African Health Sciences
Makerere University Medical School
Vol. 19, No. 3, 2019, pp. 2312-2323
Bioline Code: hs19118
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 19, No. 3, 2019, pp. 2312-2323
© Copyright 2019 - Masupe et al.
Integrated management of HIV/NCDs: knowledge, attitudes, and practices of health care workers in Gaborone, Botswana|
Masupe, Tiny; Mashalla, Yohana; Seloilwe, Esther; Jibril, Harun & Medhin, Heluf
Background: The epidemiologic transition and double disease burden from chronic infections and Non-communicable diseases (NCDs) worldwide requires re-engineering of healthcare delivery systems. Healthcare workers (HCWs) need to adapt to new integrated disease management approaches and change from current disease-specific management.
Objectives: The study aimed to determine HCWs knowledge, capacity and skills for management of NCDs among HIV patients and their attitudes towards integrated HIV/NCDs disease management approaches for future clinical practice.
Methods: Descriptive cross-sectional survey among HCWs attending to HIV patients at selected government facilities.
Results: One hundred out of 105 responses were analysed. Only 6% could fully define NCDs. Awareness levels of NCDs were high: Diabetes and hypertension 98%; cancer 96%; cardiovascular diseases 86%. However, 11.8% and 58% classified HIV and malaria respectively as NCDs. Most respondents (88%) believe that integrating HIV/NCDs care would be good use of resources while 62% disagreed with current separate facility management of HIV patients with NCDs. Over 60% routinely screened HIV patients for NCDs risk factors: Smoking (87.2%), alcohol (90.8%), diet (84.9%) and physical activity (73.5%).
Conclusion: There were gaps in detailed knowledge on NCDs, but positive attitude towards routine primary care integrated HIV/NCDs management, showing likely support for implementation of such policy.
Non-communicable diseases; knowledge; attitude; HIV; integration