title: Developing an action model for integration of health system response to HIV/AIDS and noncommunicable diseases (NCDs) in developing countries.
abstract: BACKGROUND
  Although there are several models of integrated architecture, we still lack models and theories about the integration process of health system responses to HIV/AIDS and NCDs.
  
  
  OBJECTIVE
  The overall purpose of this study is to design an action model, a systematic approach, for the integration of health system responses to HIV/AIDS and NCDs in developing countries.
  
  
  METHODS
  An iterative and progressive approach of model development using inductive qualitative evidence synthesis techniques was applied. As evidence about integration is spread across different fields, synthesis of evidence from a broad range of disciplines was conducted.
  
  
  RESULTS
  An action model of integration having 5 underlying principles, 4 action fields, and a 9-step action cycle is developed. The INTEGRATE model is an acronym of the 9 steps of the integration process: 1) Interrelate the magnitude and distribution of the problems, 2) Navigate the linkage between the problems, 3) Testify individual level co-occurrence of the problems, 4) Examine the similarities and understand the differences between the response functions, 5) Glance over the health system's environment for integration, 6) Repackage and share evidence in a useable form, 7) Ascertain the plan for integration, 8) Translate the plan in to action, 9) Evaluate and Monitor the integration.
  
  
  CONCLUSIONS
  Our model provides a basis for integration of health system responses to HIV/AIDS and NCDs in the context of developing countries. We propose that future empirical work is needed to refine the validity and applicability of the model.
authors.affiliation: Monash University. tilahunigatu@gmail.com.
authors.forename: Tilahun Nigatu
authors.initials: TN
authors.lastname: Haregu
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Setswe
authors.forename: Julian
authors.initials: J
authors.lastname: Elliott
authors.forename: Brian
authors.initials: B
authors.lastname: Oldenburg
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D003906:Developing Countries; D004196:Disease Outbreaks / Q000517:prevention & control*; D055317:Evidence-Based Practice / Q000379:methods / Q000458:organization & administration*; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D006297:Health Services Accessibility / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational