The Effect of Community Based Non-Communicable Disease Services on the 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
Direct Research Journal of Public Health and Environmental Technology
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 that
integrate HIV and Non-Communicable Diseases in
communities to improve the quality of life (QoL) of people
with HIV living with NCDs in Uganda. The Randomized
Controlled Trial (RCT) was conducted to compare the
efficacy of the community based NCD services as
intervention. The control group received the usual HIV
services in the community by the HIV expert clients in
Uganda. Participants were randomly allocated to receive
weekly and monthly intervention sessions by village health
teams (VHTs), expert clients and community volunteers or
standard care in the community ARV drug distribution
points. Independent t-tests were performed to compare
changes in the QoL scores at the baseline and the endline.
The effect of the intervention on the QoL was tested using
Pearson correlation and linear regression analysis.
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 contributed 31.9%
to the overall improved the QoL in all the three domains;
the physical, environmental and social relationship
domains. Therefore, designing such interventions in all
community HIV drug distribution points would reduce the
co-morbidities related to NCDs and HIV, and improve the
overall quality of life. Furthermore, it could be useful to
reduce stigma and increase their social support network.
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
Ddamulira, C., Nsereko, N., & Musoke, M. (2020). The effect of community based non-communicable disease services on the quality of life of people living with HIV in Uganda. Direct Research Journal of Public Health and Environmental Technology. https://doi.org/10.26765/DRJPHET59960600