Scale-up of TB and HIV programme collaborative activities in Zambia - a 10-year review
| Autor: | N, Kapata, P, Chanda-Kapata, M P, Grobusch, J, O'Grady, S, Schwank, M, Bates, S, Jansenn, A, Mwinga, F, Cobelens, P, Mwaba, A, Zumla |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Adolescent Anti-HIV Agents Antitubercular Agents Zambia HIV Infections Health Promotion Middle Aged Government Programs Young Adult Treatment Outcome Anti-Infective Agents Pregnancy Antiretroviral Therapy Highly Active Trimethoprim Sulfamethoxazole Drug Combination Prevalence Humans Tuberculosis Female Cooperative Behavior Follow-Up Studies Program Evaluation |
| Zdroj: | Tropical medicineinternational health : TMIH. 17(6) |
| ISSN: | 1365-3156 |
| Popis: | To review the activities, progress, achievements and challenges of the Zambia Ministry of Health tuberculosis (TB)/HIV collaborative activities over the past decade.Analysis of Zambia Ministry of Health National TB and HIV programme documents and external independent programme review reports pertaining to 2000-2010.The number of people testing for HIV increased from 37 557 persons in 2003 to 1 327 995 persons in 2010 nationally. Those receiving anti-retroviral therapy (ART) increased from 143 in 2003 to 344 304 in 2010. The national HIV prevalence estimates declined from 14.3% in 2001 to 13.5% in 2009. The proportion of TB patients being tested for HIV increased from 22.6% in 2006 to 84% in 2010 and approximately 70% were HIV positive. The proportion of the HIV-infected TB patients who: (i) started on ART increased from 38% in 2006 to 50% in 2010; (ii) commenced co-trimoxazole preventive therapy (CPT) increased from 31% in 2006 to 70% in 2010; and (iii) were successfully treated increased to an average of 80% resulting in decline of deaths from 13% in 2006 to 9% in 2010.The scale-up of TB/HIV collaborative programme activities in Zambia has steadily increased over the past decade resulting in increased testing for TB and HIV, and anti-retroviral (ARV) rollout with improved treatment outcomes among TB patients co-infected with HIV. Getting service delivery points to adhere to WHO guidelines for collaborative TB/HIV activities remains problematic, especially those meant to reduce the burden of TB in people living with HIV/AIDS (PLWHA). |
| Databáze: | OpenAIRE |
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