Providing HIV care for tuberculosis patients in sub-Saharan Africa


Harries, AD; Boxshall, M; Phiri, S; van Gorkom, J; Zachariah, R; Squire, SB; Makombe, SD; Kwanjana, J; Gondwe, M; (2006) Providing HIV care for tuberculosis patients in sub-Saharan Africa. The international journal of tuberculosis and lung disease, 10 (12). pp. 1306-11. ISSN 1027-3719

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Abstract

Human immunodeficiency virus (HIV)/acquired immunedeficiency syndrome (AIDS) and tuberculosis (TB) cause an immense burden of disease in sub-Saharan Africa. A large amount of knowledge has been gathered in the last 15 years about the negative impact that HIV has on TB control, both at a programme level and at the level of the individual patient. Equally, interventions that are known to benefit patients have been tested and piloted, and these form important components of international TB-HIV guidelines, a TB-HIV strategic framework and an interim policy on TB-HIV coordination. Unfortunately, in sub-Saharan Africa there is little evidence that these interventions are being implemented on the ground, and one of the reasons for this paralysis is that the operational details are not well developed. This paper takes the three important HIV interventions of HIV testing and counselling, cotrimoxazole preventive treatment and antiretroviral treatment, and discusses some of the practical details of on-the-ground implementation. We hope that this will generate discussion, but above all, the impetus to start delivering services to patients.

Item Type: Article
Keywords: HIV, TB, Malawi, ART, cotrimoxazole, COTRIMOXAZOLE PROPHYLAXIS, ANTIRETROVIRAL TREATMENT, REDUCES MORTALITY, MALAWI, INFECTION, COUNTRIES, DISTRICT, THERAPY, ADULTS
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 17167945
Web of Science ID: 242652100002
URI: http://researchonline.lshtm.ac.uk/id/eprint/10612

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