HIV Screening among TB Patients and Co-Trimoxazole Preventive Therapy for TB/HIV Patients in Addis Ababa: Facility Based Descriptive Study

Abstract

BackgroundCollaborative TB/HIV management is essential to ensure that HIV positive TB patients are identified and treated appropriately, and to prevent tuberculosis (TB) in HIV positive patients. The purpose of this study was to assess HIV case finding among TB patients and Co-trimoxazole Preventive Therapy (CPT) for HIV/TB patients in Addis Ababa.MethodsA descriptive cross-sectional, facility-based survey was conducted between June and July 2011. Data was collected by interviewing 834 TB patients from ten health facilities in Addis Ababa. Both descriptive and inferential statistics were used to summarize and analyze findings.ResultsThe proportion of TB patients who (self reported) were offered for HIV test, tested for HIV and tested HIV positive during their anti-TB treatment follow-up were; 87.4%, 69.4% and 20.2%; respectively. Eighty seven HIV positive patients were identified, who knew their status before diagnosed for the current TB disease, bringing the cumulative prevalence of HIV among TB patients to 24.5%. Hence, the proportion of TB patients who knew their HIV status becomes 79.9%. The study revealed that 43.6% of those newly identified HIV positives during anti-TB treatment follow-up were actually treated with CPT. However, the commutative proportion of HIV positive TB patients who were ever treated with CPT was 54.4%; both those treated before the current TB disease and during anti-TB treatment follow-up.ConclusionsHIV case finding among TB patients and provision of CPT for TB/HIV co-infected patients needs boosting. Hence, routine offering of HIV test and provision of CPT for PLHIV should be strengthened in-line with the national guidelines.

Treatment outcomes of tuberculosis patients under directly observed treatment short-course at Debre Tabor General Hospital, northwest Ethiopia: nine-years retrospective study

“…At the same time, our findings are from one site, while the national data is countrywide and thus disparity is likely. However, similar findings to the present study have also been reported by other studies conducted in Ethiopia [28][29][30].…”

Time for initiation of antiretroviral therapy in HIV co-infected tuberculosis patients in Addis Ababa, Ethiopia

“…This was higher than CPT uptake reported in another study carried out in Addis Ababa which reported that only 43.6% patients benefited from CPT (Denegetu and Dolamo, 2014) while in a referral hospital in North-West Ethiopia, 45.9% of patients eligible for CPT actually received treatment (Alemayehu (Kapata et al, 2012). The possible reasons for a relatively higher CPT uptake in the present study might be attributed to trainings provided to health workers on importance of initiation of CPT.…”

Predictors of Treatment Outcomes among Tuberculosis Patients Treated in Specialist hospital, Sokoto State, Nigeria

“…In this study, the proportion of HIV co-infection among TB patients is 11.6% and this is less compared to co-infection rate reported at National Hospital Abuja, Nigeria (42.7%) and in Northeast Ethiopia (40.4%) by (Ofoegbu & Odume, 2015) and (Belay, Bjune, & Abebe, 2015) respectively. Similarly, our reported TB?HIV co-infection rate was less than what was reported in Addis Ababa, Ethiopia (24.5%) by (Denegetu & Dolamo, 2014) as well as 22.1% and 32.1% by (Deribew et al, 2010) and (Yadeta, Alemseged, & Biadgilign, 2013) respectively. However, our reported TB/HIV co-infection rate is higher than 9.6% reported in North Central Nigeria by (Agbaji, Ebonyi, Meloni, Anejo-Okopi, & Akanbi, 2013).…”