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|Title: ||ASSESSMENT OF THE HEALTH CARE DELIVERY SYSTEM FOR ACTIVITIES TO DECREASE THE BURDEN OF TUBERCULOSIS AMONG PEOPLE LIVING WITH HIV IN ADDIS ABABA, ETHIOPIA|
|Authors: ||AMENU, WESEN|
|Advisors: ||GETNET MITIKE (MD, MPH)|
|Copyright: ||Jul-2008 |
|Date Added: ||3-May-2012 |
|Abstract: ||Background: The dramatic spread of the HIV epidemic throughout sub-Saharan Africa in
the past decades has been accompanied by up to a fourfold increase in the number of TB
cases registered by national TB programs. In contrast to the practice before when TB and
HIV/AIDS Prevention and Control Programs pursued separate courses, now they need to
work in close collaboration and avail comprehensive services.
Objective: To assess the health care delivery system for activities to decrease the burden
of Tuberculosis for People Living with HIV in Addis Ababa City Administration.
Materials and methods: Between February 2008 and May 2008, a cross sectional facility
based survey was conducted using exit interview of 406 PLHIV from selected six health
facilities in Addis Ababa City Administration. This was supplemented with in-depth
interview with health workers and program coordinators for the TB/HIV collaborative
activities. The findings were described and analyzed using SPSS version 11.
Result: Based on our findings, 89.7% of clients were screened for TB at least once during
their follow-up visits. Overall, 43.1%, of PLHIV have ever been diagnosed for TB in their
life time, the majority (67.4%) developed before they learnt their positive HIV status and
33.0% of these were diagnosed during screening at HIV chronic care clinics. Being
diagnosed for TB was more in males than females with AOR (95%CI) 2.18 (1.30-3.66).
Having information about the availability of preventive therapy for TB among PLHIV was
29.8%, whereas; the proportion of PLHIV who were free from TB but provided with IPT
was 32.0%. Females were better informed about accessibility of IPT service in health
facilities by two folds than males with AOR (95%CI) 2.18 (1.31-3.61). Lack of
consistency regarding IPT provision among health care providers was rampant.
Conclusions: In general, the findings in this study revealed that activities to decrease the
burden of TB among PLHIV in HIV chronic care clinics were not discouraging. The
Administration health bureau and health facilities need to be strengthened with trained
human power and materials to properly monitor and implement for activities to decrease
the burden of tuberculosis among people living with HIV.|
|Appears in:||Thesis - Public Health|
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