Self-Management Interventions for HIV and NCDs in Sub-Saharan Africa: A Scoping Review of Literature
Mentor 1
Peninnah Kako
Start Date
29-4-2022 11:00 AM
Description
Noncommunicable diseases (NCDs) among people living with human immunodeficiency virus (HIV) in Sub-Saharan Africa have become a major public health concern in recent years as people live longer with HIV. The integration of self-management programs for NCDs in Sub-Saharan Africa is urgently needed to reduce premature death and disability, especially amongst Kenyans dually affected by HIV and chronic NCDs. The purpose of this scoping review was to understand self-management-related studies conducted in Sub-Saharan Africa to address HIV and NCDs. A literature search was guided by the question; for patients living with HIV, hypertension (HTN), diabetes, and other NCDs, how is self-management applied in studies conducted in Sub-Saharan Africa? Search engines used included: PubMed, CINAL, and PsychInfo. Search terms included: self-management, HIV, NCDs, hypertension, diabetes, Sub-Saharan Africa. Studies were included if they were research studies or systematic reviews, conducted over the last 10 years in English. Studies were categorized based on the Social-Ecological Model factors and on the methods applied. We evaluated if a specific theoretical framework was applied. 160 studies were retrieved, analyzed, and dissected. 28 of the 160 studies were excluded because they did not meet the criteria. 35 qualitative studies involved 8,253 participants. 54 quantitative studies involved 46,227 participants. 22 mixed methods studies involved 1,104,770 participants. And 21 studies were reviews of literature. Conditions studied, include, HTN, Diabetes, HIV, cardiovascular disease (CHF), renal diseases, chronic respiratory diseases, cancers, tuberculosis (TB), depression, stroke, epilepsy, and anxiety. Said conditions were studied in 26 different geographic locations. In Sub-Saharan Africa, person-centered self-management interventions that are culturally appropriate and grounded on applicable theoretical frameworks are needed. There is an increasing need to translate and implement such interventions to address the increasing number of people living with NCDs and HIV in Sub-Saharan Africa in the context of a strained and fragmented healthcare system.
Self-Management Interventions for HIV and NCDs in Sub-Saharan Africa: A Scoping Review of Literature
Noncommunicable diseases (NCDs) among people living with human immunodeficiency virus (HIV) in Sub-Saharan Africa have become a major public health concern in recent years as people live longer with HIV. The integration of self-management programs for NCDs in Sub-Saharan Africa is urgently needed to reduce premature death and disability, especially amongst Kenyans dually affected by HIV and chronic NCDs. The purpose of this scoping review was to understand self-management-related studies conducted in Sub-Saharan Africa to address HIV and NCDs. A literature search was guided by the question; for patients living with HIV, hypertension (HTN), diabetes, and other NCDs, how is self-management applied in studies conducted in Sub-Saharan Africa? Search engines used included: PubMed, CINAL, and PsychInfo. Search terms included: self-management, HIV, NCDs, hypertension, diabetes, Sub-Saharan Africa. Studies were included if they were research studies or systematic reviews, conducted over the last 10 years in English. Studies were categorized based on the Social-Ecological Model factors and on the methods applied. We evaluated if a specific theoretical framework was applied. 160 studies were retrieved, analyzed, and dissected. 28 of the 160 studies were excluded because they did not meet the criteria. 35 qualitative studies involved 8,253 participants. 54 quantitative studies involved 46,227 participants. 22 mixed methods studies involved 1,104,770 participants. And 21 studies were reviews of literature. Conditions studied, include, HTN, Diabetes, HIV, cardiovascular disease (CHF), renal diseases, chronic respiratory diseases, cancers, tuberculosis (TB), depression, stroke, epilepsy, and anxiety. Said conditions were studied in 26 different geographic locations. In Sub-Saharan Africa, person-centered self-management interventions that are culturally appropriate and grounded on applicable theoretical frameworks are needed. There is an increasing need to translate and implement such interventions to address the increasing number of people living with NCDs and HIV in Sub-Saharan Africa in the context of a strained and fragmented healthcare system.
