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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Integrated tuberculosis and HIV care in a resource-limited setting: Experience from the Martin Preuss centre, Malawi
Tropical Medicine and International Health, Volume 16, No. 11, Year 2011
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Description
Objectives To describe the development and operation of integrated tuberculosis (TB) and HIV care at the Martin Preuss Centre, a multipartner organization bringing together governmental and non-governmental providers of HIV and TB services in Lilongwe, Malawi. Methods We used a case study approach to describe the integrated TB/HIV service and to illustrate successes and challenges faced by service providers. We quantified effective TB and HIV integration using indicators defined by the World Health Organization. Results The custom-designed building facilitates patient flow and infection control, and other important elements include coordinated leadership; joint staff training and meetings; and data systems prompting coordinated care. Some integrated services have worked well from the outset, such as promoting HIV testing among patients with TB (96% of patients with TB had documented HIV status in 2009). Other aspects of integrated care have been more challenging, for example achieving high uptake of antiretroviral therapy among HIV-positive TB patients and combining data from paper and electronic systems. Good TB treatment outcomes (>85% cure or completion) have been achieved among both HIV-positive and HIV-negative individuals. Conclusions High-quality integrated services for TB and HIV care can be provided in a resource-limited setting. Lessons learned may be valuable for service providers in other settings of high HIV and TB prevalence. © 2011 Blackwell Publishing Ltd.
Authors & Co-Authors
Phiri, Sam John Peter
Unknown Affiliation
Khan, Palwasha Y.
Unknown Affiliation
Grant, Alison D.
Unknown Affiliation
Gareta, Dickman
Unknown Affiliation
Tweya, Hannock M.
Unknown Affiliation
Kalulu, Mike Tikhalenawo
Unknown Affiliation
Chaweza, Thom
Unknown Affiliation
Mbetewa, L.
Unknown Affiliation
Kanyerere, Henry S.
Unknown Affiliation
Weigel, Ralf
Unknown Affiliation
Feldacker, Caryl
Unknown Affiliation
Statistics
Citations: 32
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1111/j.1365-3156.2011.02848.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Case Study
Study Approach
Qualitative
Study Locations
Malawi