Institute for Excellence in Health Equity, NYU Grossman School of Medicine, New York, NY, USA.
Section for Global Health, Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Glob Health Res Policy. 2024 Sep 14;9(1):35. doi: 10.1186/s41256-024-00379-6.
As people living with HIV experience increased life expectancy, there is a growing concern about the burden of comorbid non-communicable diseases, particularly hypertension. This brief describes the current policy landscape on the management of HIV and hypertension in Akwa Ibom State, Nigeria, stakeholder engagement meetings, and the resulting five policy recommendations rooted in an ongoing research study designed to integrate hypertension management into HIV care across primary health centers in the State. In order to identify the current gaps in integrated care, discussion sessions with three stakeholder groups (i.e., healthcare providers, patient advocacy groups, and policy makers) were held separately in November 2022. The discussions were purposed to brainstorm policy-level solutions for integrating hypertension into HIV treatment. After all the sessions were concluded, there were five recommendations provided by the stakeholders for integrating HIV and hypertension care in the Akwa Ibom State. Stakeholders unanimously agreed with the need to integrate hypertension care for HIV impacted communities in the State. Specifically, stakeholders recommended to: (1) engage retired community health nurses as mentors; (2) actively link communities to integrated care in clinics; (3) integrate hypertension management with HIV education; (4) expand health insurance accessibility; and (5) formally integrate hypertension management into primary healthcare centers in Akwa Ibom State.
随着艾滋病毒感染者预期寿命的延长，人们越来越关注合并的非传染性疾病（特别是高血压）的负担。本简介描述了尼日利亚阿克瓦伊博姆州目前在艾滋病毒和高血压管理方面的政策情况、利益相关者参与会议，以及基于旨在将高血压管理纳入该州初级保健中心艾滋病毒护理的正在进行的研究项目的五项政策建议。为了确定综合护理方面的当前差距，于 2022 年 11 月分别与三个利益相关者群体（即医疗保健提供者、患者倡导团体和政策制定者）举行了讨论会议。讨论的目的是为将高血压纳入艾滋病毒治疗提出政策层面的解决方案。所有会议结束后，利益相关者提出了五项将艾滋病毒和高血压护理纳入阿克瓦伊博姆州的建议。利益相关者一致认为需要将高血压护理纳入该州受艾滋病毒影响的社区。具体而言，利益相关者建议：（1）聘请退休社区护士担任导师；（2）积极将社区与诊所的综合护理联系起来；（3）将高血压管理与艾滋病毒教育相结合；（4）扩大医疗保险的可及性；（5）正式将高血压管理纳入阿克瓦伊博姆州的初级保健中心。
