100&Change: 2020

Leveraging HIV Care for Human Rights-Based Chronic Disease Management

We will transform how primary health care is delivered in Africa by adapting the multi-sectoral, stakeholder-engaged, evidence-based, human-rights-focused model that revolutionized HIV care and outcomes.

DOWNLOAD: Project Factsheet
Two-page overview of proposal
Competition Participation
100&Change: 2020
Current Work Location
  • Eastern Region, Uganda
  • Niger State, Nigeria
  • Province of KwaZulu-Natal, South Africa
Proposed Work Locations:
  • Central Region, Uganda
  • Federal Capital Territory, Nigeria
  • Gauteng, South Africa
Priority Populations:
  • People of African descent
  • Extremely poor people
Sustainable Development Goals (SDGs):
  • 1. No poverty
  • 3. Good health and well-being
  • 5. Gender equality
  • 10. Reduced inequalities
  • 16. Peace, justice and strong institutions

Executive Summary:

In Sub-Saharan African (SSA), the collision of communicable and non-communicable diseases requires us to ‘think and work together’ to benefit communities buffeted not only by HIV, tuberculosis, or malaria, for example, but also cancer, cardiovascular disease, hypertension, diabetes, and depression. Between 10-20 million people in SSA have hypertension; if 70% were treated, 4.5 million deaths could be delayed (11.5% of global delayed deaths). Morbidity and mortality can be prevented or treated with known low-cost, high-impact interventions. Integrated service delivery is key for reducing health disparities. Uganda, Nigeria, and South Africa have well-established HIV testing and treatment infrastructures, alongside up-to-date guidelines for NCD control. Using capacity-building and continuous quality improvement within a health and human rights framework, we will partner with Ministries and stakeholders to scale-up, monitor, and evaluate a multi-sectorial, integrated package of health promotion and primary care services (the IDEAL clinic), building upon HIV care and treatment clinic infrastructures.

Organization Details
Lead Organization

Yale University

website: https://publichealth.yale.edu/cmips
Organization Headquarters
New Haven County, Connecticut, United States
Organization ID
Annual Operating Budget
> $1 Billion
Number of Full-time Employees
> 1,000

Charity, fund, non-governmental organization, religious institution, school, or other entity