Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement

One in three people with HIV (PWH) has hypertension. However, most hypertensive PWH in sub-Saharan Africa are unaware of their hypertension diagnosis and are not on treatment. To better understand barriers to hypertension care faced by PWH, we interviewed 15 medical providers who care for patients w...

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Autores principales:	Preeti Manavalan MD, MSc, Lisa Wanda BS, Sophie W. Galson MD, MSc, Nathan M. Thielman MD, MPH, Blandina T. Mmbaga MD, PhD, Melissa H. Watt PhD, MPH
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/0ffa50ac73c34ed29cb8095ded8715c6
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spelling	oai:doaj.org-article:0ffa50ac73c34ed29cb8095ded8715c62021-11-12T13:33:20ZHypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement2325-958210.1177/23259582211052399https://doaj.org/article/0ffa50ac73c34ed29cb8095ded8715c62021-11-01T00:00:00Zhttps://doi.org/10.1177/23259582211052399https://doaj.org/toc/2325-9582One in three people with HIV (PWH) has hypertension. However, most hypertensive PWH in sub-Saharan Africa are unaware of their hypertension diagnosis and are not on treatment. To better understand barriers to hypertension care faced by PWH, we interviewed 15 medical providers who care for patients with HIV and hypertension in northern Tanzania. The data revealed barriers at the patient, provider, and system level and included: stress, depression, and HIV-related stigma; lack of hypertension knowledge; insufficient hypertension training; inefficient prescribing practices; challenges with counselling; capacity limitations in hypertension care; high costs of care; and lack of routine hypertension screening and follow-up. Opportunities for improvement focused on prioritizing resources and funding towards hypertension care. System-related challenges were the underlying cause of barriers at individual levels. Strategies that focus on strengthening capacity and utilize existing HIV platforms to promote hypertension care delivery are urgently needed to improve cardiovascular outcomes among PWH.Preeti Manavalan MD, MScLisa Wanda BSSophie W. Galson MD, MScNathan M. Thielman MD, MPHBlandina T. Mmbaga MD, PhDMelissa H. Watt PhD, MPHSAGE PublishingarticleDiseases of the genitourinary system. UrologyRC870-923ENJournal of the International Association of Providers of AIDS Care, Vol 20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Preeti Manavalan MD, MSc Lisa Wanda BS Sophie W. Galson MD, MSc Nathan M. Thielman MD, MPH Blandina T. Mmbaga MD, PhD Melissa H. Watt PhD, MPH Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement
description	One in three people with HIV (PWH) has hypertension. However, most hypertensive PWH in sub-Saharan Africa are unaware of their hypertension diagnosis and are not on treatment. To better understand barriers to hypertension care faced by PWH, we interviewed 15 medical providers who care for patients with HIV and hypertension in northern Tanzania. The data revealed barriers at the patient, provider, and system level and included: stress, depression, and HIV-related stigma; lack of hypertension knowledge; insufficient hypertension training; inefficient prescribing practices; challenges with counselling; capacity limitations in hypertension care; high costs of care; and lack of routine hypertension screening and follow-up. Opportunities for improvement focused on prioritizing resources and funding towards hypertension care. System-related challenges were the underlying cause of barriers at individual levels. Strategies that focus on strengthening capacity and utilize existing HIV platforms to promote hypertension care delivery are urgently needed to improve cardiovascular outcomes among PWH.
format	article
author	Preeti Manavalan MD, MSc Lisa Wanda BS Sophie W. Galson MD, MSc Nathan M. Thielman MD, MPH Blandina T. Mmbaga MD, PhD Melissa H. Watt PhD, MPH
author_facet	Preeti Manavalan MD, MSc Lisa Wanda BS Sophie W. Galson MD, MSc Nathan M. Thielman MD, MPH Blandina T. Mmbaga MD, PhD Melissa H. Watt PhD, MPH
author_sort	Preeti Manavalan MD, MSc
title	Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement
title_short	Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement
title_full	Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement
title_fullStr	Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement
title_full_unstemmed	Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement
title_sort	hypertension care for people with hiv in tanzania: provider perspectives and opportunities for improvement
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/0ffa50ac73c34ed29cb8095ded8715c6
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Hypertension Care for People With HIV in Tanzania: Provider Perspectives and Opportunities for Improvement

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