HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing?
INTRODUCTION: While HIV care among tuberculosis (TB) patients is successfully implemented and monitored, it is not routinely reported among "presumptive TB patients without TB". The present study describes the ascertainment of HIV status and receipt of antiretroviral therapy (ART) and the...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Pan African Medical Journal
2019-07-01
|
| Series: | The Pan African Medical Journal |
| Subjects: | |
| Online Access: |
https://www.panafrican-med-journal.com/content/article/33/158/pdf/158.pdf
|
| _version_ | 1828429628436381696 |
|---|---|
| author | Chamunorwa Ndudzo Jaya Prasad Tripathy Fortune Tauro Clemence Sibanda Maikoro Chiramba Amadeus Shamu Kudzai Masinire Tafadzwa Muchengwa Ajay MV Kumar |
| author_facet | Chamunorwa Ndudzo Jaya Prasad Tripathy Fortune Tauro Clemence Sibanda Maikoro Chiramba Amadeus Shamu Kudzai Masinire Tafadzwa Muchengwa Ajay MV Kumar |
| author_sort | Chamunorwa Ndudzo |
| collection | DOAJ |
| description | INTRODUCTION: While HIV care among tuberculosis (TB) patients is successfully implemented and monitored, it is not routinely reported among "presumptive TB patients without TB". The present study describes the ascertainment of HIV status and receipt of antiretroviral therapy (ART) and the associated factors among presumptive TB patients (with and without TB) in 35 public health facilities of Masvingo district of Zimbabwe from January to June 2017. METHODS: this was an analysis of secondary programme data. We performed log binomial regression to calculate adjusted relative risks (aRR) and 95% confidence intervals (CI). RESULTS: of 1369 presumptive TB patients, 1181 (86%) were ascertained for HIV status (98% among those subsequently diagnosed with TB, 83% among non-TB). Of them, 748 (63%) were HIV positive, more among TB patients (69%) than those without TB (61%). Among HIV-positive patients, 475 (64%) received ART, significantly higher among TB patients (78%) compared to those without TB (57%). Patients without TB were significantly more likely to have non-ascertained for HIV status (aRR=2.4, 95% CI=1.4-5.0) and not receiving ART (aRR=1.8, 95% CI=1.6-2.0), compared to those with TB. CONCLUSION: we found high rates of HIV status ascertainment among presumptive TB patients. But, ART uptake was poor among "presumptive TB patients without TB" despite implementation of "test and treat" strategy in Zimbabwe. The programme should step up the monitoring of HIV status and ART receipt among presumptive TB patients, by introducing an indicator in the quarterly reports of the national TB programme. |
| first_indexed | 2024-12-10T17:36:57Z |
| format | Article |
| id | doaj.art-d0cd733dfc7d4213bbb290c99a3f30dd |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-10T17:36:57Z |
| publishDate | 2019-07-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-d0cd733dfc7d4213bbb290c99a3f30dd2022-12-22T01:39:31ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882019-07-013315810.11604/pamj.2019.33.158.1584715847HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing?Chamunorwa Ndudzo0Jaya Prasad Tripathy1Fortune Tauro2Clemence Sibanda3Maikoro Chiramba4Amadeus Shamu5Kudzai Masinire6Tafadzwa Muchengwa7Ajay MV Kumar8 AIDS and TB Programme, Masvingo Province, Zimbabwe The Union South-East Asia Office, International Union Against Tuberculosis and Lung Disease, New Delhi, India AIDS and TB Programme, Masvingo Province, Zimbabwe AIDS and TB Programme, Masvingo Province, Zimbabwe AIDS and TB Programme, Masvingo Province, Zimbabwe AIDS and TB Programme, Masvingo Province, Zimbabwe AIDS and TB Programme, Masvingo Province, Zimbabwe AIDS and TB Programme, Masvingo Province, Zimbabwe The Union South-East Asia Office, International Union Against Tuberculosis and Lung Disease, New Delhi, India INTRODUCTION: While HIV care among tuberculosis (TB) patients is successfully implemented and monitored, it is not routinely reported among "presumptive TB patients without TB". The present study describes the ascertainment of HIV status and receipt of antiretroviral therapy (ART) and the associated factors among presumptive TB patients (with and without TB) in 35 public health facilities of Masvingo district of Zimbabwe from January to June 2017. METHODS: this was an analysis of secondary programme data. We performed log binomial regression to calculate adjusted relative risks (aRR) and 95% confidence intervals (CI). RESULTS: of 1369 presumptive TB patients, 1181 (86%) were ascertained for HIV status (98% among those subsequently diagnosed with TB, 83% among non-TB). Of them, 748 (63%) were HIV positive, more among TB patients (69%) than those without TB (61%). Among HIV-positive patients, 475 (64%) received ART, significantly higher among TB patients (78%) compared to those without TB (57%). Patients without TB were significantly more likely to have non-ascertained for HIV status (aRR=2.4, 95% CI=1.4-5.0) and not receiving ART (aRR=1.8, 95% CI=1.6-2.0), compared to those with TB. CONCLUSION: we found high rates of HIV status ascertainment among presumptive TB patients. But, ART uptake was poor among "presumptive TB patients without TB" despite implementation of "test and treat" strategy in Zimbabwe. The programme should step up the monitoring of HIV status and ART receipt among presumptive TB patients, by introducing an indicator in the quarterly reports of the national TB programme. https://www.panafrican-med-journal.com/content/article/33/158/pdf/158.pdf tb suspectpresumptive tb patientshiv care cascadeoperational researchprovider initiated hiv testingpitcsort it |
| spellingShingle | Chamunorwa Ndudzo Jaya Prasad Tripathy Fortune Tauro Clemence Sibanda Maikoro Chiramba Amadeus Shamu Kudzai Masinire Tafadzwa Muchengwa Ajay MV Kumar HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing? The Pan African Medical Journal tb suspect presumptive tb patients hiv care cascade operational research provider initiated hiv testing pitc sort it |
| title | HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing? |
| title_full | HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing? |
| title_fullStr | HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing? |
| title_full_unstemmed | HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing? |
| title_short | HIV care among patients with presumptive tuberculosis in Masvingo district of Zimbabwe, 2017: how well are we doing? |
| title_sort | hiv care among patients with presumptive tuberculosis in masvingo district of zimbabwe 2017 how well are we doing |
| topic | tb suspect presumptive tb patients hiv care cascade operational research provider initiated hiv testing pitc sort it |
| url |
https://www.panafrican-med-journal.com/content/article/33/158/pdf/158.pdf
|
| work_keys_str_mv | AT chamunorwandudzo hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT jayaprasadtripathy hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT fortunetauro hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT clemencesibanda hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT maikorochiramba hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT amadeusshamu hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT kudzaimasinire hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT tafadzwamuchengwa hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing AT ajaymvkumar hivcareamongpatientswithpresumptivetuberculosisinmasvingodistrictofzimbabwe2017howwellarewedoing |