Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases

Abstract

The dramatic scale-up of HIV services in lower-income countries has led to the development of service delivery models reflecting the specific characteristics of HIV and its treatment as well as local contexts and cultures. Given the shared barriers and challenges faced by health programmes in lower-income countries, many of the implementation approaches developed for HIV programmes have the potential to contribute to the continuity care framework needed to address non-communicable diseases (NCDs) in resource-limited settings. HIV programmes are, in fact, the first large-scale chronic disease programmes in many countries, offering local and effective tools, models and approaches that can be replicated, adapted and expanded. As such, they might be used to ‘jumpstart’ the development of initiatives to provide prevention, care and treatment services for NCDs and other chronic conditions.

Keywords:

• HIV
• chronic diseases
• implementation
• global health
• diabetes

Acknowledgements

We thank our colleagues at Columbia University's International Center for AIDS Care and Treatment Programs and at the Rockefeller Foundation, the patients and families who have trusted us with their, care and Kevin M. De Cock, Bart Janssens, Sania Nishtar and Wim Van Damme for helpful input.