BY MAELO DAVID BUMULA SC BUNGOMA COUNTY

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Presentation transcript:

BY MAELO DAVID BUMULA SC BUNGOMA COUNTY FEASIBILITY OF HIV TESTING IN TB PATIENTS IN BUMULA SUB COUNTY TOWARDS ACHIEVING GLOBAL HEALTH TARGET BY MAELO DAVID BUMULA SC BUNGOMA COUNTY

INTRODUCTION Despite the relationship between the human Immunodeficiency virus (HIV) and tuberculosis (TB) epidemics, the public health responses have largely been separate. Detection of HIV among TB patients is crucial to the holistic management of HIV-TB co-infected

INTRODUCTION CONTD patients. This is in line with Global health target of ensuring testing 90 % population, 90% linked to care and treatment and 90% viral suppression. Objective: Broad objective, to assess the feasibility of screening all TB Patients for HIV through RRI.

Method: This cross-sectional study of 53 newly diagnosed TB and 134 HIV positive patients out of total catchment population of 223397 .The 10 health facitities were selected for RRI 6 low volume and 4 high volume. The targets were given to each facility to ensure 90% of the population with hiv testing, linked to care and treatment, viral load suppression and IPT uptake for both paediatric and adult

METHOD CONTD population for a period of 100 days done between April 2016 and July 2016.The test and treat hot report form and bar graphs were used for presentation of data. The exclusion criteria were low volume facilities with poor positivity rate.

Results:

TB DETECTED 3RD & 4TH QRT

TB TRENDS KEY:

TB TRENDS

DISCUSSION In Jan-Mar, 2016; 22 TB cases were detected of which 19 were tested for hiv and 5 were hiv positive and in Apr-June, 2016 31 TB cases were detected 15 tested for hiv and 2 were positive.According to RRI biweekly hot report of 7115 that were tested 1241 were children 0-14 years of which 21 were hiv positive plus 33 VL and 5874 adults were tested for hiv with 101 patients hiv positive and 218 VL total vl done were 252.

CONCLUSION The present study suggests that it is feasible to routinely test TB patients for HIV. However it is crucial for health providers to focus on one stop shop as opposed to referral process keeping patient concerns in mind. Motivation Strategies need to be sex-, age-, education- and Residence-specific.

ACKNOWLEDGEMENT I wish to appreciate the following: Huqas scientific committee Ministry of health bungoma county Health management team Bumula sub county Nascop Aphia plus western-Kenya Kango

REFERENCES 1. Corbett E L, Watt C J, Walker N, et al. The growing burden of tuberculosis: global trends and interactions with the HIV epidemic.Arch Intern Med 2003; 163: 1009–1021. 2. Harries A, Maher D, Graham S. TB/HIV: a clinical manual.2nd ed. WHO/HTM/TB/2004.329. Geneva, Switzerland: WorldHealth Organization, 2004. 3. Raviglione M C, Narain J P, Kochi A. HIV-associated tuberculosis

REFERENCES CONTD In developing countries: clinicalfeatures, diagnosis and treatment. Bull World Health Organ 1992; 70: 515–525. 4. Global Report. UNAIDS repot on the global AIDS epidemic 2010. 5. Corbett E, Watt CJ, Walker N, Maher D, Williams BG,Raviglione MC, et al. The growing burden of tuberculosis: global trends and interactions with the HIV epidemic.

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