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Integrated vs. referred management of CVD risk factors for HIV positive patients on antiretroviral therapy in Swaziland

Rabkin, Miriam; Palma, Anton M.; McNairy, Margaret L.; Simelane, Samkelo; Gachuhi, Averie B.; Bitchong, Raymond; Nuwagaba-Biribonwoha, Harriet; Bongomin, Pido; Okello, Velephi; El-Sadr, Wafaa M.

Cardiovascular disease risk factors (CVDRF) are prevalent in people living with HIV (PLHIV), but the optimal clinical management strategy for patients with both HIV and CVDRF in low resource settings is unknown. In some contexts, care for both HIV and CVDRF is provided in the HIV clinic (“integrated care”), which may be more convenient for patients. In others, PLHIV are referred to specialist clinics for management of their CVDRF (“referred care”) which may lead to higher quality CVDRF management. We compared integrated vs. referred strategies for patients with HIV and CVDRF at an urban health facility in Swaziland, exploring linkage to and retention in CVDRF care, intervention fidelity, and HIV and CVDRF-related health outcomes.

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