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Leveraging HIV Programming to Enhance Access to Noncommunicable Disease Care in Southern Botswana
Michael J A Reid1, Michelle K Haas2, Pinkie Sedigeng3
1Botswana-UPenn Partnership, Gaborone, Botswana Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA School of Medicine, University of Botswana, Gaborone, Botswana.
Objective:
The objective of this study was to assess whether HIV programming in southern Botswana could be leveraged to provide care for patients with noncommunicable diseases (NCDs).
Methods:
A retrospective analysis was performed to determine the spectrum and complexity of NCDs seen by HIV-focused outreach programming delivered between July 2011 and December 2013, to 9 facilities in southern Botswana. The association of HIV status and specific International Classification of Disease codes was examined using bivariate analysis.
Results:
Outreach HIV physicians recorded 926 outpatient consults involving 835 patients during the studied period. While 25% (n=209) of patients seen were HIV infected, most patients were either HIV negative (49%, n=410) or had an unknown HIV status (26%, n=216). Noncommunicable disease referrals were as common at primary- and district-level facilities (90% [n=459] versus 93% [n=301]; P=.22).
Conclusion:
This study demonstrates how HIV programming in Botswana can be leveraged to improve access to specialist medical services for patients with NCDs.
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