Integration of Tuberculosis and HIV Services in Sub-Saharan Africa: Lessons Learned

被引:69
作者
Howard, Andrea A. [1 ,2 ,3 ]
El-Sadr, Wafaa M. [1 ,2 ,3 ]
机构
[1] Columbia Univ, Mailman Sch Publ Hlth, Int Ctr, AIDS Care Program, New York, NY 10032 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, Int Ctr, Treatment Program, New York, NY 10032 USA
[3] Harlem Hosp Med Ctr, New York, NY USA
基金
比尔及梅琳达.盖茨基金会;
关键词
ISONIAZID PREVENTIVE THERAPY; ANTIRETROVIRAL THERAPY; INFECTED ADULTS; RISK-FACTORS; MALNUTRITION; MORTALITY; ERA; INDIVIDUALS; PROPHYLAXIS; RESISTANT;
D O I
10.1086/651497
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Promoting linkages between tuberculosis (TB) and human immunodeficiency virus (HIV) treatment and prevention programs in resource-constrained environments where both diseases are prevalent is essential to improve the diagnosis, treatment, and outcomes for patients affected by both diseases. In this article, we share insights based on our experiences supporting integrated TB and HIV service delivery programs, including intensified TB case finding, isoniazid preventive therapy, infection control, and initiation of antiretroviral therapy. Our experience indicates that successful integration of TB and HIV services in resource-constrained environments is feasible, although programmatic, infrastructural, and staffing challenges remain. Successful implementation of TB and HIV collaborative activities requires consideration of the realities that exist on the ground and the importance of tailoring interventions in a manner that enables their seamless introduction into existing programs that are often overwhelmed with large numbers of patients and a paucity of human and other resources.
引用
收藏
页码:S238 / S244
页数:7
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