title: Antiretroviral treatment uptake and attrition among HIV-positive patients with tuberculosis in Kibera, Kenya.
abstract: Using data of human immunodeficiency virus-positive patients with tuberculosis from three primary care clinics in Kibera slums, Nairobi, Kenya, we report on the proportion that started antiretroviral treatment (ART) and attrition (deaths, lost to follow-up and stopped treatment) before and while on ART. Of 427 ART eligible patients, enrolled between January 2004 and December 2008, 70% started ART, 19% were lost to attrition and 11% had not initiated ART. Of those who started ART, 14% were lost to attrition, making a cumulative pre-ART and ART attrition of 33%. ART uptake among patients with TB was relatively good, but programme attrition was high and needs urgent addressing.
authors.affiliation: Medical Department, Operational Center Brussels, MSF-Luxembourg, Luxembourg.
authors.forename: K
authors.initials: K
authors.lastname: Tayler-Smith
authors.forename: R
authors.initials: R
authors.lastname: Zachariah
authors.forename: M
authors.initials: M
authors.lastname: Manzi
authors.forename: W
authors.initials: W
authors.lastname: Kizito
authors.forename: A
authors.initials: A
authors.lastname: Vandenbulcke
authors.forename: J
authors.initials: J
authors.lastname: Sitienei
authors.forename: J
authors.initials: J
authors.lastname: Chakaya
authors.forename: A D
authors.initials: AD
authors.lastname: Harries
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D006679:HIV Seropositivity / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D007630:Kenya; D008297:Male; D010349:Patient Compliance; D010352:Patient Dropouts / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000379:methods; D012189:Retrospective Studies; D014376:Tuberculosis / Q000150:complications*; D014504:Urban Health
chemical_list: D044966:Anti-Retroviral Agents