Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare

South African Family Practice

Field Value
Title Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare
Creator Mhlanga, Nongiwe L. Netangaheni, Thinavhuyo R.
Subject Nursing; primary health care reduction; type 2 diabetes; older people living with HIV; interventions; Harare Urban District
Description Background: Interventions for Type 2 Diabetes reduction among older people aged more than 50 years living with HIV (PLWH) are pertinent as they face excess risks amid a growing population of ageing PLWH.Aim: To describe interventions for Type 2 Diabetes reduction among older people living with HIV in Harare Urban DistrictSetting: The study was conducted in a low socio-economic setting from five primary health care clinics in Harare urban District.Methods: A qualitative multi-method approach was applied using an exploratory descriptive design and an integrative review literature. The exploratory descriptive study collected data from two purposively selected samples; (1) older PLWH and (2) nurses. Whittemore and Knafl’s framework was used for the integrative literature review with articles from 2013 to 2023 selected. Data source triangulation was applied using Braun and Clark’s content analysis framework. Ethical approval was obtained (14056739_CREC_CHS_2022).Results: 23 older PLWH with mean age, 62 years, 9 nurses with an average of 6 years’ experience and 12 articles comprised the three data sources.  Key themes that emerged were that, screening should include; assessment from a younger age; assessment of HIV and ART-specific risks; diagnostic testing of Type 2 diabetes tests at ART initiation and routinely. Health education should provide information on adequate physical activity parameters and increased consumption of fruits and vegetables. Metformin may be considered as a pharmacological intervention where lifestyle interventions fail.Conclusion: The proposed interventions suggest measures to reduce Type 2 Diabetes and mitigate excess risks faced by older PLWH.Contribution: Improved screening, health education and pharmacological interventions for older PLWH in primary health care settings enable Type 2 Diabetes reduction.
Publisher AOSIS
Date 2024-03-26
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — multi-method qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v66i1.5827
Source South African Family Practice; Vol 66, No 1 (2024): Part 2; 12 pages 2078-6204 2078-6190
Language eng
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Coverage Zimbabwe; Harare Urban District 2013-2023 people living with HIV more than 50 years
Rights Copyright (c) 2024 Nongiwe L. Mhlanga, Thinavhuyo R. Netangaheni