Provider-initiated HIV testing and counselling for TB in low HIV prevalence settings: is it worthwhile?


Nagai, S; Robinson, R; Rahamefy, JR; Randriambeloson, SJ; Ranaivomanana, DA; Razafindranaivo, T; Rakotobe, L; Ranaivo, A; Hinderaker, SG; Harries, AD; Zachariah, R; (2014) Provider-initiated HIV testing and counselling for TB in low HIV prevalence settings: is it worthwhile? Transactions of the Royal Society of Tropical Medicine and Hygiene, 108 (3). pp. 173-175. ISSN 0035-9203 DOI: https://doi.org/10.1093/trstmh/trt116

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Abstract

Background: We assessed the HIV-positive yield of offering provider-initiated HIV testing and counselling (PITC) for TB and the costs, in Madagascar, which has a low HIV prevalence and a high TB burden. Methods: A cross-sectional study of routinely collected records from January 2010 to June 2011. Results: A total of 37 596 TB patients were registered in 205 TB centres. HIV testing was available in 95 (46%) of centres where 7524 (40%) of those offered testing accepted it. Only 35 (0.5%) individuals were found HIV positive. Initial costs were about US$1.4 million and annual recurrent costs about US$0.1 million. Conclusion: There are concerns of cost investment for countrywide introduction of PITC in a low HIV prevalence setting.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 24463718
Web of Science ID: 332045900011
URI: http://researchonline.lshtm.ac.uk/id/eprint/1635759

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