Evaluating the integration of health services for chronic diseases in Africa

Not Applicable

Completed

• Conditions: HIV-infection, diabetes, or hypertension or combinations of these conditions; Infections and Infestations

• Registration Number: ISRCTN43896688
• Lead Sponsor: iverpool School of Tropical Medicine

Brief Summary

2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33033029/ Protocol of qualitative process evaluation (added 14/10/2020) 2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/34645657/ Protocol of RCT (added 15/10/2021) 2023 Other publications in https://doi.org/10.1186/s12913-023-09534-0 Process evaluation (added 05/06/2023) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37805215/ (added 04/04/2024)

Detailed Description

Not available

Study Timeline

• Study Start: 2020-04-21
• Study Completion: 2022-05-16
• Last Update Posted: 15 April 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 7030

Inclusion Criteria

1. Adults, 18 years and above
2. Confirmed HIV infection, diabetes, hypertension or any combination of these
3. Living within the catchment population of the health facility
4. Likely to remain in the catchment population for 6 months
5. Willing to provide written informed consent

Exclusion Criteria

Sick patients requiring immediate hospital care at time of assessment

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Retention in care for patients on diabetes and hypertension management measured using patient records at 12 months<br>2. Plasma viral load suppression among persons HIV-infected measured using lab test (suppression will be defined as plasma viral load < 1000 copies per ml.) at 12 months

Secondary Outcome Measures

Name	Time	Method
1. Cost-effectiveness measured using a decision analytical model at 12 months<br>2. Biomedical indicators measured at baseline and 12 months<br>2.1. Fasting blood glucose<br>2.2. HbA1c<br>2.3. Blood pressure (mmHg)<br>3. Clinic usage (aggregated data on day-to-day patient numbers, time spent at clinic by patients, and basic indicators of quality of service such as consultation times) measured over 12 months