In many settings with heavy burdens of HIV and tuberculosis (TB), prevalence of non-communicable diseases such as diabetes (DM) is increasing rapidly. To effectively respond to the co-epidemics of HIV, TB, and DM in sub-Saharan Africa, public health interventions increasingly seek to integrate services for HIV with those for TB, DM, and hypertension. However, offering these services in tandem can have unexpected consequences, including reduced uptake, increased stigma, and new disparities in access to treatment. Social and behavioral theories can help public health researchers anticipate, mitigate, and design interventions to address this complexity.
This talk will introduce recent findings, planned interventions, and future directions in three interrelated areas: 1) nesting home HIV testing into contact investigation for TB in Uganda and South Africa, 2) integrating screening, monitoring, and counseling for DM into TB and TB-HIV care in Uganda, and 3) ensuring availability of essential medicines for NCDs in HIV and TB units in Uganda.
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