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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2253

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)
Keywords: TUBERCULOSIS
LIVING HIV
Copyright: Jul-2008
Date Added: 3-May-2012
Publisher: AAU
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.
URI: http://hdl.handle.net/123456789/2253
Appears in:Thesis - Public Health

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