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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Assessing the accessibility of HIV care packages among tuberculosis patients in the Northwest Region, Cameroon

Authors: Nwarbébé Barnabas Njozing, San Sebastian Miguel, Pius Muffih Tih, Anna-Karin Hurtig

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Tuberculosis (TB) and human immunodeficiency virus (HIV) co-infection is a major source of morbidity and mortality globally. The World Health Organization (WHO) has recommended that HIV counselling and testing be offered routinely to TB patients in order to increase access to HIV care packages. We assessed the uptake of provider-initiated testing and counselling (PITC), antiretroviral (ART) and co-trimoxazole preventive therapies (CPT) among TB patients in the Northwest Region, Cameroon.

Methods

A retrospective cohort study using TB registers in 4 TB/HIV treatment centres (1 public and 3 faith-based) for patients diagnosed with TB between January 2006 and December 2007 to identify predictors of the outcomes; HIV testing/serostatus, ART and CPT enrolment and factors that influenced their enrolment between public and faith-based hospitals.

Results

A total of 2270 TB patients were registered and offered pre-HIV test counselling; 2150 (94.7%) accepted the offer of a test. The rate of acceptance was significantly higher among patients in the public hospital compared to those in the faith-based hospitals (crude OR 1.97; 95% CI 1.33 - 2.92) and (adjusted OR 1.92; 95% CI 1.24 - 2.97). HIV prevalence was 68.5% (1473/2150). Independent predictors of HIV-seropositivity emerged as: females, age groups 15-29, 30-44 and 45-59 years, rural residence, previously treated TB and smear-negative pulmonary TB. ART uptake was 50.3% (614/1220) with 17.2% (253/1473) of missing records. Independent predictors of ART uptake were: previously treated TB and extra pulmonary TB. Finally, CPT uptake was 47.0% (524/1114) with 24% (590/1114) of missing records. Independent predictors of CPT uptake were: faith-based hospitals and female sex.

