{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:01:40Z","timestamp":1790359300226,"version":"4.1.0"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["D43TW010540"],"award-info":[{"award-number":["D43TW010540"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["T32AR007107"],"award-info":[{"award-number":["T32AR007107"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>As the population of persons living with HIV (PLWH) ages, the Peruvian National HIV, STI and Hepatitis Program (NHSTIHP) faces the question of how best to provide care for non-communicable diseases (NCDs) among PLWH. Using a qualitative approach, this study explores the barriers and facilitators of providing\u00a0NCD care to PLWH in Peru through the perspective of NHSTIHP physicians and coordinators. HIV regional program coordinators and physicians affiliated with Peru\u2019s NHSTIHP were recruited for individual in-depth interviews from the Program\u2019s physician and coordinator registry and by peer referral. Interviews continued until thematic saturation was reached in both groups. The emerging themes were visualized using an adapted socioecological framework. All regional coordinators who volunteered (N\u2009=\u200925) were interviewed. Physicians were sampled to ensure variability in training background and region, and 14 physicians were interviewed to reach thematic saturation. Barriers and facilitators discussed by both groups were organized into major themes following a socioecological model: patient, provider, local clinic\/hospital, regional, and national health system. Peru-specific themes identified included: concern about practicing outside of one\u2019s specialty (\u201cintrusismo\u201d), patient trust, the role of HIV coordinators and insurance, and the importance of national clinical practice guidelines. This study highlights the complex interplay between patient, provider, local, regional, and national factors that influence delivery of care to PLWH in Peru. Addressing the barriers will require co-creation of resource-adaptable national HIV guidelines, with the participation of providers, program coordinators, and patients. These guidelines should encompass not only NCD management and educational resources for HIV providers and patients, but also processes and implementation pathways. This will require coordination between existing NCD and HIV health programs, and generation of epidemiologic data on NCD in PLWH to optimize resource allocation.<\/jats:p>","DOI":"10.1371\/journal.pgph.0006608","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:44:08Z","timestamp":1790358248000},"page":"e0006608","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring barriers and facilitators for non-communicable disease care for persons living with HIV in Peru through a socioecological framework: HIV physician and coordinator perspectives"],"prefix":"10.1371","volume":"6","author":[{"given":"Rebecca","family":"Slotkin","sequence":"first","affiliation":[{"name":"Johns Hopkins University","place":["Maryland, United States of America"],"department":["Department of Medicine, Division of Rheumatology"]},{"name":"Allergy & Immunology, Yale School of 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America"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Cabrera","sequence":"additional","affiliation":[{"name":"Allergy & Immunology, Yale School of Medicine","place":["Connecticut, United States of America"],"department":["Department of Medicine, Section of Rheumatology"]},{"name":"Waterbury Hospital","place":["Connecticut, United States of America"],"department":["Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Manuel","family":"Benites","sequence":"additional","affiliation":[{"name":"National HIV, STI and Hepatitis Program, Ministry of Health","place":["Lima, Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia J.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Epidemiology, STD, and HIV Unit, School of Public Health, Universidad Peruana Cayetano Heredia","place":["Lima, Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5018-8409","authenticated-orcid":true,"given":"Evelyn","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Allergy & Immunology, Yale School of Medicine","place":["Connecticut, United States of America"],"department":["Department of Medicine, Section of Rheumatology"]},{"name":"Yale School of Public Health","place":["Connecticut, United States of America"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"issue":"1","key":"pgph.0006608.ref001","doi-asserted-by":"crossref","DOI":"10.1016\/S2352-3018(23)00332-6","article-title":"Intergenerational dialogue on HIV and ageing","volume":"11","author":"The Lancet Hiv","year":"2024","journal-title":"Lancet 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