TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo.
Identifieur interne : 000D20 ( PubMed/Checkpoint ); précédent : 000D19; suivant : 000D21TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo.
Auteurs : Berthollet Bwira Kaboru [Suède] ; Brenda A. Ogwang [Suède] ; Edmond Ntabe Namegabe ; Ndemo Mbasa ; Deka Kambale Kabunga ; Kambale KarafuliSource :
- International journal of health policy and management [ 2322-5939 ] ; 2013.
Abstract
HIV/AIDS and Tuberculosis (TB) are major contributors to the burden of disease in sub-Saharan Africa. The two diseases have been described as a harmful synergy as they are biologically and epidemiologically linked. Control of TB/HIV co-infection is an integral and most challenging part of both national TB and national HIV control programmes, especially in contexts of instability where health systems are suffering from political and social strife. This study aimed at assessing the provision of HIV/TB co-infection services in health facilities in the conflict-ridden region of Goma in Democratic Republic of Congo.
DOI: 10.15171/ijhpm.2013.38
PubMed: 24596866
Affiliations:
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Ogwang</name><affiliation wicri:level="3"><nlm:affiliation>Division of Global Health (IHCAR), Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Global Health (IHCAR), Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Namegabe, Edmond Ntabe" sort="Namegabe, Edmond Ntabe" uniqKey="Namegabe E" first="Edmond Ntabe" last="Namegabe">Edmond Ntabe Namegabe</name><affiliation><nlm:affiliation>Faculté des Sciences de Santé et Developpement Communautaires, Université Libre des Pays des Grands Lacs, Goma, Democratic Republic of Congo.</nlm:affiliation><wicri:noCountry code="subField">Democratic Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Mbasa, Ndemo" sort="Mbasa, Ndemo" uniqKey="Mbasa N" first="Ndemo" last="Mbasa">Ndemo Mbasa</name><affiliation><nlm:affiliation>Faculté des Sciences de Santé et Developpement Communautaires, Université Libre des Pays des Grands Lacs, Goma, Democratic Republic of Congo.</nlm:affiliation><wicri:noCountry code="subField">Democratic Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Kabunga, Deka Kambale" sort="Kabunga, Deka Kambale" uniqKey="Kabunga D" first="Deka Kambale" last="Kabunga">Deka Kambale Kabunga</name><affiliation><nlm:affiliation>Inspection Provinciale de la Santé, Goma, Democratic Republic of Congo.</nlm:affiliation><wicri:noCountry code="subField">Democratic Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Karafuli, Kambale" sort="Karafuli, Kambale" uniqKey="Karafuli K" first="Kambale" last="Karafuli">Kambale Karafuli</name><affiliation><nlm:affiliation>Faculté des Sciences de Santé et Developpement Communautaires, Université Libre des Pays des Grands Lacs, Goma, Democratic Republic of Congo.</nlm:affiliation><wicri:noCountry code="subField">Democratic Republic of Congo</wicri:noCountry></affiliation></author></analytic><series><title level="j">International journal of health policy and management</title><idno type="ISSN">2322-5939</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">HIV/AIDS and Tuberculosis (TB) are major contributors to the burden of disease in sub-Saharan Africa. The two diseases have been described as a harmful synergy as they are biologically and epidemiologically linked. Control of TB/HIV co-infection is an integral and most challenging part of both national TB and national HIV control programmes, especially in contexts of instability where health systems are suffering from political and social strife. This study aimed at assessing the provision of HIV/TB co-infection services in health facilities in the conflict-ridden region of Goma in Democratic Republic of Congo.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24596866</PMID><DateCreated><Year>2014</Year><Month>03</Month><Day>05</Day></DateCreated><DateCompleted><Year>2014</Year><Month>03</Month><Day>05</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2322-5939</ISSN><JournalIssue CitedMedium="Print"><Volume>1</Volume><Issue>3</Issue><PubDate><Year>2013</Year><Month>Sep</Month></PubDate></JournalIssue><Title>International journal of health policy and management</Title><ISOAbbreviation>Int J Health Policy Manag</ISOAbbreviation></Journal><ArticleTitle>TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo.</ArticleTitle><Pagination><MedlinePgn>207-11</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.15171/ijhpm.2013.38</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">HIV/AIDS and Tuberculosis (TB) are major contributors to the burden of disease in sub-Saharan Africa. The two diseases have been described as a harmful synergy as they are biologically and epidemiologically linked. Control of TB/HIV co-infection is an integral and most challenging part of both national TB and national HIV control programmes, especially in contexts of instability where health systems are suffering from political and social strife. This study aimed at assessing the provision of HIV/TB co-infection services in health facilities in the conflict-ridden region of Goma in Democratic Republic of Congo.