Evaluating Integrated Services in Kenya

INTERVENTION: IMARA package Standard care CONDITION: ; HIV/AIDS ; Nutritional, Metabolic, Endocrine ; Cardiology Cardiology HIV/AIDS Nutritional, Metabolic, Endocrine PRIMARY OUTCOME: To test and evaluate a model of NCD (Hypertension and Diabetes) and HIV integration, it’s feasibility, systemic requirements, cost implications, challenges, acceptability for both patients and health care workers, and proposed solutions for successful implementation and scale ‐up SECONDARY OUTCOME: 1. To describe the system’s needs and minimum requirements of NCD and HIV service integration models. ; 2. To assess the financing options for accessible, sustainable and quality NCD and HIV care. ; 3. To describe the policy and leadership framework of the NCD and HIV integration models. ; 4. To describe the community engagement of recipients of integrated NCD and HIV care. ; 5. To explore and evaluate the use of technology for NCD and HIV integrated care. ; INCLUSION CRITERIA: ? HIV‐infected adolescents (10‐17 years) and adults on ART, with or without comorbid Hypertension and Diabetes. ? Adolescents and adults diagnosed with hypertension and/or diabetes attending care at the study facilities. ? Facilities that are reporting HIV, hypertension, and diabetes data and submitting it regularly to the National Data Warehouse (for HIV) and to KHIS (for hypertension and diabetes)