Adaptation of a general primary care package for HIV-infected adults to an HIV centre setting in Gaborone, Botswana

Stephanie Davis, Premal Patel, Abid Sheikh, Gabriel Anabwani, Michael A. Tolle

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: As life expectancy of HIV-infected patients improves due to antiretroviral treatment (ART) and the importance of associated co-morbidities and chronic diseases increases, preventive care will become increasingly important. Adaptation of existing preventive guidelines to local environments will become a priority for HIV treatment programmes. Methods: Guidance from the World Health Organization, a focused evidenced-based literature review, Botswana national guidelines, Botswana-specific morbidity and mortality data and centre-specific data were used to adapt a published general primary care package for limited-resource areas to our centre's specific setting. Results: The preventive care package contains recommendations on tuberculosis prevention, malnutrition, depression, cervical and breast cancer, hepatitis B coinfection, cardiovascular risk factors, external injury prevention, domestic violence screening, tobacco and substance-abuse counselling, contraception and screening and treatment of sexually transmitted infections. Conclusion: This preventive care package addresses the comprehensive health needs of HIV-infected adults in the FMC in an evidence-based manner. The process of combining clinic-specific prevalence data, national guidelines, regional literature and assessment of public-sector resources to adapt an existing general package could be utilised to develop similar guidelines in other resource-limited locales.

Original languageEnglish (US)
Pages (from-to)328-343
Number of pages16
JournalTropical Medicine and International Health
Volume18
Issue number3
DOIs
StatePublished - Mar 2013
Externally publishedYes

Fingerprint

Botswana
Preventive Medicine
Primary Health Care
HIV
Guidelines
Morbidity
Domestic Violence
Public Sector
Sexually Transmitted Diseases
Life Expectancy
Hepatitis B
Coinfection
Contraception
Malnutrition
Uterine Cervical Neoplasms
Substance-Related Disorders
Tobacco
Counseling
Tuberculosis
Chronic Disease

Keywords

  • Botswana
  • Human immunodeficiency virus
  • Local adaptation
  • Package of care services
  • Preventive care
  • Primary care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Parasitology

Cite this

Adaptation of a general primary care package for HIV-infected adults to an HIV centre setting in Gaborone, Botswana. / Davis, Stephanie; Patel, Premal; Sheikh, Abid; Anabwani, Gabriel; Tolle, Michael A.

In: Tropical Medicine and International Health, Vol. 18, No. 3, 03.2013, p. 328-343.

Research output: Contribution to journalArticle

Davis, Stephanie ; Patel, Premal ; Sheikh, Abid ; Anabwani, Gabriel ; Tolle, Michael A. / Adaptation of a general primary care package for HIV-infected adults to an HIV centre setting in Gaborone, Botswana. In: Tropical Medicine and International Health. 2013 ; Vol. 18, No. 3. pp. 328-343.
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