Missed opportunities for accessing HIV care among Tshwane tuberculosis patients under different models of care

Louwagie, Goedele; Girdler-Brown, Brendan; Odendaal, Ronel; Rossouw, Theresa M.; Johnson, Stephen R.; M, Van der Walt

doi:10.5588/ijtld.11.0753

Cited by 20 publications

(32 citation statements)

References 21 publications

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“…Twelve studies evaluated ART coverage. Nine [27][28][29][30][31][32][33][34][35] reported improved coverage, and three [36][37][38] reported similar coverage, when ARTwas provided in TB care settings versus separate services (Fig. 2).…”

Section: Antiretroviral Therapy Integration With Tuberculosis Treatmementioning

confidence: 86%

Improving antiretroviral therapy scale-up and effectiveness through service integration and decentralization

Suthar

Rutherford²,

Horváth³

et al. 2014

AIDS

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Integrating ART into MNCH, TB, and OST services was often associated with improvements in ART coverage, and decentralization of ART into primary health facilities and communities was often associated with improved retention. Neither integration nor decentralization was associated with adverse outcomes. These data contributed to recommendations in the WHO 2013 consolidated antiretroviral guidelines to integrate ART delivery into MNCH, TB, and OST services and to decentralize ART.

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Section: Antiretroviral Therapy Integration With Tuberculosis Treatmementioning

confidence: 86%

Improving antiretroviral therapy scale-up and effectiveness through service integration and decentralization

Suthar

Rutherford²,

Horváth³

et al. 2014

AIDS

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show abstract

“…Recent studies from Zambia suggest that the provision of ART integrated with maternal and child health services significantly increased treatment initiation [85,86]. Similarly, a study from South Africa indicates that integrating ART with tuberculosis care improves treatment coverage among co-infected clients [87]. Factors such as transport costs and waiting time have been identified as major barriers to retention and adherence [88,89], indicating that proximity as well as convenience of service delivery are critical.…”

Section: Client-level Implicationsmentioning

confidence: 99%

Retention in Care and Adherence to ART are Critical Elements of HIV Care Interventions

et al. 2013

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Retention in care and adherence to antiretroviral treatment (ART) are critical elements of HIV care interventions and are closely associated with optimal individual and public health outcomes and cost effectiveness. This literature review was conducted to analyse how the roles of clients in HIV care and treatment are discussed, from terminology used to measurement methods to consequences of a wide range of patient-related factors impacting client adherence to ART and retention in care. Unfortunately, data suggests that clients find it hard to follow recommended behaviour. For HIV, the greatest loss to follow-up occurs before starting treatment, though each step of the continuum of care is affected. Measurement approaches can be divided into 'direct' and 'indirect' methods; in practice, a combination is often considered the best strategy. Inadequate retention and adherence lead to decreased health outcomes (morbidity, mortality, drug resistances, risk of transmission) and cost effectiveness (increased costs and lower productivity).

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“…16,17 The benefits of integration (and of the implementation of the 2010 WHO ART guidelines) have been shown to accelerate the uptake of ART and reduce delays in starting this life-saving treatment. [17][18][19][20][21][22][23][24][25][26] However, most of these studies have been conducted outside the realm of rural, resource-constrained public health facilities. The operational impact on treatment outcomes has also been inconsistent.…”

mentioning

confidence: 99%

Integrating tuberculosis and HIV services in rural Kenya: uptake and outcomes

Owiti

Zachariah

Bissell

et al. 2015

public health action

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Missed opportunities for accessing HIV care among Tshwane tuberculosis patients under different models of care

Cited by 20 publications

References 21 publications

Improving antiretroviral therapy scale-up and effectiveness through service integration and decentralization

Improving antiretroviral therapy scale-up and effectiveness through service integration and decentralization

Retention in Care and Adherence to ART are Critical Elements of HIV Care Interventions

Integrating tuberculosis and HIV services in rural Kenya: uptake and outcomes

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