Abstract：
With the decline in HIV mortality, a concomitant increase in morbidity and death not directly related to HIV has been witnessed. Consequently, many countries especially low- and middle-income countries (LMICs) are now facing the dual burden of HIV and non-communicable diseases (NCDs). 2.3 million people living with HIV in India are at a higher risk of developing NCDs due to ageing, which can be attributed to the additional impact of long-standing HIV infection and the side-effects of antiretroviral therapy. This has led to a rise in demand for a combined health system response for managing HIV infection and co-existing NCDs, especially in LMICs such as India. The health and wellness centres (HWCs) envisioned to provide an expanded range of preventive and curative services including that for chronic conditions may act as a window of opportunity for providing egalitarian and accessible primary care services to these individuals. The reasons for integrating HIV and NCD care are epidemiological overlap between these conditions and the similar strategies required for provision of healthcare services.
摘要：
随着艾滋病毒死亡率的下降，与艾滋病毒没有直接关系的发病率和死亡率也随之增加.因此,许多国家，特别是低收入和中等收入国家（LMICs）现在面临艾滋病毒和非传染性疾病（NCDs）的双重负担。印度230万艾滋病毒感染者因老龄化而面临更高的非传染性疾病风险，这可以归因于长期HIV感染的额外影响和抗逆转录病毒疗法的副作用。这导致对卫生系统综合应对措施的需求增加，以管理艾滋病毒感染和共存的非传染性疾病，特别是在印度等低收入国家。健康和保健中心（HWC）设想提供更广泛的预防和治疗服务，包括针对慢性病的服务，可能是为这些人提供平等和可获得的初级保健服务的机会之窗。合并艾滋病毒和非传染性疾病护理的原因是这些疾病与提供医疗保健服务所需的类似策略之间的流行病学重叠。
