Delivering TB/HIV services in Ghana: a comparative study of service delivery models.
Identifieur interne : 000109 ( PubMed/Curation ); précédent : 000108; suivant : 000110Delivering TB/HIV services in Ghana: a comparative study of service delivery models.
Auteurs : Gloria A. Ansa [Oman] ; John D. Walley [Royaume-Uni] ; Kamran Siddiqi [Royaume-Uni] ; Xiaolin Wei [Royaume-Uni]Source :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 1878-3503 ] ; 2014.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Agents antiVIH (administration et posologie), Anti-infectieux (administration et posologie), Antituberculeux (administration et posologie), Association triméthoprime-sulfaméthoxazole (administration et posologie), Besoins et demandes de services de santé, Co-infection (), Co-infection (traitement médicamenteux), Co-infection (épidémiologie), Dépistage systématique (organisation et administration), Enfant, Enfant d'âge préscolaire, Facteurs temps, Femelle, Ghana (épidémiologie), Humains, Incidence, Infections à VIH (), Infections à VIH (traitement médicamenteux), Infections à VIH (épidémiologie), Mâle, Politique de santé, Prestation intégrée de soins de santé (organisation et administration), Recherche sur les services de santé, Résultat thérapeutique, Santé publique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tuberculose (), Tuberculose (traitement médicamenteux), Tuberculose (épidémiologie), Établissements de soins ambulatoires.
- MESH :
- administration et posologie : Agents antiVIH, Anti-infectieux, Antituberculeux, Association triméthoprime-sulfaméthoxazole.
- organisation et administration : Dépistage systématique, Prestation intégrée de soins de santé.
- traitement médicamenteux : Co-infection, Infections à VIH, Tuberculose.
- épidémiologie : Co-infection, Ghana, Infections à VIH, Tuberculose.
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Besoins et demandes de services de santé, Co-infection, Enfant, Enfant d'âge préscolaire, Facteurs temps, Femelle, Humains, Incidence, Infections à VIH, Mâle, Politique de santé, Recherche sur les services de santé, Résultat thérapeutique, Santé publique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tuberculose, Établissements de soins ambulatoires.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Ambulatory Care Facilities, Anti-HIV Agents (administration & dosage), Anti-Infective Agents (administration & dosage), Antitubercular Agents (administration & dosage), Child, Child, Preschool, Coinfection (drug therapy), Coinfection (epidemiology), Coinfection (prevention & control), Delivery of Health Care, Integrated (organization & administration), Female, Ghana (epidemiology), HIV Infections (drug therapy), HIV Infections (epidemiology), HIV Infections (prevention & control), Health Policy, Health Services Accessibility, Health Services Needs and Demand, Health Services Research, Humans, Incidence, Male, Mass Screening (organization & administration), Middle Aged, Public Health, Time Factors, Treatment Outcome, Trimethoprim, Sulfamethoxazole Drug Combination (administration & dosage), Tuberculosis (drug therapy), Tuberculosis (epidemiology), Tuberculosis (prevention & control).
- MESH :
- chemical , administration & dosage : Anti-HIV Agents, Anti-Infective Agents, Antitubercular Agents, Trimethoprim, Sulfamethoxazole Drug Combination.
- geographic , epidemiology : Ghana.
- drug therapy : Coinfection, HIV Infections, Tuberculosis.
- epidemiology : Coinfection, HIV Infections, Tuberculosis.
- organization & administration : Delivery of Health Care, Integrated, Mass Screening.
- prevention & control : Coinfection, HIV Infections, Tuberculosis.
- Adolescent, Adult, Aged, Aged, 80 and over, Ambulatory Care Facilities, Child, Child, Preschool, Female, Health Policy, Health Services Accessibility, Health Services Needs and Demand, Health Services Research, Humans, Incidence, Male, Middle Aged, Public Health, Time Factors, Treatment Outcome.
Abstract
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.
DOI: 10.1093/trstmh/tru110
PubMed: 25059522
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scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Besoins et demandes de services de santé</term><term>Co-infection</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Infections à VIH</term><term>Mâle</term><term>Politique de santé</term><term>Recherche sur les services de santé</term><term>Résultat thérapeutique</term><term>Santé publique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tuberculose</term><term>Établissements de soins ambulatoires</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25059522</PMID><DateCreated><Year>2014</Year><Month>08</Month><Day>15</Day></DateCreated><DateCompleted><Year>2015</Year><Month>05</Month><Day>12</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-3503</ISSN><JournalIssue CitedMedium="Internet"><Volume>108</Volume><Issue>9</Issue><PubDate><Year>2014</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Transactions of the Royal Society of Tropical Medicine and Hygiene</Title><ISOAbbreviation>Trans. R. Soc. Trop. Med. Hyg.</ISOAbbreviation></Journal><ArticleTitle>Delivering TB/HIV services in Ghana: a comparative study of service delivery models.</ArticleTitle><Pagination><MedlinePgn>560-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/trstmh/tru110</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText><CopyrightInformation>© The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ansa</LastName><ForeName>Gloria A</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Nuffield Centre for International Health and Development, University of Leeds, 101 Clarendon Road, Leeds LS2 9LJ, UK nana_akosua@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Walley</LastName><ForeName>John D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Nuffield Centre for International Health and Development, University of Leeds, 101 Clarendon Road, Leeds LS2 9LJ, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Siddiqi</LastName><ForeName>Kamran</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Nuffield Centre for International Health and Development, University of Leeds, 101 Clarendon Road, Leeds LS2 9LJ, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wei</LastName><ForeName>Xiaolin</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Nuffield Centre for International Health and Development, University of Leeds, 101 Clarendon Road, Leeds LS2 9LJ, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>07</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trans R Soc Trop Med Hyg</MedlineTA><NlmUniqueID>7506129</NlmUniqueID><ISSNLinking>0035-9203</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000890">Anti-Infective Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000995">Antitubercular Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>8064-90-2</RegistryNumber><NameOfSubstance UI="D015662">Trimethoprim, Sulfamethoxazole Drug Combination</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000554" MajorTopicYN="N">Ambulatory Care Facilities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019380" MajorTopicYN="N">Anti-HIV Agents</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000890" MajorTopicYN="N">Anti-Infective Agents</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000995" MajorTopicYN="N">Antitubercular Agents</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D060085" MajorTopicYN="N">Coinfection</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019033" MajorTopicYN="Y">Delivery of Health Care, Integrated</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006291" MajorTopicYN="N">Health Policy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006301" MajorTopicYN="N">Health Services Needs and Demand</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006302" MajorTopicYN="N">Health Services Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008403" MajorTopicYN="N">Mass Screening</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011634" MajorTopicYN="Y">Public Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015662" MajorTopicYN="N">Trimethoprim, Sulfamethoxazole Drug Combination</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014376" MajorTopicYN="N">Tuberculosis</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="N">Indicators</Keyword><Keyword MajorTopicYN="N">Integration</Keyword><Keyword MajorTopicYN="N">Service delivery models</Keyword><Keyword MajorTopicYN="N">TB/HIV</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>7</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>5</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25059522</ArticleId><ArticleId IdType="pii">tru110</ArticleId><ArticleId 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HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Curation/RBID.i -Sk "pubmed:25059522" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |