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TB diagnostic capacity in sub-Saharan African HIV care settings
- Source :
- Journal of acquired immune deficiency syndromes (1999). 61(2)
- Publication Year :
- 2012
-
Abstract
- As HIV care services continue to scale-up in sub-Saharan Africa, adequate tuberculosis diagnostic capacity is vital to reduce mortality among HIV-infected persons. A structured survey was administered at 663 health facilities providing HIV care to 908,043 patients in across 9 sub-Saharan African countries to estimate the proportion of facilities and HIV patients at these facilities with access TB-related diagnostic tests. Sputum smear microscopy was available at 87% of facilities (representing 97% of patients), chest x-ray at 26% of facilities (representing 56% of patients), tuberculin skin tests were available at 12% of facilities (representing 33% of patients). Acid-fast bacillus culture was available on-/off-site at 53% of facilities (representing 77% of patients). Primary health facilities had lower availability of tuberculosis diagnostic tests compared with secondary and tertiary health facilities. As HIV care continues to decentralize to primary health facilities, a corresponding expansion of diagnostic capacity to lower levels of the health system will be essential.
- Subjects :
- Program evaluation
Sub saharan
Tuberculosis
business.industry
Clinical Laboratory Techniques
Human immunodeficiency virus (HIV)
Developing country
Tuberculin
HIV Infections
medicine.disease_cause
medicine.disease
Diagnostic Services
Article
Smear microscopy
Care setting
Infectious Diseases
Nursing
Environmental health
Medicine
Humans
Pharmacology (medical)
business
Africa South of the Sahara
Subjects
Details
- ISSN :
- 19447884
- Volume :
- 61
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of acquired immune deficiency syndromes (1999)
- Accession number :
- edsair.doi.dedup.....2497e48fff5b0373ed021f74d028c684