Impact of Integrated HIV/NCD Screening on HIV Testing Uptake and Engagement in HIV Care In Kisarawe, Tanzania
Human Immunodeficiency Virus, Diabetes Mellitus, Type 2, Hypertension
About this trial
This is an interventional treatment trial for Human Immunodeficiency Virus focused on measuring Human Immunodeficiency Virus, Community Health Services, Chronic Disease, Integrated Delivery of Health Care, Tanzania
Eligibility Criteria
Eligibility Criteria for Screening:
• Be aged 18 years or above.
Inclusion Criteria for Intervention and Control Cohorts:
- Be aged 18 years or above.
- Recently enrolled in HIV care and treatment
Exclusion Criteria:
- Potentially vulnerable populations (incarcerated, under age of consent, unable to understand the procedures planned, etc.).
- Individuals under the influence of drugs or alcohol and anyone presenting with mental disability that would preclude ability to understand study procedure, risks, and benefits.
- Inability or unwillingness of subject to provide informed consent.
Sites / Locations
- Muhimbili University of Health and Allied Sciences
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Enhanced Intervention
Control
Members will have DM and HTN managed at the CTC together with their HIV care. Interventions include: Community mobilization activities to inform community members of available services Support at the local health center to aid clinicians in managing uncontrolled cases of DM and HTN, including training for clinical staff, glucometers/test strips, and BP monitors. HIV counseling and serial rapid HIV testing Blood glucose and blood pressure testing DM/HTN medications as needed Personalized diet and lifestyle counseling for all participants with elevated glucose or BP that includes education, dietary assessment and recommendations, advice on physical activity, and the need to regularly monitor their glucose/BP.
Members in the control arm will receive community-level rapid HIV testing at the CTCs, which is the standard of care. HIV testing performed by the CTC is according to the National HIV Testing Algorithm (serial rapid testing using Determine HIV 1/2 and Uni-Gold HIV 1/2) which follows Tanzanian and international (WHO/CDC) standards for provision of HIV counseling and testing. Those who test positive for HIV will be referred to the CTC for the standard Tanzanian level of HIV care, which includes counseling and ART medication managed at the CTCs.