The Effect of Complete Integration of HIV and TB Services on Time to Initiation of Antiretroviral Therapy: A Before-After Study.
Boulle, Andrew M
De Azevedo, Virginia
Van Cutsem, Gilles
AffiliationMédecins sans Frontières, Khayelitsha, Cape Town, South Africa; Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; South African Medical Unit, Médecins sans Frontières, Johannesburg, South Africa; City of Cape Town, Health Directorate, Khayelitsha, South Africa.
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AbstractStudies have shown that early ART initiation in TB/HIV co-infected patients lowers mortality. One way to implement earlier ART commencement could be through integration of TB and HIV services, a more efficient model of care than separate, vertical programs. We present a model of full TB/HIV integration and estimate its effect on time to initiation of ART.