Intergration of Tuberculosis and Human Immune Virus Care and Treatment Services in Kitete - Tabora Region; What are the Outcomes Between Two Years Before and After Integration (2007-2010)
Material type:
TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O. Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2015Description: viii; 25 Pages; Includes ReferencesSubject(s): Summary: Abstract:
Introduction: Tuberculosis (TB) remains the major contributor to burden of diseases in Tanzania where as it remains as number one cause of death among TB patient co infected with HIV. As well as HIV increases the prevalence of TB. Thus TB patients may be benefiting from the interventions of HIV services as part of the collaborative TB/HIV in TB control program.
Objectives: The objective of the study was determine the extent to which Tabora region in integrating HIV services to TB care and assess the impact of integrating HIV services to the treatment out comes among TB patients.
Results: 590 patients with tuberculosis were registered in the year 2007 and 2010. Of these, 343 (58%) were male while 247 (41.9%) were female. And among these, 68 (11%) were in the age group between 1 to 21 years while 409 (69.3%) were in the age group between 22 to 54 years of age and 113 (19.1%) were above 55 years. PTB was diagnose 416 (70.5%), EPTB was diagnosed in 156 (26.9%) and extra pulmonary relapse was diagnosed in 18 (3.1%). 354 TB patients (60%) were tested for HIV and 182 (51.4%) tested positive while 171 (48.3%) tested for HIV antibodies. Out of those who tested positive for HIV 95 (51.9%) started ART after initial phase of TB treatment, 83 (45.4%) started ART before they were on TB treatment while only 4 patients (2.7%) were not yet on ARTs. The treatment outcome in 2007, 41 (17.4%) were declared cured, 46 (19.5%) died, 126 (53.4%) completed treatment, 6 (2.5%) relapsed and 4 (1.7%) failed the treatment. In 2010 treatment outcome improved whereby, 87 (24.6%) were declared cured, 31 (8.6%) died, 200 (56.5%) completed treatment, 10 (2.8%) patients failed treatment and the number of defaulters remained the same in both years (5.7%). In general 29% of death was form HIV positive patients while 10.4% was from HIV negative patients and 59.7% of deaths were from patients with unknown HIV status.
Conclusion: Integration of TB and HIV services among TB patients have improved accesses of HIV services among TB co infected patients were by all patients were tested for HIV and if tested positive were initiated on ARTs. This has increased access to both TB and HIV services and thus improve the quality of care.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | UD0597 |
Abstract:
Introduction: Tuberculosis (TB) remains the major contributor to burden of diseases in Tanzania where as it remains as number one cause of death among TB patient co infected with HIV. As well as HIV increases the prevalence of TB. Thus TB patients may be benefiting from the interventions of HIV services as part of the collaborative TB/HIV in TB control program.
Objectives: The objective of the study was determine the extent to which Tabora region in integrating HIV services to TB care and assess the impact of integrating HIV services to the treatment out comes among TB patients.
Results: 590 patients with tuberculosis were registered in the year 2007 and 2010. Of these, 343 (58%) were male while 247 (41.9%) were female. And among these, 68 (11%) were in the age group between 1 to 21 years while 409 (69.3%) were in the age group between 22 to 54 years of age and 113 (19.1%) were above 55 years. PTB was diagnose 416 (70.5%), EPTB was diagnosed in 156 (26.9%) and extra pulmonary relapse was diagnosed in 18 (3.1%). 354 TB patients (60%) were tested for HIV and 182 (51.4%) tested positive while 171 (48.3%) tested for HIV antibodies. Out of those who tested positive for HIV 95 (51.9%) started ART after initial phase of TB treatment, 83 (45.4%) started ART before they were on TB treatment while only 4 patients (2.7%) were not yet on ARTs. The treatment outcome in 2007, 41 (17.4%) were declared cured, 46 (19.5%) died, 126 (53.4%) completed treatment, 6 (2.5%) relapsed and 4 (1.7%) failed the treatment. In 2010 treatment outcome improved whereby, 87 (24.6%) were declared cured, 31 (8.6%) died, 200 (56.5%) completed treatment, 10 (2.8%) patients failed treatment and the number of defaulters remained the same in both years (5.7%). In general 29% of death was form HIV positive patients while 10.4% was from HIV negative patients and 59.7% of deaths were from patients with unknown HIV status.
Conclusion: Integration of TB and HIV services among TB patients have improved accesses of HIV services among TB co infected patients were by all patients were tested for HIV and if tested positive were initiated on ARTs. This has increased access to both TB and HIV services and thus improve the quality of care.
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