The overall goal of the proposal is to improve capacity for detection and management of non-communicable diseases and geriatric syndromes in the aging HIV population in sub-Saharan Africa
The establishment and scale up of solid and sustainable HIV programs in sub-Saharan Africa (SSA) has led to a reduction in mortality and morbidity from HIV related opportunistic infections and some HIV related cancers. This improved survival has resulted in two phenomena: the first is the surfacing of non-communicable diseases (NCDs) in the HIV population, especially in those on long-term ART, and the second is increased longevity leading to increasing numbers of elderly HIV infected individuals
Study Type
OBSERVATIONAL
Enrollment
500
The cohort will recruit HIV infected participants who are on antiretroviral treatment
Change in proportion of participants with any non communicable disease
Proportion with any non communicable disease (including hypertension, cardio vascular disease, respiratory disease, renal disease, non HIV related cancers, frailty)
Time frame: Enrollment, year 1, year 2
Change in Quality of life
Quality of life measured using the WHO Quality of life for elderly (WHOQOL-OLD)
Time frame: Enrollment, year 1, year 2
Change in proportion of patients with polypharmacy monitoring
Polypharmacy defined as 5 or more drugs beyond antiretroviral drugs, used in the same individuals for more than 4 weeks. Information of polypharmacy will be collected by the clinic files and self reported by the participants
Time frame: Enrollment, year 1, year 2
Change in Nutritional status assessed by Mini Nutritional Assessments (MNA)
Nutrition screening and assessment to identify geriatric patients age who are malnourished or at risk of malnutrition.
Time frame: Enrollment, year 1, year 2
Change in proportion of patients with history of falls
Occurrence of falls measured with the History of Falls questionnaire
Time frame: Enrollment, year 1, year 2
Change in proportion of patients with urinary incontinence measured by ICIQ-UI Short
Presence of urinary incontinence measured with the Internal Consultation on Incontinence Questionnaire
Time frame: Enrollment, year 1, year 2
Change in proportion of patients with depression
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Depression measurement using the People Health Questionnaire-9 (scale 0-30, higher: worse)
Time frame: Enrollment, year 1, year 2
Change in proportion of patients with disability
Assessment of the Instrumental Activities of Daily Living (score 0-8, higher: better)
Time frame: Enrollment, year 1, year 2
Change in proportion of patients with cognitive deficit
Screening using Montreal Cognitive Assessment (score 0-30; higher: better)
Time frame: Enrollment, year 1, year 2