Skip to main content
Home / Public Health Action, Volume 11, Number 4

Open Access Delivery of TB preventive therapy to incarcerated people living with HIV in southern African correctional facilities

Download Article:
TB preventive treatment (TPT) is recommended for high-risk and hard-to-reach populations such as incarcerated people living with HIV (PLHIV). To assess implementation of TPT delivery in correctional settings, we conducted an exploratory analysis of data from a multisite cohort study in South Africa and Zambia. From 975 participants, 648 were screened for TB, and 409 initiated TPT mostly within a month after initiation of antiretroviral therapy (190/409, 46.5%). We observed a median gap of one month (IQR 0.6–4.7) in TPT delivery to incarcerated PLHIV. Future research should examine standardised quality improvement tools and new strategies such as short-course regimens to improve TPT initiation in this population.

Keywords: South Africa; TPT cascade; Zambia; inmates; short-course regimens

Document Type: Research Article

Affiliations: 1: The Aurum Institute, Parktown, Johannesburg, South Africa 2: Centre for Infectious Disease Research in Zambia, Lusaka, Zambia, School of Population Health, University of New South Wales, Sydney, NSW, Australia 3: TB HIV Care, Cape Town, South Africa 4: London School of Tropical Hygiene & Medicine, London, UK 5: The Aurum Institute, Parktown, Johannesburg, South Africa, Johns Hopkins University, Baltimore, MD, USA 6: Centre for Infectious Disease Research in Zambia, Lusaka, Zambia, Institute for Global Health & Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, NC, USA 7: The Aurum Institute, Parktown, Johannesburg, South Africa, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa

Publication date: 21 December 2021

More about this publication?

  • Public Health Action (PHA), The Union's quarterly Open Access journal, welcomes the submission of articles on operational research. It publishes high-quality scientific research on health services, providing new knowledge on how to improve access, equity, quality and efficiency of health systems and services.

    The Editors will consider any manuscript reporting original research on quality improvements, cost-benefit analysis, legislation, training and capacity building, with a focus on all relevant areas of public health (e.g. infection control, nutrition, TB, HIV, vaccines, smoking, COVID-19, microbial resistance, outbreaks etc).

  • Editorial Board
  • Information for Authors
  • International Journal of Tuberculosis and Lung Disease
  • Public Health Action
  • Ingenta Connect is not responsible for the content or availability of external websites

Share Content

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content