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.
Yale Universitywebsite: https://publichealth.yale.edu/cmips
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