The INTE-AFRICA trial
hypertension, HIV-infection, diabetes
HYPERTENSION, DIABETES
Health facilities were stratified based on their infrastructure (district hospitals, health centres, not for profit health facilities) in the Kampala region of Uganda. The inclusion criteria of sites for scaled up integrated care were; lower level health facilities providing dedicated care for diabetes and hypertension, and HIV in separate clinics located some distance apart so that patients could not easily attend multiple clinics in one area. Other clinic considerations included patient numbers, drug supply management and access for research teams. Large regional and national referral hospitals were excluded. 17 urban, peri-urban and rural health facilities offering primary care services were selected based on inclusion criteria, previous experience with the MOCCA pilot study, and consultations between the research team and policymakers at the Ministry of Health, Uganda.The 17 sites were subsequently randomised to provide integrated services for HIV-infection, diabetes and hypertension (integrated health education and concurrent management) or to continue with routine separate, vertical services. Clinics in the integrated arm operated a ‘