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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Public-private mix for control of tuberculosis and TB-HIV in Nairobi, Kenya: Outcomes, opportunities and obstacles
International Journal of Tuberculosis and Lung Disease, Volume 12, No. 11, Year 2008
Notification
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Description
SETTING: Nairobi, the capital of Kenya. OBJECTIVE: To promote standardised tuberculosis (TB) care by private health providers and links with the public sector. DESIGN AND METHODS: A description of the results of interventions aimed at engaging private health providers in TB care and control in Nairobi. Participating providers are supported to provide TB care that conforms to national guidelines. The standard surveillance tools are used for programme monitoring and evaluation. RESULTS: By the end of 2006, 26 of 46 (57%) private hospitals and nursing homes were engaged. TB cases reported by private providers increased from 469 in 2002 to 1740 in 2006. The treatment success rate for smear-positive pulmonary TB treated by private providers ranged from 76% to 85% between 2002 and 2005. Of the 1740 TB patients notified by the private sector in 2006, 732 (42%) were tested for human immunodeficiency virus (HIV), of whom 372 (51%) were positive. Of the 372 HIV-positive TB patients, 227 (61%) were provided with cotrimoxazole preventive treatment (CPT) and 136 (37%) with antiretroviral treatment (ART). CONCLUSION: Private providers can be engaged to provide TB-HIV care conforming to national norms. The challenges include providing diagnostics, CPT and ART and the capacity to train and supervise these providers. © 2008 The Union.
Authors & Co-Authors
Chakaya, Jeremiah Muhwa
Kenya, Nairobi
Kenya Medical Research Institute
Kenya, Nairobi
Ministry of Public Health and Sanitation
Kenya, Nairobi
Kenya Association for the Prevention of Tuberculosis and Lung Diseases
Uplekar, Mukund W.
Switzerland, Geneva
Organisation Mondiale de la Santé
Mansoer, John R.
Kenya, Nairobi
Ministry of Public Health and Sanitation
United States, Atlanta
Centers for Disease Control and Prevention
Kutwa, A.
United States, Atlanta
Centers for Disease Control and Prevention
Karanja, G.
Kenya, Nairobi
Kenya Association for the Prevention of Tuberculosis and Lung Diseases
Ombeka, Victor O.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Muthama, D.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Kimuu, Peter K.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Odhiambo, Joseph A.
United States, Atlanta
Centers for Disease Control and Prevention
Njiru, Haron
Kenya, Nairobi
Kenya Association for the Prevention of Tuberculosis and Lung Diseases
Kibuga, D. K.
Switzerland, Geneva
Organisation Mondiale de la Santé
Sitienei, Joseph K.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Statistics
Citations: 12
Authors: 12
Affiliations: 5
Identifiers
ISSN:
10273719
Research Areas
Infectious Diseases
Study Locations
Kenya