March 14, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(25)02641-8

Integrated community-based versus facility-based care for people with HIV, diabetes, and hypertension in sub-Saharan Africa (INTE-COMM): an open-label, multicountry, cluster-randomised trial

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The study aimed to compare the effectiveness of integrated community-based care versus facility-based care for managing HIV, diabetes, and hypertension in sub-Saharan Africa. The findings indicated that while there was no significant difference in blood pressure or glucose control between the two care models for patients with diabetes or hypertension, community care achieved high rates of viral suppression for individuals with HIV. This suggests that community-based care can maintain quality outcomes for HIV management while effectively addressing other chronic conditions.

Francis X Kasujja, Faith Aikaeli, Anupam Garrib, Erik van Widenfelt, Ivan Namakoola, Sokoine Kivuyo, James A Prior, Josephine Birungi, Faith Moyo, Duolao Wang, Stavia Turyahabwe, Gerald Mutungi, Mina Nakawuka Ssali, Omary Said Ubuguyu, Stephen Watiti, Said Aboud, Marie Claire Van Hout, Geoff Gill, Nelson K Sewankambo, Peter G Smith, Sayoki Mfinanga, Kaushik Ramaiya, Moffat J Nyirenda, Shabbar Jaffar, RESPOND-AFRICA Group

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