Open AccessTuberculosis and HIV integration in sub-Saharan Africa
Author(s) -
Gloria Akosua Ansa,
Jerry Selase Sifa
Publication year - 2015
Publication title -
asian pacific journal of tropical disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.208
H-Index - 33
ISSN - 2222-1808
DOI - 10.1016/s2222-1808(15)60927-6
Subject(s) - tuberculosis , psychological intervention , medicine , referral , service delivery framework , pandemic , documentation , human immunodeficiency virus (hiv) , standardization , environmental health , family medicine , service (business) , business , nursing , political science , disease , covid-19 , marketing , computer science , pathology , infectious disease (medical specialty) , law , programming language
Sub-Saharan Africa (SSA) has borne the greatest burden of the tuberculosis (TB) and HIV\udpandemics. In attempt to halt and reverse the situation, World Health Organization-inspired\udpolicies have been adopted by many countries. However, implementing these policies have\udseen limited success. And few studies have been conducted to ascertain the factors influencing\udinterventions and their implementation. This review therefore sought to use comparative\udanalysis to determine the activities implemented, service delivery models as well as the barriers\udand facilitators of TB/HIV integration in SSA. Many literatures were identified and selected\udbased on a criteria. Narrative approach was then used to review the literature. Eight articles were\udidentified based on different TB/HIV integration programmes across SSA. TB/HIV implemented\udinterventions were HIV screening for TB patients, co-trimoxazole preventive therapy and\udantiretroviral therapy for eligible HIV positive patients. Three main service delivery models\udwith varying levels of integration were identified: referral, partial integration and full integration\udmodel. Staff shortages, poor documentation, lack of resources, irregular supply of drugs,\udinadequate infrastructure were barriers whereas direct supervision, standardization and mutual\udadjustment were identified as facilitators of integration. TB/HIV integration in SSA is feasible but\udthe uptake of interventions has been low due to barriers arising from the local policies and other\udcontexts. Identified facilitators can therefore be used to promote TB/HIV integration