Understanding burden and lived experience of diabetes and hypertension among women living with HIV in the Dominican Republic to improve care integration
The following grant was awarded by, is supported by, is administered by or is in partnership with the Fogarty International Center at the U.S. National Institutes of Health (NIH).
Funding Fogarty Program
HIV-associated Noncommunicable Diseases Research at LMIC Institutions
Project Information in NIH RePORTER
Understanding burden and lived experience of diabetes and hypertension among women living with HIV in the Dominican Republic to improve care integration
Principal Institution
University of North Carolina Chapel Hill
Principal Investigator(s) (PI)
Barrington, Clare L
Project Contact Information
Email:
cbarring@email.unc.edu
Year(s) Awarded
2022–2024
Country
Dominican Republic
Project Description
The health context across many low-and-middle-income countries reflects the “epidemiologic transition,” or shift from higher mortality and morbidity attributable to acute, infectious disease to a higher burden of noncommunicable diseases (NCDs). As a result of this transition, countries across Latin America and the Caribbean increasingly face a triple burden including: 1) ongoing infectious diseases; 2) increasing NCDs; and 3) mental health challenges, including substance use. The triple burden is unevenly distributed with certain populations experiencing disproportionate burden relative to their population size. One particularly vulnerable population is female sex workers (FSW), or cisgender women who consensually exchange sex for money or other goods.
Findings will be used to develop a model of integrated care for HIV and NCDs, including type-2 diabetes and hypertension, tailored to female sex workers. This model will be piloted in a subsequent study and will offer insights to vulnerable groups in the Dominican Republic, Latin America, and globally.
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