Health service readiness to provide care for HIV and cardiovascular disease risk factors in low- and middle-income countries

• DOI: 10.1371/journal.pgph.0002373
• Publication Date: 2023-09-22T17:21:07Z
• Authors: Neil Cockburn; David Flood; Jacqueline A. Sei...; Jennifer Manne-Go...; Krishna Aryal; Khem Karki; Albertino Damasceno; Rifat Atun; Sebastian Vollmer; Till Bärnighausen; Pascal Geldsetzer; Mary Mayige; Lisa Hirschhorn; Justine Davies
• Keywords: Odds

Cardiovascular disease risk factors (CVDRF), in particular diabetes and hypertension, are chronic conditions which carry a substantial burden Low- Middle-Income Countries. Unlike HIV, they were neglected the Millenium Development Goals along with health services required to manage them. To inform level of service readiness that could be achieved increased attention, we compared for CVDRF HIV. Using data from national Service Provision Assessments, describe facility-reported provide derive facility score observed essential components We HIV vs coverage scores by country, rural or urban location, type, whether not facilities reported care. assessed associated multivariable analysis. In our results, include 7522 8 countries; 86% all CVDRF, ranging 77-98% individual countries. For 30% services, 3-63%. Median derived was 0.28 (IQR 0.16-0.50), 0.43 (0.32-0.60). Among readiness, this rose 0.34 0.18-0.52) CVD 0.68 (0.56-0.76) Derived generally significantly lower than except private facilities. analysis, odds higher both care secondary primary care; scores. is This suggests possible benefits leveraging but poor threatens Sustainable Goal 3.8 high quality universal healthcare all.