Philosophical perspectives on community based non-communicable disease services and the quality of life of people living with HIV in Uganda
Kiyingi, P. Frank
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The review paper traces and expounds the philosophical thinking on the history of the community based Non Communicable Disease(NCD) Services as a measure to improve the Quality of Life (QoL) of people with NCDs living with HIV. It explores how the historical trends, the contributions and the key contributors to the events for the advancement of the community based NCD services as key intervention for the improvement of QoL for people living with HIV. The historical and philosophical aspects of the paper guides the readers and writers on NCDs and HIV to gain a deep understanding of the trends of community NCD services and the quality of life of people with NCDs living with HIV and AIDS. It explored how people with HIV and on Anti-Retroviral Therapy (ART) become susceptible to Hypertension(HT) and Diabetes Mellitus(DM). In absence of the community based NCD services, the physical health, environmental wellbeing and social relationship QoL domains will remain poor for all the patients receiving HIV services in communities. Consequently, the coburden of NCDs and HIV will increase in case the prevention strategies are not implemented, the susceptibility to NCDs among the patients will increase and compromise their quality of life. The philosophical and theoretical aspects of the paper guides institutions on the development and implementation of the community based NCD services to mitigate on the effects of NCDs and improve the QoL among HIV patients on ART receiving services in communities. The philosophical and theoretical aspects of the paper guides policy development and evaluates implementation strategies to mitigate the NCD effects among people living with HIV. Good health and good QoL are fundamental human rights that have existed since the birth of medicine by the early philosophers that was supported by the modern understanding of the concept of health as noted by the constitution of the World Health Organization (WHO).