Provider-initiated HIV testing and counselling for TB in low HIV prevalence settings: is it worthwhile?
Nagai, Shuko;
Robinson, Roland;
Rahamefy, Jacky Ranaivo;
Randriambeloson, Sahondra Jeannine;
Ranaivomanana, Denis Andriatahina;
Razafindranaivo, Turibio;
Rakotobe, Liva;
Ranaivo, Adeline;
Hinderaker, Sven Gudmund;
Harries, Anthony D;
+1 more...Zachariah, Rony;
(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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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.