Integrating tuberculosis and HIV care in the primary care setting in South Africa.

Hdl Handle:
http://hdl.handle.net/10144/28618
Title:
Integrating tuberculosis and HIV care in the primary care setting in South Africa.
Authors:
Coetzee, D; Hilderbrand, K; Goemaere, E; Matthys, F; Boelaert, M
Journal:
Tropical Medicine & International Health
Abstract:
BACKGROUND: In many countries including South Africa, the increasing human immunodeficiency virus (HIV) and tuberculosis (TB) epidemics have impacted significantly on already weakened public health services. This paper reviews the scope, process and performance of the HIV and TB services in a primary care setting where antiretroviral therapy is provided, in Khayelitsha, South Africa, in order to assess whether there is a need for some form of integration. METHODS: The scope and process of both services were assessed through observations of the service and individual and group interviews with key persons. The performance was assessed by examining the 2001-2002 reports from the health information system and clinical data. RESULTS: The TB service is programme oriented to the attainment of an 85% cure rate amongst smear-positive patients while the HIV service has a more holistic approach to the patient with HIV. The TB service is part of a well-established programme that is highly standardized. The HIV service is in the pilot phase. There is a heavy load at both services and there is large degree of cross-referral between the two services. There are lessons that can be learnt from each service. There is an overlap of activities, duplication of services and under-utilization of staff. There are missed opportunities for TB and HIV prevention, diagnosis and management. CONCLUSIONS: The study suggests that there may be benefits to integrating HIV and TB services. Constraints to this process are discussed.
Affiliation:
Infectious Disease Research Unit, School of Public Health and Family Medicine, University of Cape Town, Observatory, South Africa. dcoetzee@cormack.uct.ac.za
Issue Date:
Jun-2004
URI:
http://hdl.handle.net/10144/28618
DOI:
10.1111/j.1365-3156.2004.01259.x
PubMed ID:
15189469
Language:
en
ISSN:
1360-2276
Appears in Collections:
TB; HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorCoetzee, D-
dc.contributor.authorHilderbrand, K-
dc.contributor.authorGoemaere, E-
dc.contributor.authorMatthys, F-
dc.contributor.authorBoelaert, M-
dc.date.accessioned2008-05-28T13:54:55Z-
dc.date.available2008-05-28T13:54:55Z-
dc.date.issued2004-06-
dc.identifier.citationIntegrating tuberculosis and HIV care in the primary care setting in South Africa. 2004, 9 (6):A11-5 Trop. Med. Int. Healthen
dc.identifier.issn1360-2276-
dc.identifier.pmid15189469-
dc.identifier.doi10.1111/j.1365-3156.2004.01259.x-
dc.identifier.urihttp://hdl.handle.net/10144/28618-
dc.description.abstractBACKGROUND: In many countries including South Africa, the increasing human immunodeficiency virus (HIV) and tuberculosis (TB) epidemics have impacted significantly on already weakened public health services. This paper reviews the scope, process and performance of the HIV and TB services in a primary care setting where antiretroviral therapy is provided, in Khayelitsha, South Africa, in order to assess whether there is a need for some form of integration. METHODS: The scope and process of both services were assessed through observations of the service and individual and group interviews with key persons. The performance was assessed by examining the 2001-2002 reports from the health information system and clinical data. RESULTS: The TB service is programme oriented to the attainment of an 85% cure rate amongst smear-positive patients while the HIV service has a more holistic approach to the patient with HIV. The TB service is part of a well-established programme that is highly standardized. The HIV service is in the pilot phase. There is a heavy load at both services and there is large degree of cross-referral between the two services. There are lessons that can be learnt from each service. There is an overlap of activities, duplication of services and under-utilization of staff. There are missed opportunities for TB and HIV prevention, diagnosis and management. CONCLUSIONS: The study suggests that there may be benefits to integrating HIV and TB services. Constraints to this process are discussed.en
dc.language.isoenen
dc.rightsArchived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]en
dc.subject.meshCommunicable Disease Controlen
dc.subject.meshCounselingen
dc.subject.meshDelivery of Health Care, Integrateden
dc.subject.meshDisease Outbreaksen
dc.subject.meshHIV Infectionsen
dc.subject.meshHealth Policyen
dc.subject.meshHumansen
dc.subject.meshPrimary Health Careen
dc.subject.meshReferral and Consultationen
dc.subject.meshSouth Africaen
dc.subject.meshTuberculosisen
dc.titleIntegrating tuberculosis and HIV care in the primary care setting in South Africa.en
dc.contributor.departmentInfectious Disease Research Unit, School of Public Health and Family Medicine, University of Cape Town, Observatory, South Africa. dcoetzee@cormack.uct.ac.zaen
dc.identifier.journalTropical Medicine & International Healthen

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