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Open Access Administrative interventions associated with increased initiation on antiretroviral therapy in Irkutsk, Siberia

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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.
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Keywords: ART; Russian Federation; human immunodeficiency virus; multidrug-resistant tuberculosis

Document Type: Research Article

Affiliations: 1: Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russian Federation, Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation 2: Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA 3: Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russian Federation 4: Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation 5: Regional Tuberculosis Prevention Dispensary, Irkutsk, Russian Federation, State Medical Continuing Education Academy, Irkutsk, Russian Federation

Publication date: December 21, 2016

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  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

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