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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Early lessons from the integration of tuberculosis and HIV services in primary care centers in Lusaka, Zambia
International Journal of Tuberculosis and Lung Disease, Volume 12, No. 7, Year 2008
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Description
BACKGROUND: Zambia faces overlapping tuberculosis (TB) and human immunodeficiency virus (HIV) epidemics; however, care for co-infected patients often occurs through separate, vertical programs. OBJECTIVE: To establish a program to integrate TB and HIV services in Lusaka primary care centers. METHODS: In collaboration with the Zambian Ministry of Health, TB-HIV integration activities began in December 2005 and were expanded to seven health centers by March 2007. Principal activities included developing staff capacity to manage co-infected patients, implementing HIV testing within TB departments and establishing referral systems between departments. RESULTS: Using a provider-initiated approach, 2053 TB patients were offered HIV testing. Seventy-seven per cent agreed to be tested; 69% of those tested were HIV-infected. Of these, 59% were enrolled in HIV care. The proportion of antiretroviral treatment (ART) program enrollees who were TB-HIV co-infected increased by 38% after program implementation. The median CD4 count among co-infected patients was 161 cells/μl, with 88% eligible for ART. CONCLUSION: Integration of HIV testing and referral services into urban primary care centers identified many co-infected patients and significantly increased the proportion of TB patients among people accessing HIV care. Ongoing challenges include maximizing the number of patients accepting HIV testing and overcoming barriers to enrollment into HIV care. © 2008 The Union.
Authors & Co-Authors
Harris, Jennifer B.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Hatwiinda, Sisa M.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Randels, K. M.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Chi, Benjamin H.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Kancheya, Nzali G.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Jham, Menal A.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Samungole, K. V.G.
Zambia, Lusaka
Lusaka District Health Management Team
Tambatamba, Bushimbwa
Zambia, Lusaka
Lusaka District Health Management Team
Cantrell, Ronald A.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Levy, Jens W.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Kimerling, Michael
United States, Birmingham
The University of Alabama at Birmingham
Reid, Stewart E.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Statistics
Citations: 12
Authors: 12
Affiliations: 3
Identifiers
ISSN:
10273719
Research Areas
Infectious Diseases
Study Locations
Zambia