Antiretroviral treatment uptake and attrition among HIV‐positive patients with tuberculosis in Kibera, Kenya
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.
Document Type: Research Article
Affiliations: 1: Medical Department, Operational Center Brussels, MSF-Luxembourg, Luxembourg 2: Medecins Sans Frontieres, Nairobi, Kenya 3: National Leprosy and TB Control Program, Ministry of Health, Nairobi, Kenya
Publication date: 2011-11-01