Baseline assessment of collaborative tuberculosis/HIV activities in Kinshasa, the Democratic Republic of Congo.
Ninety-two clinics were surveyed in 2005 as part of a baseline assessment of HIV activities in Tuberculosis (TB) clinics in Kinshasa, Democratic Republic of Congo. Some HIV activities were implemented in 58% of TB clinics. The majority of health had > or = 1 health care worker (HCW) trained in either HIV counseling or testing (71%). Fifty-three clinics offered counseling and testing to TB patients; twenty-two (42%) routinely offered HIV CT to all patients, while others used selective criteria. While most offered on-site counseling (92%) and testing (77%), not all 53 clinics had a HCW trained in counseling and only 31 had access to a counseling room. Cotrimoxazole prophylaxis was offered in 51% of clinics; antiretroviral treatment in 17%. Shortcomings in human resources, infrastructure and quality of services were revealed. Strengthening those clinics already implementing HIV activities could be prioritized to achieve the goals set forward by the Global Plan to Stop TB.
Martinot
Amanda
A
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7435, USA. amanda_martinot@hms.harvard.edu
Van Rie
Annelies
A
Mulangu
Sabue
S
Mbulula
Marie
M
Jarrett
Nikki
N
Behets
Frieda
F
Bola
Valentin
V
Bahati
Etienne
E
D015492:AIDS Serodiagnosis; D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D003299:Cooperative Behavior; D003376:Counseling; D003695:Delivery of Health Care; D015023:Democratic Republic of the Congo; D015658:HIV Infections / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D019538:Health Care Surveys; D006282:Health Personnel / Q000193:education; D006801:Humans; D007407:Interviews as Topic; D009313:National Health Programs; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014376:Tuberculosis / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy