SidaGhanaV1, PascalFrancis, Corpus, bibRecord, 000003

Delivering TB/HIV services in Ghana: a comparative study of service delivery models

Identifieur interne : 000003 ( PascalFrancis/Corpus ); précédent : 000002; suivant : 000004

Delivering TB/HIV services in Ghana: a comparative study of service delivery models

Auteurs : Gloria A. Ansa ; John D. Walley ; Kamran Siddiqi ; XIAOLIN WEI

Source :

Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2014.

RBID : Pascal:14-0221022

Descripteurs français

Pascal (Inist)
- SIDA, Ghana, Etude comparative, Modèle, Virus immunodéficience humaine, Indicateur, Médecine tropicale.

English descriptors

KwdEn :
- AIDS, Comparative study, Ghana, Human immunodeficiency virus, Indicator, Models, Tropical medicine.

Abstract

Background: TB and HIV interaction increases TB incidence and HIV adverse outcomes. Integration improves patients' access to comprehensive care. This paper compares the impact of increasing integration on TB/HIV service delivery. Methods: Three hospitals with different delivery models were identified and a survey of TB cases registered between June 2007 and December 2008 conducted. HIV screening, co-trimoxazole preventive therapy (CPT) and antiretroviral therapy (ART) uptake for HIV-positive TB patients were compared. Results: Of the 590 TB patients, 85.9% (507/590) knew their HIV status. HIV screening was highest (98.6% [95%CI: 97.6-99.5%]) at the one-stop shop (OSS) and lowest (72.5% [71.9-73.9%]) at the referral site (RS). CPT was highest [(93.8% [91.0-96.7%]) at the RS and least (74.7% [72.8-76.5%]) at the partially-integrated site (PIS). At the OSS it was 82.3% (80.6-84.0%). ART was highest (59.5% [58.0-61.0%]) at the PIS, and 10.8% (10.4-11.1%) at the RS. No ART records existed at the OSS. Conclusions: Increasing integration improved HIV screening but not CPT or ART uptake. There was insufficient evidence to identify the most effective model due to design limitations and health system barriers. More research and training is needed to improve uptake, data completeness and accuracy.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`02`	`1`		`@1 WALLEY (John D.)`
A11	`03`	`1`		`@1 SIDDIQI (Kamran)`
A11	`04`	`1`		`@1 XIAOLIN WEI`
A14	`01`			`@1 Nuffield Centre for International Health and Development, University of Leeds, 101 Clarendon Road @2 Leeds LS2 9LJ @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.`
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A44				`@0 0000 @1 © 2014 INIST-CNRS. All rights reserved.`
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C01	`01`		`ENG`	@0 Background: TB and HIV interaction increases TB incidence and HIV adverse outcomes. Integration improves patients' access to comprehensive care. This paper compares the impact of increasing integration on TB/HIV service delivery. Methods: Three hospitals with different delivery models were identified and a survey of TB cases registered between June 2007 and December 2008 conducted. HIV screening, co-trimoxazole preventive therapy (CPT) and antiretroviral therapy (ART) uptake for HIV-positive TB patients were compared. Results: Of the 590 TB patients, 85.9% (507/590) knew their HIV status. HIV screening was highest (98.6% [95%CI: 97.6-99.5%]) at the one-stop shop (OSS) and lowest (72.5% [71.9-73.9%]) at the referral site (RS). CPT was highest [(93.8% [91.0-96.7%]) at the RS and least (74.7% [72.8-76.5%]) at the partially-integrated site (PIS). At the OSS it was 82.3% (80.6-84.0%). ART was highest (59.5% [58.0-61.0%]) at the PIS, and 10.8% (10.4-11.1%) at the RS. No ART records existed at the OSS. Conclusions: Increasing integration improved HIV screening but not CPT or ART uptake. There was insufficient evidence to identify the most effective model due to design limitations and health system barriers. More research and training is needed to improve uptake, data completeness and accuracy.
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Format Inist (serveur)

NO :	PASCAL 14-0221022 INIST
ET :	Delivering TB/HIV services in Ghana: a comparative study of service delivery models
AU :	ANSA (Gloria A.); WALLEY (John D.); SIDDIQI (Kamran); XIAOLIN WEI
AF :	Nuffield Centre for International Health and Development, University of Leeds, 101 Clarendon Road/Leeds LS2 9LJ/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut.)
DT :	Publication en série; Niveau analytique
SO :	Transactions of the Royal Society of Tropical Medicine and Hygiene; ISSN 0035-9203; Coden TRSTAZ; Royaume-Uni; Da. 2014; Vol. 108; No. 9; Pp. 560-567; Bibl. 24 ref.
LA :	Anglais
EA :	Background: TB and HIV interaction increases TB incidence and HIV adverse outcomes. Integration improves patients' access to comprehensive care. This paper compares the impact of increasing integration on TB/HIV service delivery. Methods: Three hospitals with different delivery models were identified and a survey of TB cases registered between June 2007 and December 2008 conducted. HIV screening, co-trimoxazole preventive therapy (CPT) and antiretroviral therapy (ART) uptake for HIV-positive TB patients were compared. Results: Of the 590 TB patients, 85.9% (507/590) knew their HIV status. HIV screening was highest (98.6% [95%CI: 97.6-99.5%]) at the one-stop shop (OSS) and lowest (72.5% [71.9-73.9%]) at the referral site (RS). CPT was highest [(93.8% [91.0-96.7%]) at the RS and least (74.7% [72.8-76.5%]) at the partially-integrated site (PIS). At the OSS it was 82.3% (80.6-84.0%). ART was highest (59.5% [58.0-61.0%]) at the PIS, and 10.8% (10.4-11.1%) at the RS. No ART records existed at the OSS. Conclusions: Increasing integration improved HIV screening but not CPT or ART uptake. There was insufficient evidence to identify the most effective model due to design limitations and health system barriers. More research and training is needed to improve uptake, data completeness and accuracy.
CC :	002B01; 002B05C02D; 002B06D01
FD :	SIDA; Ghana; Etude comparative; Modèle; Virus immunodéficience humaine; Indicateur; Médecine tropicale
FG :	Virose; Infection; Afrique; Lentivirus; Retroviridae; Virus; Immunodéficit; Immunopathologie
ED :	AIDS; Ghana; Comparative study; Models; Human immunodeficiency virus; Indicator; Tropical medicine
EG :	Viral disease; Infection; Africa; Lentivirus; Retroviridae; Virus; Immune deficiency; Immunopathology
SD :	SIDA; Ghana; Estudio comparativo; Modelo; Human immunodeficiency virus; Indicador; Medicina tropical
LO :	INIST-3084.354000504843030090
ID :	14-0221022

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Background: TB and HIV interaction increases TB incidence and HIV adverse outcomes. Integration improves patients' access to comprehensive care. This paper compares the impact of increasing integration on TB/HIV service delivery. Methods: Three hospitals with different delivery models were identified and a survey of TB cases registered between June 2007 and December 2008 conducted. HIV screening, co-trimoxazole preventive therapy (CPT) and antiretroviral therapy (ART) uptake for HIV-positive TB patients were compared. Results: Of the 590 TB patients, 85.9% (507/590) knew their HIV status. HIV screening was highest (98.6% [95%CI: 97.6-99.5%]) at the one-stop shop (OSS) and lowest (72.5% [71.9-73.9%]) at the referral site (RS). CPT was highest [(93.8% [91.0-96.7%]) at the RS and least (74.7% [72.8-76.5%]) at the partially-integrated site (PIS). At the OSS it was 82.3% (80.6-84.0%). ART was highest (59.5% [58.0-61.0%]) at the PIS, and 10.8% (10.4-11.1%) at the RS. No ART records existed at the OSS. Conclusions: Increasing integration improved HIV screening but not CPT or ART uptake. There was insufficient evidence to identify the most effective model due to design limitations and health system barriers. More research and training is needed to improve uptake, data completeness and accuracy.</div>
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<fC01 i1="01" l="ENG"><s0>Background: TB and HIV interaction increases TB incidence and HIV adverse outcomes. Integration improves patients' access to comprehensive care. This paper compares the impact of increasing integration on TB/HIV service delivery. Methods: Three hospitals with different delivery models were identified and a survey of TB cases registered between June 2007 and December 2008 conducted. HIV screening, co-trimoxazole preventive therapy (CPT) and antiretroviral therapy (ART) uptake for HIV-positive TB patients were compared. Results: Of the 590 TB patients, 85.9% (507/590) knew their HIV status. HIV screening was highest (98.6% [95%CI: 97.6-99.5%]) at the one-stop shop (OSS) and lowest (72.5% [71.9-73.9%]) at the referral site (RS). CPT was highest [(93.8% [91.0-96.7%]) at the RS and least (74.7% [72.8-76.5%]) at the partially-integrated site (PIS). At the OSS it was 82.3% (80.6-84.0%). ART was highest (59.5% [58.0-61.0%]) at the PIS, and 10.8% (10.4-11.1%) at the RS. No ART records existed at the OSS. Conclusions: Increasing integration improved HIV screening but not CPT or ART uptake. There was insufficient evidence to identify the most effective model due to design limitations and health system barriers. More research and training is needed to improve uptake, data completeness and accuracy.</s0>
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<server><NO>PASCAL 14-0221022 INIST</NO>
<ET>Delivering TB/HIV services in Ghana: a comparative study of service delivery models</ET>
<AU>ANSA (Gloria A.); WALLEY (John D.); SIDDIQI (Kamran); XIAOLIN WEI</AU>
<AF>Nuffield Centre for International Health and Development, University of Leeds, 101 Clarendon Road/Leeds LS2 9LJ/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Transactions of the Royal Society of Tropical Medicine and Hygiene; ISSN 0035-9203; Coden TRSTAZ; Royaume-Uni; Da. 2014; Vol. 108; No. 9; Pp. 560-567; Bibl. 24 ref.</SO>
<LA>Anglais</LA>
<EA>Background: TB and HIV interaction increases TB incidence and HIV adverse outcomes. Integration improves patients' access to comprehensive care. This paper compares the impact of increasing integration on TB/HIV service delivery. Methods: Three hospitals with different delivery models were identified and a survey of TB cases registered between June 2007 and December 2008 conducted. HIV screening, co-trimoxazole preventive therapy (CPT) and antiretroviral therapy (ART) uptake for HIV-positive TB patients were compared. Results: Of the 590 TB patients, 85.9% (507/590) knew their HIV status. HIV screening was highest (98.6% [95%CI: 97.6-99.5%]) at the one-stop shop (OSS) and lowest (72.5% [71.9-73.9%]) at the referral site (RS). CPT was highest [(93.8% [91.0-96.7%]) at the RS and least (74.7% [72.8-76.5%]) at the partially-integrated site (PIS). At the OSS it was 82.3% (80.6-84.0%). ART was highest (59.5% [58.0-61.0%]) at the PIS, and 10.8% (10.4-11.1%) at the RS. No ART records existed at the OSS. Conclusions: Increasing integration improved HIV screening but not CPT or ART uptake. There was insufficient evidence to identify the most effective model due to design limitations and health system barriers. More research and training is needed to improve uptake, data completeness and accuracy.</EA>
<CC>002B01; 002B05C02D; 002B06D01</CC>
<FD>SIDA; Ghana; Etude comparative; Modèle; Virus immunodéficience humaine; Indicateur; Médecine tropicale</FD>
<FG>Virose; Infection; Afrique; Lentivirus; Retroviridae; Virus; Immunodéficit; Immunopathologie</FG>
<ED>AIDS; Ghana; Comparative study; Models; Human immunodeficiency virus; Indicator; Tropical medicine</ED>
<EG>Viral disease; Infection; Africa; Lentivirus; Retroviridae; Virus; Immune deficiency; Immunopathology</EG>
<SD>SIDA; Ghana; Estudio comparativo; Modelo; Human immunodeficiency virus; Indicador; Medicina tropical</SD>
<LO>INIST-3084.354000504843030090</LO>
<ID>14-0221022</ID>
</server>
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Delivering TB/HIV services in Ghana: a comparative study of service delivery models

Delivering TB/HIV services in Ghana: a comparative study of service delivery models

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