary, resulting in good outcomes. Services were well accepted by patients, and this has had a positive effect on HIV/AIDS-related stigma. This experience shows how care for HIV/AIDS patients can act as an impetus to tackle other common chronic diseases.
This article was published in Bull World Health Organ
and referenced in Journal of Proteomics & Bioinformatics