title: Integrating HIV testing and care into tuberculosis services in Benin: programmatic aspects.
abstract: METHODS
  Between 2005 and 2008, the diagnosis and care of human immunodeficiency virus (HIV) infection and tuberculosis (TB) services were integrated in Benin.
  
  
  RESULTS
  The appointment of a TB-HIV Coordinator by the National Tuberculosis Control Programme and quarterly supervisory visits to TB clinics have bolstered the implementation of integrated HIV-TB activities. HIV testing and cotrimoxazole preventive therapy were integrated smoothly into the TB services. The strategy chosen to facilitate access of HIV-positive TB patients to antiretroviral treatment contributed to greater integration over time, but perpetuated, for some, the burden of attending two facilities.
  
  
  CONCLUSIONS
  The integration and decentralisation of TB and HIV care services at national level in Benin resulted in a high uptake of HIV services among TB patients.
authors.affiliation: International Union Against Tuberculosis and Lung Disease, Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Ferroussier
authors.forename: R A
authors.initials: RA
authors.lastname: Dlodlo
authors.forename: D
authors.initials: D
authors.lastname: Capo-Chichi
authors.forename: F
authors.initials: F
authors.lastname: Boillot
authors.forename: M
authors.initials: M
authors.lastname: Gninafon
authors.forename: A
authors.initials: A
authors.lastname: Trébucq
authors.forename: P I
authors.initials: PI
authors.lastname: Fujiwara
mesh_terms: D019380:Anti-HIV Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001541:Benin / Q000453:epidemiology; D060085:Coinfection; D003299:Cooperative Behavior; D003376:Counseling; D019033:Delivery of Health Care, Integrated; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D033183:Interdisciplinary Communication; D007373:Interinstitutional Relations; D010342:Patient Acceptance of Health Care; D011237:Predictive Value of Tests; D016730:Program Development; D015397:Program Evaluation; D013997:Time Factors; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014376:Tuberculosis / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology
chemical_list: D019380:Anti-HIV Agents; D000995:Antitubercular Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination