Developing an action model for integration of health system response to HIV/AIDS and noncommunicable diseases (NCDs) in developing countries

Tilahun Nigatu Haregu, Geoffrey Setswe, Julian Elliott, Brian Federick Oldenburg

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)


Although there are several models of integrated architecture, we still lack models and theories about the integration process of health system responses to HIV/AIDS and NCDs. OBJECTIVE: The overall purpose of this study is to design an action model, a systematic approach, for the integration of health system responses to HIV/AIDS and NCDs in developing countries. METHODS: An iterative and progressive approach of model development using inductive qualitative evidence synthesis techniques was applied. As evidence about integration is spread across different fields, synthesis of evidence from a broad range of disciplines was conducted. RESULTS: An action model of integration having 5 underlying principles, 4 action fields, and a 9-step action cycle is developed. The INTEGRATE model is an acronym of the 9 steps of the integration process: 1) Interrelate the magnitude and distribution of the problems, 2) Navigate the linkage between the problems, 3) Testify individual level co-occurrence of the problems, 4) Examine the similarities and understand the differences between the response functions, 5) Glance over the health system s environment for integration, 6) Repackage and share evidence in a useable form, 7) Ascertain the plan for integration, 8) Translate the plan in to action, 9) Evaluate and Monitor the integration. CONCLUSION: Our model provides a basis for integration of health system responses to HIV/AIDS and NCDs in the context of developing countries. We propose that future empirical work is needed to refine the validity and applicability of the model.
Original languageEnglish
Pages (from-to)9 - 22
Number of pages14
JournalGlobal Journal of Health Science
Issue number1
Publication statusPublished - 2014

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