Integrating tuberculosis and HIV care in rural Rwanda
SETTING: Rwanda has generalised human immunodeficiency virus (HIV) and tuberculosis (TB) epidemics. The Rwandan Ministry of Health approved a policy on TB-HIV collaborative activities in 2005. The present study is a report on the results of the integrated TB and HIV activities at a rural health care...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2008-03, Vol.12 (3), p.S39-S43 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | Gasana, M Vandebriel, G Kabanda, G Tsiouris, S J Justman, J Sahabo, R Kamugundu, D El-Sadr, W M |
| description | SETTING: Rwanda has generalised human immunodeficiency virus (HIV) and tuberculosis (TB) epidemics. The Rwandan Ministry of Health approved a policy on TB-HIV collaborative activities in 2005. The present study is a report on the results of the integrated TB and HIV activities at a
rural health care site between July 2005 and June 2006.METHODS: Activities included provider-initiated HIV testing and counselling (PITC) of TB patients and the implementation of a standardised TB screening questionnaire for in-patients on medical wards and HIV-infected out-patients.RESULTS:
Of a total 259 TB patients registered, 87% with unknown HIV status or who were HIV-negative accepted PITC. Overall, 48% (125/259) of TB patients were HIV-infected. The proportion of TB patients ever tested for HIV increased from 82% (138/169) in 2004-2005 to 93% (240/259) in 2005-2006
(P < 0.001). Of the 770 in-patients screened for TB, 162 (21%) tested positive, of whom 53 (33%) were diagnosed with TB; 39 (76%) of these were HIV co-infected. Three hundred out-patients with HIV were screened for TB; 80 (27%) tested positive, of whom 11 (14%) were diagnosed with
TB.DISCUSSION: Activities integrating TB and HIV were feasible in a rural health care setting. PITC was successful in TB patients and unrecognised TB was common, particularly among HIV-infected in-patients. |
| format | Article |
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rural health care site between July 2005 and June 2006.METHODS: Activities included provider-initiated HIV testing and counselling (PITC) of TB patients and the implementation of a standardised TB screening questionnaire for in-patients on medical wards and HIV-infected out-patients.RESULTS:
Of a total 259 TB patients registered, 87% with unknown HIV status or who were HIV-negative accepted PITC. Overall, 48% (125/259) of TB patients were HIV-infected. The proportion of TB patients ever tested for HIV increased from 82% (138/169) in 2004-2005 to 93% (240/259) in 2005-2006
(P < 0.001). Of the 770 in-patients screened for TB, 162 (21%) tested positive, of whom 53 (33%) were diagnosed with TB; 39 (76%) of these were HIV co-infected. Three hundred out-patients with HIV were screened for TB; 80 (27%) tested positive, of whom 11 (14%) were diagnosed with
TB.DISCUSSION: Activities integrating TB and HIV were feasible in a rural health care setting. PITC was successful in TB patients and unrecognised TB was common, particularly among HIV-infected in-patients.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>PMID: 18302821</identifier><language>eng</language><publisher>Paris, France: IUATLD</publisher><subject>AIDS Serodiagnosis ; Delivery of Health Care, Integrated - organization & administration ; Directive Counseling ; HIV Infections - complications ; HIV Infections - epidemiology ; HIV Infections - therapy ; HIV Seropositivity ; Human Immunodeficiency Virus ; Humans ; Integration ; Mass Screening - methods ; Mycobacterium ; National Health Programs - organization & administration ; Rural Health Services - organization & administration ; Rwanda - epidemiology ; Surveys and Questionnaires - utilization ; TB-HIV co-infection ; Tuberculosis ; Tuberculosis - complications ; Tuberculosis - epidemiology ; Tuberculosis - therapy</subject><ispartof>The international journal of tuberculosis and lung disease, 2008-03, Vol.12 (3), p.S39-S43</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18302821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gasana, M</creatorcontrib><creatorcontrib>Vandebriel, G</creatorcontrib><creatorcontrib>Kabanda, G</creatorcontrib><creatorcontrib>Tsiouris, S J</creatorcontrib><creatorcontrib>Justman, J</creatorcontrib><creatorcontrib>Sahabo, R</creatorcontrib><creatorcontrib>Kamugundu, D</creatorcontrib><creatorcontrib>El-Sadr, W M</creatorcontrib><title>Integrating tuberculosis and HIV care in rural Rwanda</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Rwanda has generalised human immunodeficiency virus (HIV) and tuberculosis (TB) epidemics. The Rwandan Ministry of Health approved a policy on TB-HIV collaborative activities in 2005. The present study is a report on the results of the integrated TB and HIV activities at a
rural health care site between July 2005 and June 2006.METHODS: Activities included provider-initiated HIV testing and counselling (PITC) of TB patients and the implementation of a standardised TB screening questionnaire for in-patients on medical wards and HIV-infected out-patients.RESULTS:
Of a total 259 TB patients registered, 87% with unknown HIV status or who were HIV-negative accepted PITC. Overall, 48% (125/259) of TB patients were HIV-infected. The proportion of TB patients ever tested for HIV increased from 82% (138/169) in 2004-2005 to 93% (240/259) in 2005-2006
(P < 0.001). Of the 770 in-patients screened for TB, 162 (21%) tested positive, of whom 53 (33%) were diagnosed with TB; 39 (76%) of these were HIV co-infected. Three hundred out-patients with HIV were screened for TB; 80 (27%) tested positive, of whom 11 (14%) were diagnosed with
TB.DISCUSSION: Activities integrating TB and HIV were feasible in a rural health care setting. PITC was successful in TB patients and unrecognised TB was common, particularly among HIV-infected in-patients.</description><subject>AIDS Serodiagnosis</subject><subject>Delivery of Health Care, Integrated - organization & administration</subject><subject>Directive Counseling</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - therapy</subject><subject>HIV Seropositivity</subject><subject>Human Immunodeficiency Virus</subject><subject>Humans</subject><subject>Integration</subject><subject>Mass Screening - methods</subject><subject>Mycobacterium</subject><subject>National Health Programs - organization & administration</subject><subject>Rural Health Services - organization & administration</subject><subject>Rwanda - epidemiology</subject><subject>Surveys and Questionnaires - utilization</subject><subject>TB-HIV co-infection</subject><subject>Tuberculosis</subject><subject>Tuberculosis - complications</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - therapy</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtrFUEQhQdRTEz8CzIrdwPVr-mejSDxkQsBIcRsi5qenmtf5vbEfsTHr7evSUQXklpUNdWHj8OpJ80xM0x1euDwtL6B605oNhw1L1LaAXDGmH7eHDEjgBvOjhu1CdltI2Uftm0uo4u2LGvyqaUwteeb69ZSdK0PbSyRlvbyW93TafNspiW5l_fzpPn84f3V2Xl38enj5uztReelYLnTYGliTjpNxoHtewArrRpH7XoapZ2NMGbQDMiJ2QzjNBk-CDdrpkw_qVGcNG_uuDdl3LvJupCrCbyJfk_xB67k8d-f4L_gdr1FBYME1VfA63tAXL8WlzLufbJuWSi4tSTUICQHox8VclBa6p5X4au_Lf3x8hBpFby7E9REqyvC3VpiqCmhL5SXCf3u0DmAQfhdjCPVDiIxpJgPK1Mxl__D2AfS4b6H8-It40F8ZxXKGRiukElpcHIzlSVjpojbn5iM-AX_KaXR</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Gasana, M</creator><creator>Vandebriel, G</creator><creator>Kabanda, G</creator><creator>Tsiouris, S J</creator><creator>Justman, J</creator><creator>Sahabo, R</creator><creator>Kamugundu, D</creator><creator>El-Sadr, W M</creator><general>IUATLD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QL</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080301</creationdate><title>Integrating tuberculosis and HIV care in rural Rwanda</title><author>Gasana, M ; Vandebriel, G ; Kabanda, G ; Tsiouris, S J ; Justman, J ; Sahabo, R ; Kamugundu, D ; El-Sadr, W M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i431t-70cad1e4e7a8e0c6600c4c5bb7e6ab4cf83889710ae3f89bdd8293ef71586d5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>AIDS Serodiagnosis</topic><topic>Delivery of Health Care, Integrated - organization & administration</topic><topic>Directive Counseling</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - therapy</topic><topic>HIV Seropositivity</topic><topic>Human Immunodeficiency Virus</topic><topic>Humans</topic><topic>Integration</topic><topic>Mass Screening - methods</topic><topic>Mycobacterium</topic><topic>National Health Programs - organization & administration</topic><topic>Rural Health Services - organization & administration</topic><topic>Rwanda - epidemiology</topic><topic>Surveys and Questionnaires - utilization</topic><topic>TB-HIV co-infection</topic><topic>Tuberculosis</topic><topic>Tuberculosis - complications</topic><topic>Tuberculosis - epidemiology</topic><topic>Tuberculosis - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gasana, M</creatorcontrib><creatorcontrib>Vandebriel, G</creatorcontrib><creatorcontrib>Kabanda, G</creatorcontrib><creatorcontrib>Tsiouris, S J</creatorcontrib><creatorcontrib>Justman, J</creatorcontrib><creatorcontrib>Sahabo, R</creatorcontrib><creatorcontrib>Kamugundu, D</creatorcontrib><creatorcontrib>El-Sadr, W M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gasana, M</au><au>Vandebriel, G</au><au>Kabanda, G</au><au>Tsiouris, S J</au><au>Justman, J</au><au>Sahabo, R</au><au>Kamugundu, D</au><au>El-Sadr, W M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Integrating tuberculosis and HIV care in rural Rwanda</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>12</volume><issue>3</issue><spage>S39</spage><epage>S43</epage><pages>S39-S43</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Rwanda has generalised human immunodeficiency virus (HIV) and tuberculosis (TB) epidemics. The Rwandan Ministry of Health approved a policy on TB-HIV collaborative activities in 2005. The present study is a report on the results of the integrated TB and HIV activities at a
rural health care site between July 2005 and June 2006.METHODS: Activities included provider-initiated HIV testing and counselling (PITC) of TB patients and the implementation of a standardised TB screening questionnaire for in-patients on medical wards and HIV-infected out-patients.RESULTS:
Of a total 259 TB patients registered, 87% with unknown HIV status or who were HIV-negative accepted PITC. Overall, 48% (125/259) of TB patients were HIV-infected. The proportion of TB patients ever tested for HIV increased from 82% (138/169) in 2004-2005 to 93% (240/259) in 2005-2006
(P < 0.001). Of the 770 in-patients screened for TB, 162 (21%) tested positive, of whom 53 (33%) were diagnosed with TB; 39 (76%) of these were HIV co-infected. Three hundred out-patients with HIV were screened for TB; 80 (27%) tested positive, of whom 11 (14%) were diagnosed with
TB.DISCUSSION: Activities integrating TB and HIV were feasible in a rural health care setting. PITC was successful in TB patients and unrecognised TB was common, particularly among HIV-infected in-patients.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>18302821</pmid><tpages>5</tpages></addata></record> |
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| subjects | AIDS Serodiagnosis Delivery of Health Care, Integrated - organization & administration Directive Counseling HIV Infections - complications HIV Infections - epidemiology HIV Infections - therapy HIV Seropositivity Human Immunodeficiency Virus Humans Integration Mass Screening - methods Mycobacterium National Health Programs - organization & administration Rural Health Services - organization & administration Rwanda - epidemiology Surveys and Questionnaires - utilization TB-HIV co-infection Tuberculosis Tuberculosis - complications Tuberculosis - epidemiology Tuberculosis - therapy |
| title | Integrating tuberculosis and HIV care in rural Rwanda |
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