原创力文档assessing the accessibility of hiv care packages among tuberculosis patients in the northwest region, cameroon艾滋病病毒的易访问性评估护理包在西北地区肺结核患者中,喀麦隆.pdfVIP
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assessing the accessibility of hiv care packages among tuberculosis patients in the northwest region, cameroon艾滋病病毒的易访问性评估护理包在西北地区肺结核患者中,喀麦隆
Njozing et al. BMC Public Health 2010, 10:129
/1471-2458/10/129
RESEARCH ARTICLE Open Access
Assessing the accessibility of HIV care packages
among tuberculosis patients in the Northwest
Region, Cameroon
1,2,3* 2 4 2,3
Nwarbébé Barnabas Njozing , San Sebastian Miguel , Pius Muffih Tih , Anna-Karin Hurtig
Abstract
Background: Tuberculosis (TB) and human immunodeficiency virus (HIV) co-infection is a major source of
morbidity and mortality globally. The World Health Organization (WHO) has recommended that HIV counselling
and testing be offered routinely to TB patients in order to increase access to HIV care packages. We assessed the
uptake of provider-initiated testing and counselling (PITC), antiretroviral (ART) and co-trimoxazole preventive
therapies (CPT) among TB patients in the Northwest Region, Cameroon.
Methods: A retrospective cohort study using TB registers in 4 TB/HIV treatment centres (1 public and 3 faith-
based) for patients diagnosed with TB between January 2006 and December 2007 to identify predictors of the
outcomes; HIV testing/serostatus, ART and CPT enrolment and factors that influenced their enrolment between
public and faith-based hospitals.
Results: A total of 2270 TB patients were registered and offered pre-HIV test counselling; 2150 (94.7%) accepted
the offer of a test. The rate of acceptance was significantly higher among patients in the public hospital compared
to those in the faith-based hospitals (crude OR 1.97; 95% CI 1.33 - 2.92) and (adjusted OR 1.92; 95% CI 1.24 - 2.97).
HIV prevalence was 68.5% (1473/2150). Independent predictors of HIV-seropositivity emerged as: females, age
groups 15-29, 30-44 and 45-59 years, rural residence, previously treated TB and smear-negative pul
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