National scale-up of HIV testing and provision of HIV care to tuberculosis patients in Kenya

• Published in: The international journal of tuberculosis and lung disease Vol. 12; no. 4; pp. 424 - 429
• Main Authors: CHAKAYA, J. M, MANSOER, J. R, ADALA, S, GITAU, S, MAINA, J, KIBIAS, S, LANGAT, B, ABDILLE, N, WAKO, I, KIMUU, P, SITIENEIT, J, SCANO, F, WAMBUA, N, L'HERMINEZ, R, ODHIAMBO, J, MOHAMED, I, KANGANGI, J, OMBEKA, V, AKECHE, G
• Format: Journal Article
• Language: English
• Published: Paris, France IUATLD 01-04-2008; Union internationale contre la tuberculose et les maladies respiratoires
• Subjects: Adolescent; Adult; Aged; AIDS Serodiagnosis; AIDS-Related Opportunistic Infections - diagnosis; AIDS-Related Opportunistic Infections - drug therapy; AIDS-Related Opportunistic Infections - epidemiology; Anti-Infective Agents - therapeutic use; Anti-Retroviral Agents - therapeutic use; Biological and medical sciences; Child; Child, Preschool; Counseling; Female; HIV; HIV Infections - complications; HIV Infections - diagnosis; HIV Infections - drug therapy; HIV Infections - epidemiology; Human immunodeficiency virus; Human viral diseases; Humans; Infant; Infant, Newborn; Infectious diseases; Kenya; Kenya - epidemiology; Male; Medical sciences; Middle Aged; Miscellaneous; Mycobacterium; Patient Care; Pneumology; Prevention and actions; Public health. Hygiene; Public health. Hygiene-occupational medicine; Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use; Tuberculosis; Tuberculosis - complications; Tuberculosis - diagnosis; Tuberculosis - drug therapy; Tuberculosis - epidemiology; Viral diseases; Viral diseases of the lymphoid tissue and the blood. Aids; Kenya; Africa; Human; Immunopathology; Evaluation scale; Retroviridae; AIDS; Serology; Mycobacterial infection; Medical screening; Kenya; Immune deficiency; Lentivirus; Care; Infection; Virus; Tuberculosis; HIV; Viral disease; Bacteriosis; Diagnosis; Human immunodeficiency virus; Pneumology
• ISSN: 1027-3719; 1815-7920

SETTING: Kenya, one of the 22 tuberculosis (TB) high-burden countries, whose TB burden is fuelled by the human immunodeficiency virus (HIV).OBJECTIVE: To monitor and evaluate the implementation of HIV testing and provision of HIV care to TB patients in Kenya through the establishment
of a routine TB-HIV integrated surveillance system.DESIGN: A descriptive report of the status of implementation of HIV testing and provision of HIV interventions to TB patients one year after the introduction of the revised TB case recording and reporting system.RESULTS: From July
2005 to June 2006, 88% of 112835 TB patients were reported to the National Leprosy and TB Control Programme, 98773 (87.9%) of whom were reported using a revised recording and reporting system that included TB-HIV indicators. HIV testing of TB patients increased from 31.5% at the beginning
of this period to 59% at the end. Of the 46428 patients tested for HIV, 25558 (55%) were found to be HIV-positive, 85% of whom were provided with cotrimoxazole preventive treatment and 28% with antiretroviral treatment.CONCLUSION: A country-wide integrated TB-HIV surveillance system in
TB patients can be implemented and provides essential data to monitor and evaluate TB-HIV related interventions.