{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:48:59Z","timestamp":1785422939771,"version":"3.56.0"},"reference-count":32,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0The World Health Organization (WHO) recommends integrating hypertension and human immunodeficiency virus (HIV) care; however, evidence for implementing integrated care in primary healthcare (PHC) HIV clinics remains limited.\nAim:\u00a0To assess the feasibility and acceptability of a pilot model for integrating hypertension care into HIV services and to describe the hypertension care cascade among people living with HIV (PLHIV) and hypertension.\nSetting:\u00a0Two PHC HIV clinics in Wakiso district, Uganda.\nMethods:\u00a0We conducted a parallel convergent mixed methods study. The pilot intervention included providing blood pressure (BP) cuffs, antihypertensive medications, a treatment algorithm and training healthcare provider (HCP) on hypertension care. Quantitative data were collected from February 2022 to December 2022. Using the consolidated framework for implementation research, we conducted interviews with HCPs (n = 12) and PLHIV with hypertension (n = 8) to explore implementation determinants. We performed descriptive analysis for hypertension care cascades. Qualitative data identified barriers and facilitators to integrating HIV and hypertension care.\nResults:\u00a0Of 3802 PLHIV in care, 3502 (92%) were screened for hypertension. Among these, 290 (8.3%) had a chart diagnosis of hypertension, 282 (97.2%) were treated and 128 (50.2%) achieved BP control. Key facilitators included access to medications, BP monitors and improved provider knowledge on management of BP among PLHIV. Barriers included unsynchronised clinic visits and increased provider workload.\nConclusion:\u00a0Integrating hypertension and HIV services in Ugandan HIV clinics is feasible and acceptable. Availability of resources (BP medications and monitors) and trained personnel facilitates integration of these services.\nContribution:\u00a0This pilot study provides evidence that integrating hypertension care into existing PHC HIV in Uganda and other similar settings is both feasible and acceptable but may necessitate additional human resources for health.<\/jats:p>","DOI":"10.4102\/jphia.v17i1.1539","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T08:25:55Z","timestamp":1767947155000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mixed methods assessment of an integrated hypertension and HIV care model: Acceptability, feasibility, and clinical outcomes at primary healthcare clinics in Wakiso District, Uganda"],"prefix":"10.4102","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0624-7640","authenticated-orcid":false,"given":"Fred C.","family":"Semitala","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Makerere University, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4838-0834","authenticated-orcid":false,"given":"John Baptist","family":"Kiggundu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02f5g3528","id-type":"ROR","asserted-by":"publisher"}],"name":"Infectious Diseases Research Collaboration"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6158-3324","authenticated-orcid":false,"given":"Lilian","family":"Giibwa","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02f5g3528","id-type":"ROR","asserted-by":"publisher"}],"name":"Infectious Diseases Research Collaboration"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3343-146X","authenticated-orcid":false,"given":"Florence","family":"Ayebare","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02f5g3528","id-type":"ROR","asserted-by":"publisher"}],"name":"Infectious Diseases Research Collaboration"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6521-7778","authenticated-orcid":false,"given":"Isaac","family":"Ssinabulya","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r08g441","id-type":"ROR","asserted-by":"publisher"}],"name":"Uganda Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0139-2600","authenticated-orcid":false,"given":"Jeremy I.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4006-4650","authenticated-orcid":false,"given":"Donna","family":"Spiegelman","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Center for Methods on Implementation and Prevention Science (CMIPS), Yale School of Public Health, New Haven, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4216-0083","authenticated-orcid":false,"given":"Martin","family":"Muddu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02f5g3528","id-type":"ROR","asserted-by":"publisher"}],"name":"Infectious Diseases Research Collaboration"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3520-070X","authenticated-orcid":false,"given":"Anne R.","family":"Katahoire","sequence":"additional","affiliation":[{"name":"Child Health and Development Centre, Makerere University, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9468-0179","authenticated-orcid":false,"given":"Chris T.","family":"Longenecker","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Global Health, University of Washington, Seattle, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"ref0","unstructured":"UNAIDS. 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