Spending Wisely: Exploring the economic and societal benefits of integrating HIV/AIDS and NCDs service delivery

 Key messages

• The integration of HIV and NCD services can deliver wider health impacts than standalone disease-specific care, including improved NCD outcomes and sustaining or even improving HIV outcomes. These are due to clinical, functional, and organisational programme efficiencies.
• Integrated HIV-NCD programmes can save resources for both patients and health systems. Patients benefit the most (about 85% of the total savings) because of synchronised care visits, or care offered closer to their homes. From a health system perspective, the extra cost to integrate these programmes are relatively small compared to the positive health outcomes they generate.
• Multifaceted HIV-NCD programmes that deliver a wide range of services can improve access, acceptability, and affordability of services.
• Achieving SDG targets on Universal Health Coverage (UHC) and NCDs requires integrated people-centred services. This report’s review of the evidence shows that such integration can deliver good returns on investment and better experiences for patients.