Integrating cardiovascular disease risk factor screening into HIV services in Swaziland: lessons from an implementation science study

OBJECTIVE: To study the feasibility of cardiovascular disease risk factor (CVDRF) screening at an HIV clinic in Swaziland. METHODS: A sample of HIV-positive patients at least 40 years on antiretroviral treatment was screened for hypertension, diabetes, hyperlipidemia, and tobacco smoking. RESULTS: A total of 1826 patients were screened; 684 (39%) had at least one CVDRF. Screening volume varied markedly, and was limited by staffing, space, and supplies. DISCUSSION: CVDRF screening was feasible and prevalence of risk factors in people living with HIV at least 40 years was high.