HIV prevalence among TB patients has been estimated to be as high as 80%-90% in some areas of sub-Saharan Africa and high case-fatality rates are seen among tuberculosis (TB) patients with human immunodeficiency virus (HIV) infection, especially during the early months of TB treatment.
AIC has continued to contribute to strengthening and expanding screening, diagnosis and treatment for active and latent TB among HIV positive clients. During the period of April to June AIC focused on prevention services including HCT in the communities by using finger prick testing (FPT) in outreaches and supported health facilities instead of venous blood testing. AIC received FPT results from 44 sites offering finger prick testing to patients seen in TB clinics. A total of 60,997 clients were tested for HIV using the FPT of which 9,798 came from sites and 51,199 were from outreaches conducted by AIC.
Outreaches were found to reach more clients for HCT which contributes to exceeding targets. A total of 540 TB patients were counseled and tested for HIV. Similarly 3054 HIV positive clients were screened for TB and 295 were found to be HIV TB co-infected. During this period 295 of the 540 of the TB clients counseled and tested were found to be HIV positive. This is much higher than the WHO estimate of 39%. Attaining such high numbers is facilitated by the improved recording and reporting of TB clients as a result of AIC’s rolling out the usage of Pre –ART registers in the TB/HIV supported sites. All the patients co-infected with TB and HIV (295) had their CD4 count tests done and 74 were found with CD4 cells less than 350 and were subsequently referred for ART. Providing HCT to TB patients will help in early detection of HIV among this category of people which is anticipated to lead to early linkage into care. Early initiation of HIV care contributes to reduced morbidity and mortality thereby improving the quality of life of these individuals.
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