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DC Field | Value | Language |
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dc.contributor.author | Nakigozi, Gertrude | - |
dc.date.accessioned | 2020-07-29T10:25:37Z | - |
dc.date.available | 2020-07-29T10:25:37Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/3188 | - |
dc.description.abstract | Setting World Health Organization advocates for integration of HIV-tuberculosis (TB) services and recommends intensive case finding (ICF), isoniazid preventive therapy (IPT), and infection control ( “ Three I ’ s ” ) for TB prevention and control among persons living with HIV. Objective To assess the implementation of the “ Three I ’ s ” of TB-control at HIV treatment sites in lower income countries. Design Survey conducted between March-July, 2012 at 47 sites in 26 countries: 6 (13%) Asia Pacific, 7 (15%), Caribbean, Central and South America, 5 (10%) Central Africa, 8 (17%) East Africa, 14 (30%) Southern Africa, and 7 (15%) West AfricaResults ICF using symptom-based screening was performed at 38% of sites; 45% of sites used symptom-screening plus additional diagnostics. IPT at enrollment or ART initiation was implemented in only 17% of sites, with 9% of sites providing IPT to tuberculin-skin-test posi- tive patients. Infection control measures varied: 62% of sites separated smear-positive patients, and healthcare workers used masks at 57% of sites. Only 12 (26%) sites inte- grated HIV-TB services. Integration was not associated with implementation of TB preven- tion measures except for IPT provision at enrollment (42% integrated vs. 9% non- integrated; p = 0.03). Conclusions Implementation of TB screening, IPT provision, and infection control measures was low and variable across regional HIV treatment sites, regardless of integration status. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Crossmarks | en_US |
dc.subject | Tuberculosis | en_US |
dc.title | Implementation of Tuberculosis Intensive Case Finding, Isoniazid Preventive Therapy, and Infection Control ("Three I's") and HIV- Tuberculosis Service Integration in Lower Income Countries | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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journal.pone.0153243.PDF | 210.38 kB | Adobe PDF | View/Open |
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