title: Administrative interventions associated with increased initiation on antiretroviral therapy in Irkutsk, Siberia.
abstract: A bundle of initiatives to integrate human immunodeficiency virus (HIV) and tuberculosis (TB) services was assessed for the impact on antiretroviral therapy (ART) initiation at a TB referral hospital in Irkutsk, Russian Federation, from February 2014 to December 2015. The ART initiation rates in 166 ART-naïve patients undergoing anti-tuberculosis treatment (34.1% with multidrug or extensively drug-resistant TB) increased significantly from 14 (17%) pre-intervention to 44 (54%) post-intervention (P< 0.001). A survey of TB hospital staff identified administrative prioritisation as the most important initiative for increasing ART initiation.
authors.affiliation: Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russian Federation ; Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation.
authors.forename: O B
authors.initials: OB
authors.lastname: Ogarkov
authors.affiliation: Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: A
authors.initials: A
authors.lastname: Ebers
authors.affiliation: Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russian Federation.
authors.forename: S
authors.initials: S
authors.lastname: Zhdanova
authors.affiliation: Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation.
authors.forename: E
authors.initials: E
authors.lastname: Moiseeva
authors.affiliation: Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation.
authors.forename: M E
authors.initials: ME
authors.lastname: Koshcheyev
authors.affiliation: Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation ; State Medical Continuing Education Academy, Irkutsk, Russian Federation.
authors.forename: E
authors.initials: E
authors.lastname: Zorkaltseva
authors.affiliation: Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation.
authors.forename: S
authors.initials: S
authors.lastname: Shugaeva
authors.affiliation: Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: S
authors.initials: S
authors.lastname: Vitko
authors.affiliation: Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: G
authors.initials: G
authors.lastname: Lyles
authors.affiliation: Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: E R
authors.initials: ER
authors.lastname: Houpt
authors.affiliation: Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: S K
authors.initials: SK
authors.lastname: Heysell
keywords: ART; Russian Federation; human immunodeficiency virus; multidrug-resistant tuberculosis