dc.contributor.author |
Louwagie, Goedele M.C.
|
|
dc.contributor.author |
Girdler-Brown, B.V. (Brendan)
|
|
dc.contributor.author |
Odendaal, Rhode
|
|
dc.contributor.author |
Rossouw, Theresa M.
|
|
dc.contributor.author |
Johnson, S.
|
|
dc.contributor.author |
Van der Walt, Marthie S.
|
|
dc.date.accessioned |
2012-08-13T13:53:00Z |
|
dc.date.available |
2012-08-13T13:53:00Z |
|
dc.date.issued |
2012-08 |
|
dc.description.abstract |
BACKGROUND: This study aimed to compare access to HIV care for tuberculosis patients in settings with Antiretroviral Treatment (ART) and tuberculosis care under one roof (“semi-integrated sites”) and settings with geographically separately rendered care, in Tshwane, South Africa.
METHODS: Historical cohort study of patients registered with tuberculosis at 46 TB treatment points, with follow-up until the end of TB treatment. ART initiation for HIV-positive TB patients was established through linkage of TB register patient identifiers to the electronic ART register. Data analysis entailed univariate and
multivariate competing risk analysis.
RESULTS: Records of 636 and 1297 patients for semi-integrated and separate facilities respectively were reviewed. Co-trimoxazole prophylactic therapy and CD4 count recording were lower in semi-integrated than separate facilities, but the reverse was true for referral to HIV-related care.
A higher percentage of patients started ART in semi-integrated than in separate facilities (70.5% vs. 44.6%, P < 0.001). In competing risk analysis (with death and LTFU as competing risks), attending a semi-integrated facility (SHR 2.49, 95%CI 1.06-5.88) and TB case load > 401 (SHR 1.45, 95%CI 1.04-2.03) were associated with increased ART initiation.
CONCLUSIONS: ART and TB treatment under one roof appears to facilitate ART initiation for HIV-positive TB patients. |
en_US |
dc.description.uri |
http://www.theunion.org/about-the-journal/about-the-journal.html |
en_US |
dc.identifier.citation |
Louwagie, G, Girdler-Brown, B, Odendaal, R, Rossouw, T, Johnson, S & Van der Walt, M 2012, 'Missed opportunities for accessing HIV care among Tshwane tuberculosis patients under different models of care', International Journal of Tuberculosis and Lung Disease, vol. 16, no. 8, pp. 1052-1058. |
en_US |
dc.identifier.issn |
1027-3719 (print) |
|
dc.identifier.issn |
1815-7920 (online) |
|
dc.identifier.other |
10.5588/ijtld.11.0753 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/19592 |
|
dc.language.iso |
en |
en_US |
dc.publisher |
International Union Against Tuberculosis and Lung Disease |
en_US |
dc.rights |
International Union Against Tuberculosis and Lung Disease. |
en_US |
dc.subject |
Tuberculosis (TB) |
en_US |
dc.subject |
Antiretroviral treatment (ART) |
en_US |
dc.subject |
Integration |
en_US |
dc.subject.lcsh |
Antiretroviral agents -- South Africa |
en |
dc.subject.lcsh |
Tuberculosis -- Treatment -- South Africa |
en |
dc.subject.lcsh |
AIDS (Disease) -- Treatment |
en |
dc.title |
Missed opportunities for accessing HIV care among Tshwane tuberculosis patients under different models of care |
en_US |
dc.type |
Postprint Article |
en_US |