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional survey of health facilities that provide either HIV or TB services or both was carried out. A semi-structured questionnaire was used to collect the data which was analysed using descriptive statistics.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighty facilities were identified, of which 64 facilities were publicly owned. TB care was more available than HIV care (in 61% vs. 9% of facilities). Twenty-three facilities (29%) offered services to co-infected patients. TB/HIV co-infection rates among patients were unknown in 82% of the facilities. Only 19 facilities (24%) reported some coordination with and support from concerned diseases' control programmes. HIV and TB services are largely fragmented, indicating imbalances and poor coordination by disease control programmes.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">HIV and TB control appear not to be the focus of health interventions in this crisis affected region, despite the high risks of TB and HIV infection in the setting. Comprehensive public health response to this setting calls for reforms that promote joint TB/HIV co-infection control, including improved leadership by the HIV programmes that accuse weaknesses in this conflict-ridden region.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kaboru</LastName><ForeName>Berthollet Bwira</ForeName><Initials>BB</Initials><AffiliationInfo><Affiliation>School of Health and Medical Sciences, Örebro University, Örebro, Sweden ; Division of Global Health (IHCAR), Karolinska Institutet, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ogwang</LastName><ForeName>Brenda A</ForeName><Initials>BA</Initials><AffiliationInfo><Affiliation>Division of Global Health (IHCAR), Karolinska Institutet, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Namegabe</LastName><ForeName>Edmond Ntabe</ForeName><Initials>EN</Initials><AffiliationInfo><Affiliation>Faculté des Sciences de Santé et Developpement Communautaires, Université Libre des Pays des Grands Lacs, Goma, Democratic Republic of Congo.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mbasa</LastName><ForeName>Ndemo</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Faculté des Sciences de Santé et Developpement Communautaires, Université Libre des Pays des Grands Lacs, Goma, Democratic Republic of Congo.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kabunga</LastName><ForeName>Deka Kambale</ForeName><Initials>DK</Initials><AffiliationInfo><Affiliation>Inspection Provinciale de la Santé, Goma, Democratic Republic of Congo.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Karafuli</LastName><ForeName>Kambale</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Faculté des Sciences de Santé et Developpement Communautaires, Université Libre des Pays des Grands Lacs, Goma, Democratic Republic of Congo.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>08</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Iran</Country><MedlineTA>Int J Health Policy Manag</MedlineTA><NlmUniqueID>101619905</NlmUniqueID><ISSNLinking>2322-5939</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Bull World Health Organ. 2002;80(6):464-9</RefSource><PMID Version="1">12132003</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2007 Jun 30;369(9580):2187-95</RefSource><PMID Version="1">17604801</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Disasters. 2004 Sep;28(3):322-39</RefSource><PMID Version="1">15344944</PMID></CommentsCorrections><CommentsCorrections 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Version="1">15228495</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC3937882</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Co-Infection</Keyword><Keyword MajorTopicYN="N">Congo</Keyword><Keyword MajorTopicYN="N">Disease Control</Keyword><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">Integrated Services</Keyword><Keyword MajorTopicYN="N">TB</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>08</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>08</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>3</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24596866</ArticleId><ArticleId IdType="doi">10.15171/ijhpm.2013.38</ArticleId><ArticleId IdType="pmc">PMC3937882</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><noCountry><name sortKey="Kabunga, Deka Kambale" sort="Kabunga, Deka Kambale" uniqKey="Kabunga D" first="Deka Kambale" last="Kabunga">Deka Kambale Kabunga</name><name sortKey="Karafuli, Kambale" sort="Karafuli, Kambale" uniqKey="Karafuli K" first="Kambale" last="Karafuli">Kambale Karafuli</name><name sortKey="Mbasa, Ndemo" sort="Mbasa, Ndemo" uniqKey="Mbasa N" first="Ndemo" last="Mbasa">Ndemo Mbasa</name><name sortKey="Namegabe, Edmond Ntabe" sort="Namegabe, Edmond Ntabe" uniqKey="Namegabe E" first="Edmond Ntabe" last="Namegabe">Edmond Ntabe Namegabe</name></noCountry><country name="Suède"><region name="Svealand"><name sortKey="Kaboru, Berthollet Bwira" sort="Kaboru, Berthollet Bwira" uniqKey="Kaboru B" first="Berthollet Bwira" last="Kaboru">Berthollet Bwira Kaboru</name></region><name sortKey="Ogwang, Brenda A" sort="Ogwang, Brenda A" uniqKey="Ogwang B" first="Brenda A" last="Ogwang">Brenda A. 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