Integrating HIV, hypertension, and diabetes primary care in Africa (Record no. 28049)

MARC details
000 -LEADER
fixed length control field 02940nam a22002657a 4500
001 - CONTROL NUMBER
control field 20240611084340.0
003 - CONTROL NUMBER IDENTIFIER
control field 20240611084340.0
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240611085643.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
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040 ## - CATALOGING SOURCE
Transcribing agency ddc
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Fuller form of name Godfrey A Kisigo
245 ## - TITLE STATEMENT
Title Integrating HIV, hypertension, and diabetes primary care in Africa
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania :
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS-Bugando] :
Date of publication, distribution, etc. 2023
300 ## - PHYSICAL DESCRIPTION
Extent Pages 01-03
Extent Includes References
490 ## - SERIES STATEMENT
Volume/sequential designation www.thelancet.com Vol 402 October 7, 2023
520 ## - SUMMARY, ETC.
Summary, etc. <br/>Hypertension and diabetes are to 2023 what HIV was to 2003—a global health crisis causing countless premature deaths and stunting global economic development with an epicentre in sub-Saharan Africa. There is good news: in the past two decades, astounding progress has been made in averting HIVrelated deaths globally. Proving wrong the pessimists who believed that HIV treatment would never be possible in Africa, we learned that the real problems were the unreasonably high cost of antiretroviral therapy and the low standard of care in primary care health systems.1 National governments partnered with global donors to build excellent, equitable HIV primary care systems where antiretroviral therapy is provided free of cost. The world set ambitious goals for HIV diagnosis (90% diagnosed), antiretroviral treatment (90% on treatment), and HIV viral load suppression (90% suppressed). Tremendous progress has been made towards those goals, particularly in Africa, with approximately 25 million premature deaths averted.2 However, a dramatic wave of non-communicable diseases (NCDs) in Africa threatens to reverse the health gains made by combating HIV. According to WHO global health estimates, NCDs accounted for 17 million premature deaths in 2019, and 86% of these premature deaths occurred in lower-income countries. NCDs are projected to be the most common cause of premature death in Africa by 2030.3 Once again, the problem in Africa appears to be related to primary care health systems, which are currently much weaker for NCDs than for HIV,4 resulting in disturbingly low rates of diagnosis, treatment, and control for NCDs.5 Once again, pessimists believe that NCD care will be too complicated and too costly. The obvious questions are what can be learned from the highly successful HIV programmes in Africa to address the growing problem of NCDs, and can we build on existing HIV infrastructure to address NCDs without compromising HIV programmes? These questions have been reverberating but, until now, we did not have the clinical trial evidence to answer them.6,7
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Hypertension
General subdivision Diabetes
General subdivision Africa
700 ## - ADDED ENTRY--PERSONAL NAME
Fuller form of name Robert N Peck
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1016/S0140-6736(23)01884-6">https://doi.org/10.1016/S0140-6736(23)01884-6</a>
Link text https://doi.org/10.1016/S0140-6736(23)01884-6
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Suppress in OPAC
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total checkouts Barcode Date last seen Price effective from Koha item type
          MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO 06/11/2024   20240611084340.0 06/11/2024 06/11/2024 RESEARCH ARTICLES
Catholic University of  Health and Allied Sciences - CUHAS
Directorate of ICT @ 2024