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Scale-up of TB and HIV programme collaborative activities in Zambia - a 10-year review.
- Source :
-
Tropical Medicine & International Health . Jun2012, Vol. 17 Issue 6, p760-766. 7p. 1 Chart, 4 Graphs. - Publication Year :
- 2012
-
Abstract
- Objective To review the activities, progress, achievements and challenges of the Zambia Ministry of Health tuberculosis (TB)/HIV collaborative activities over the past decade. Methods Analysis of Zambia Ministry of Health National TB and HIV programme documents and external independent programme review reports pertaining to 2000-2010. Results The number of people testing for HIV increased from 37 557 persons in 2003 to 1 327 995 persons in 2010 nationally. Those receiving anti-retroviral therapy (ART) increased from 143 in 2003 to 344 304 in 2010. The national HIV prevalence estimates declined from 14.3% in 2001 to 13.5% in 2009. The proportion of TB patients being tested for HIV increased from 22.6% in 2006 to 84% in 2010 and approximately 70% were HIV positive. The proportion of the HIV-infected TB patients who: (i) started on ART increased from 38% in 2006 to 50% in 2010; (ii) commenced co-trimoxazole preventive therapy (CPT) increased from 31% in 2006 to 70% in 2010; and (iii) were successfully treated increased to an average of 80% resulting in decline of deaths from 13% in 2006 to 9% in 2010. Conclusions The scale-up of TB/HIV collaborative programme activities in Zambia has steadily increased over the past decade resulting in increased testing for TB and HIV, and anti-retroviral (ARV) rollout with improved treatment outcomes among TB patients co-infected with HIV. Getting service delivery points to adhere to WHO guidelines for collaborative TB/HIV activities remains problematic, especially those meant to reduce the burden of TB in people living with HIV/AIDS (PLWHA). [ABSTRACT FROM AUTHOR]
- Subjects :
- *TUBERCULOSIS
*HIV
*SYSTEMATIC reviews
*ANTIRETROVIRAL agents
*EPIDEMIOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 13602276
- Volume :
- 17
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Tropical Medicine & International Health
- Publication Type :
- Academic Journal
- Accession number :
- 75408345
- Full Text :
- https://doi.org/10.1111/j.1365-3156.2012.02981.x