Community Based Non Communicable Disease Services as a Predictor of Improved Quality of Life of People Living with HIV in Uganda: A Randomized Controlled Trial
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of Environmental Science and Public Health
Abstract
A comprehensive and culturally applicable
community based Non Communicable Diseases
(NCD) services package was implemented with an
aim to test the effectiveness of the community based
NCD services on the quality of life (QoL) of people
with HIV. The Randomized Controlled Trial (RCT)
was conducted to compare the effectiveness of the
community based NCD services as intervention. The
control group received the usual HIV services in the
community. Participants were randomly allocated to
receive weekly and monthly intervention sessions
using the standard care in the community ARV drug
distribution points. Paired and independent t-tests
were performed to compare changes in the QoL
scores at the baseline and the endline. Between
November and December 2018, 1076 individuals
were screened, of whom 438 were randomly assigned
to either the intervention or control group in the ratio
of 1:1. The post intervention results revealed that the
community based NCD services were effective and
improved the QoL in all the three domains; the
physical, environmental and social relationship
domains. The QoL was higher at endline across all
domains in the treatment group compared to the
control group, the mean differences were statistically
significant (p = 0.000 < 0.05). Thus, the community
based NCD services were efficacious in improving
QoL of HIV infected people. Findings could be
utilized at regular community service settings for its sustainability and long-term effect. The intervention
created improved understanding of HIV and NCD
integration health promotion strategies and
community support systems activities by the VHT,
ART expert clients and the community volunteers.
Description
Keywords
Community, Non Communicable Diseases, Services, Quality of Life, HIV, People Living with HIV, Uganda
Citation
Christopher Ddamulira, Norman Nsereko, Miph Musoke, Frank Pio Kiyingi. Community Based Non Communicable Disease Services as a Predictor of Improved Quality of Life of People Living with HIV in Uganda: A Randomized Controlled Trial. Journal of Environmental Science and Public Health 4 (2020): 304-317. DOI: 10.26502/jesph.96120102