1. EAST LONDON DISTRICT Province of the Eastern Cape
TB/HIV PILOT PROJECT
EAST LONDON DISTRICT
Province of the Eastern Cape

2. Background Project started in May 1999 with 5 clinics
Co-ordinated by CDC and ATIC manager
Project operated on a district budget with no additional funding or human resource.
May 2000 number of clinics increased to 10
Assistance received from the EQUITY Project to co-ordinate and manage project.
October 2000 to date number of clinics increased to 15

3. Background
3 clinics are located in the rural area, 3 in informal settlements and 9 in urban area.
Total population served by the selected clinics –
All clinics offer comprehensive primary health care services

4. Aims of TB/HIV Pilot Project
To provide an entry point for identification and care of HIV/AIDS clients
To improve active TB case finding and management of STIs including HIV at the district level
To integrate VCT services into the PHC package

5. Cumulative TB Screening among HIV Positive Clients

6. Compliance to INH Compliance rate to INH is 40%
This low compliance rate is due to several reasons:
Once clients start INH they are seen by other nurses in the clinic for follow-up and clinic charts are not complete
Not all clinics are giving INH therefore clients referred in for therapy do not always return for their treatment
Some clients return to the home (Transkei) when they begin to feel ill.

7. East London District No. Counseled 1232 1921 1870 1652
Q4/01
Q1/02
Q2/02
Q3/02
No. Counseled
1232
1921
1870
1652
No. Tested for HIV
1189
1534
1740
1586
No. Tested HIV Positive
407
519
595
513
N0. Screened for TB
256
421
382
413
No. Screened & diagnosed with TB 50 35 16 43
No. Eligible for INH
306
386
371
346
No. Started INH
230
334
247
No. Started Cotrimoxazole
135
224
169
212

8. Testing among ANC clients in East London District

9. Positivity Rate of antenatal clients at all 3 sites (Aug 2001 - July 2002)

10. Testing Rate among ANC clients in East London District