Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in Uttarakhand
Background: Provider-initiated testing and counselling (PITC), an essential component of tuberculosis (TB) human immunodeficiency virus (HIV) collaborative activities, is intended to translate into the increased rates of HIV testing in TB patients. Aim: The study intends to assess compliance with th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Medical Evidence |
| Subjects: | |
| Online Access: | http://www.journaljme.org/article.asp?issn=2667-0720;year=2022;volume=3;issue=1;spage=14;epage=23;aulast=Kumari |
| _version_ | 1818239860424572928 |
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| author | Ranjeeta Kumari Bhola Nath Vartika Saxena Priyanka Semwal |
| author_facet | Ranjeeta Kumari Bhola Nath Vartika Saxena Priyanka Semwal |
| author_sort | Ranjeeta Kumari |
| collection | DOAJ |
| description | Background: Provider-initiated testing and counselling (PITC), an essential component of tuberculosis (TB) human immunodeficiency virus (HIV) collaborative activities, is intended to translate into the increased rates of HIV testing in TB patients. Aim: The study intends to assess compliance with the referral process and other attributes of HIV testing in TB patients. Methods: The study was conducted at various designated microscopy centres (DMCs) in four randomly selected districts in the Garhwal region of Uttarakhand and included 346 patients. Results: Only 46.8% of patients went for HIV testing. The most common reason cited for not going was the absence of specific advice by the health staff at DMC. In addition, the long waiting time at Integrated Counselling and Testing Centres favoured the spread of infection to susceptibles in the waiting area. Binary logistic regression analysis also found that patient's importance towards HIV testing, advice by the health worker and higher education and age were significant predictors of HIV testing. Conclusions: The referral process at DMC requires closer monitoring and supervision for improvement in qualitative parameters. Training and supportive supervision of health staff at DMC for 'counselling' of patients during referral for testing are also necessary to preserve the essence of PITC. |
| first_indexed | 2024-12-12T13:04:15Z |
| format | Article |
| id | doaj.art-7b75a3c0604846649d1e5d2fba90f34c |
| institution | Directory Open Access Journal |
| issn | 2667-0720 2667-0739 |
| language | English |
| last_indexed | 2024-12-12T13:04:15Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Evidence |
| spelling | doaj.art-7b75a3c0604846649d1e5d2fba90f34c2022-12-22T00:23:42ZengWolters Kluwer Medknow PublicationsJournal of Medical Evidence2667-07202667-07392022-01-0131142310.4103/JME.JME_37_21Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in UttarakhandRanjeeta KumariBhola NathVartika SaxenaPriyanka SemwalBackground: Provider-initiated testing and counselling (PITC), an essential component of tuberculosis (TB) human immunodeficiency virus (HIV) collaborative activities, is intended to translate into the increased rates of HIV testing in TB patients. Aim: The study intends to assess compliance with the referral process and other attributes of HIV testing in TB patients. Methods: The study was conducted at various designated microscopy centres (DMCs) in four randomly selected districts in the Garhwal region of Uttarakhand and included 346 patients. Results: Only 46.8% of patients went for HIV testing. The most common reason cited for not going was the absence of specific advice by the health staff at DMC. In addition, the long waiting time at Integrated Counselling and Testing Centres favoured the spread of infection to susceptibles in the waiting area. Binary logistic regression analysis also found that patient's importance towards HIV testing, advice by the health worker and higher education and age were significant predictors of HIV testing. Conclusions: The referral process at DMC requires closer monitoring and supervision for improvement in qualitative parameters. Training and supportive supervision of health staff at DMC for 'counselling' of patients during referral for testing are also necessary to preserve the essence of PITC.http://www.journaljme.org/article.asp?issn=2667-0720;year=2022;volume=3;issue=1;spage=14;epage=23;aulast=Kumariacquired immunodeficiency syndrome serodiagnosiscounsellinghuman immunodeficiency virus infectionshuman immunodeficiency virus testingprovider initiated human immunodeficiency virus testing and counsellingreferraltuberculosis-human immunodeficiency virus collaborative activities |
| spellingShingle | Ranjeeta Kumari Bhola Nath Vartika Saxena Priyanka Semwal Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in Uttarakhand Journal of Medical Evidence acquired immunodeficiency syndrome serodiagnosis counselling human immunodeficiency virus infections human immunodeficiency virus testing provider initiated human immunodeficiency virus testing and counselling referral tuberculosis-human immunodeficiency virus collaborative activities |
| title | Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in Uttarakhand |
| title_full | Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in Uttarakhand |
| title_fullStr | Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in Uttarakhand |
| title_full_unstemmed | Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in Uttarakhand |
| title_short | Referral process in tuberculosis − Human immunodeficiency virus collaborative activities – Need for a relook into policy implementation in Uttarakhand |
| title_sort | referral process in tuberculosis human immunodeficiency virus collaborative activities need for a relook into policy implementation in uttarakhand |
| topic | acquired immunodeficiency syndrome serodiagnosis counselling human immunodeficiency virus infections human immunodeficiency virus testing provider initiated human immunodeficiency virus testing and counselling referral tuberculosis-human immunodeficiency virus collaborative activities |
| url | http://www.journaljme.org/article.asp?issn=2667-0720;year=2022;volume=3;issue=1;spage=14;epage=23;aulast=Kumari |
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