Open Access Community-based intervention to enhance provision of integrated TB-HIV and PMTCT services in South Africa

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Abstract:

OBJECTIVE: To conduct an impact assessment of an intervention to enhance the provision of community-based integrated services for tuberculosis (TB), human immunodeficiency virus (HIV) and prevention of mother-to-child transmission (PMTCT).

METHODS: The intervention consisted of a combination of training of community care workers (CCWs), structural adjustments, harmonisation of scope of practice and stipend of CCWs and enhanced supervision of CCWs to provide comprehensive TB-HIV/PMTCT services in a rural South African district. A before and after study design was used with a household survey to assess the operational effectiveness of the intervention. Six clusters were randomised into intervention and control arms. Quantitative data were analysed using logistic regression, adjusting for cluster design.

RESULTS: Logistic regression analyses of the survey data show that CCWs from the intervention arm performed better in the provision of TB-HIV/PMTCT services, such as screening for TB and sexually transmitted infections, adherence to anti-tuberculosis treatment and antiretroviral therapy and counselling on infant feeding compared to the control CCWs (P < 0.05). However, intervention CCWs performed worse in the integrated management of childhood illnesses education and social welfare referrals (P < 0.05). The uptake of HIV testing increased significantly in the intervention arm, from 55% to 78% (P < 0.001).

CONCLUSION: The intervention was effective in enhancing the provision of community-based TB-HIV and PMTCT services. However, attention to other primary health care services is required to ensure that all key services are provided.

Keywords: HIV; PMTCT; TB; community care workers; evaluation; integration

Document Type: Research Article

DOI: http://dx.doi.org/10.5588/ijtld.13.0173

Affiliations: 1: School of Public Health, University of the Western Cape, Cape Town, South Africa; School of Public Health, National University of Rwanda, Kigali, Rwanda; and TB-HIV Care Association, Cape Town, South Africa 2: School of Public Health, University of the Western Cape, Cape Town, South Africa 3: School of Public Health, University of the Western Cape, Cape Town, South Africa; and TB-HIV Care Association, Cape Town, South Africa 4: Biostatistics Unit, Medical Research Council, Cape Town, South Africa 5: Health Systems Research Unit, Medical Research Council, Cape Town, South Africa

Publication date: October 1, 2013

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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