Conclusion

PITC services are apparently well integrated into the TB programme as demonstrated by the high testing rate. The main challenges include improving access to ART and CPT among TB patients and proper reporting and monitoring of programme activities.
Appendix
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Literature
1.
World Health Organization: Global tuberculosis control: epidemiology, strategy, financing. WHO/HTM/TB/2009. 2009, WHO Report Geneva, Switzerland, 411-
2.
Joint United Nations Programme on HIV/AIDS and World Health organization: AIDS epidemic update 2007 Geneva. UNAIDS/07.27E/JC1322E.
3.
Faussett PG, Maher D, Makadi YD, Nunn P, Perriëns J, Raviglione M: How human immunodeficiency virus voluntary testing can contribute to tuberculosis control. Bull World Health Organ. 2002, 80: 939-945.
4.
World Health Organization: Interim policy on collaborative TB/HIV activities. WHO/HTM/TB/2004.330, WHO/HTM/HIV/2004.1. 2004, Geneva, Switzerland: WHO
5.
Joint United Nations Programme on HIV/AIDS/World Health Organization: Guidance on provider-initiated HIV testing and counselling in health facilities. 2007, Geneva, Switzerland: UNAIDS and WHO
6.
Munthali L, Mwaungulu JN, Munthali K, Bowie C, Crampin AC: Using tuberculosis suspects to identify patients eligible for antiretroviral treatment. Int J Tuberc Lung Dis. 2006, 10: 199-202.PubMed
7.
Matos EA, Lemos ACM, Bittencourt C, Mesquita LC, Kuhn CP: Prevalence of HIV infection in patients hospitalized for tuberculosis in Bahia, Brazil. Braz J Infect Dis. 2007, 11: 208-211.CrossRefPubMed
8.
Srikantiah R, Lin R, Walusimbi M, Okwera A, Luzze H, Whalen CC, Boom WH, Havlir DV, Charlebois ED: Elevated HIV seroprevalence and risk behaviour among Ugandan TB suspects: implications for HIV testing and prevention. Int J Tuberc Lung Dis. 2007, 11: 168-174.PubMedPubMedCentral
9.
Programme National de Lutte contre le SIDA: Rapport Annuel 2008 et Plan D'Action 2009 des activités du Programme National de Lutte contre le SIDA, Cameroon (in French). Edition. 2009
10.
11.
Ministry of Public Health and National Tuberculosis Control Programme: Manual for Health Personnel, Cameroon. Edition. 2006
12.
Ministère de la Santé Public: Directives nationales de prise en charge des personnes vivant avec le VIH par les antiretroviraux (in French). Cameroun. 2007
13.
Zachariah R, Spielmann M-PL, Chinji C, Gomani P, Arendt V, Hargreaves NJ, Salaniponi FM, Harries AD: Voluntary counselling, HIV testing and adjunctive cotrimoxazole reduces mortality in tuberculosis patients in Thyolo, Malawi. AIDS. 2003, 17: 1053-1061. 10.1097/00002030-200305020-00015.CrossRefPubMed
14.
Zachariah R, Spielmann M-P, Harries AD, Salaniponi FL: Voluntary counseling, HIV testing and sexual behaviour among patients with tuberculosis in a rural district of Malawi. Int J Tuberc Lung Dis. 2003, 7: 65-71.PubMed
15.
Van Rie A, Sabue M, Jarrett N, Westreich D, Behets F, Kokolomani J, Bahati ER: Counseling and testing TB patients for HIV: evaluation of three implementation models in Kinshasa, Congo. Int J Tuberc Lung Dis. 2008, 12: S73-S78.
16.
Jerene D, Endale A, Lindtjorn B: Acceptability of HIV counseling and testing among tuberculosis patients in south Ethiopia. BMC Int Health & Human Rights. 2007, 7: 1-6. 10.1186/1472-698X-7-1.CrossRef
17.
Chakaya JM, Mansoer JR, Scano F, Wambua N, L'Herminez R, Odhiambo J, Mohamed I, Kangangi J, Ombeka V, Akeche G, Adala S, Gitau S, Maina J, Kibias S, Langat B, Abdille N, Wako I, Kimuu P, Sitienei J: National Scale-up of HIV testing and provision of HIV care to tuberculosis patients in Kenya. Int J Tuberc Lung Dis. 2008, 12: 424-429.PubMed
18.
World Health Organization: Antiretroviral therapy for HIV infected adults and adolescents: recommendations for a public health approach. 2006, Geneva, Switzerland. WHO
19.
Zachariah R, Teck R, Ascurra O, Gomani P, Manzi M, Humblet P, Nunn P, Salaniponi FML, Harries AD: Can we get more HIV-positive tuberculosis patients on antiretroviral treatment in a rural district of Malawi?. Int J Tuberc Dis. 2005, 9: 238-247.
20.
Makombe S, Libamba E, Mhango E, de Ascurra Teck O, Aberle-Grasse J, Hochgesang M, Schouten EJ, Harries AD: Who is accessing antiretroviral therapy during national scale-up in Malawi?. Trans Roy Soc Trop Med Hyg. 2005, 100: 975-979. 10.1016/j.trstmh.2005.11.007.CrossRef
21.
Loubiere S, Boyer S, Protopopescu C, Bonono CR, Abega S-C, Spire B, Moatti J-P: Decentralization of HIV care in Cameroon: Increased access to antiretroviral treatment and associated persistent barriers. Health Policy. 2009, 92: 165-173. 10.1016/j.healthpol.2009.03.006.CrossRefPubMed
22.
Fraser HSF, Jazayeri D, Nevil P, Karacaoglu Y, Farmer PE, Lyon E, Smith Fawzi MC, Léandre F, Choi S, Mukherjee JS: An Information system and medical record to support HIV treatment in rural Haiti. BMJ. 2004, 329: 1142-6. 10.1136/bmj.329.7475.1142.CrossRefPubMedPubMedCentral
23.
Allen BSC, Manyika P, Jazayeri D, Rich M, Lesh N, Fraser H: Rapid deployment of electronic medical records for ARV rollout in rural Rwanda. AMIA Annu Symp Proc. 2006, 840-
24.
25.
Wiktor SZ, Morokro MS, Grant AD, Abouya L, Karon JM, Maurice C, Djomand G, Ackah A, Domoua K, Kadio A, Yapi A, Combe P, Tossou O, Roels TH, Lackritz EM, Coulibaly D, De Cock KM, Coulibaly I-M, Greenberg AE: Efficacy of trimethoprim sulphamethoxazole prophylaxis to decrease morbidity and mortality in HIV-1 infected patients with tuberculosis in Abidjan, Cote d'Ivoire: a randomized controlled trial. Lancet. 1999, 353: 1469-75. 10.1016/S0140-6736(99)03465-0.CrossRefPubMed
26.
Mwaungulu FBD, Floyd S, Crampin AC, Kasimba S, Malema S, Kanyongoloka H, Harries AD, Glynn JR, Fine PEM: Cotrimoxazole prophylaxis reduces mortality in human immunodeficiency virus-positive tuberculosis patients in Karonga District, Malawai. Bull World Health Organ. 2004, 82: 354-363.PubMedPubMedCentral
Metadata
Title
Assessing the accessibility of HIV care packages among tuberculosis patients in the Northwest Region, Cameroon
Authors
Nwarbébé Barnabas Njozing
San Sebastian Miguel
Pius Muffih Tih
Anna-Karin Hurtig
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-129

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