Another abstract and paper from the ICAAP.
The [him] moderator would not call offering HIV counselling and testing to TB patients 'provider initiated testing and counselling'. He would call it high quality clinical practice! It is good to see that it must be an opt-out system as one third of TB patients assert their right to decline HIV testing. And the high proportion of positives will give many people the opportunity to exercise their right to HIV treatment. Bravo.
The presentation is below. Some people will not like to see the final slide.
[him] moderator
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MoOB02-01 Uptake of Provider-Initiated HIV test for Tuberculosis patients and family members in Myanmar
Philippe Clevenbergh, Bo Myint, Win Maung, Moe Zaw, Khin Ohnmar San, Kyaw Soe
International Union Against Tuberculosis and Lung Disease, Belgium
Introduction: The National AIDS and Tuberculosis Programs are collaborating to address TB/HIV co-infection since 2005. Same day provider-initiated HIV counselling, testing and result are offered by the TB program to all adult TB patients and spouses/children of TB/HIV patients residing in 8 pilot townships health centres (TSHC).
Objective: We describe the uptake of HIV test among TB patients and family members of TB/HIV patients and compare performance of new implementers versus experienced TSHC.
Results: Among 3544 adult TB patients registered in 2008, 3367 (95%) were offered HIV test, 2868 (81%) were tested for HIV, 839 (29%) were found HIV-infected, 382 (46%) spouses/children were offered HIV test, 227 (27%) spouses/children were tested, and 112 (49%) spouses/children were found HIV-infected. In 3/8 TSHC implementing the program for the first year; 64% of TB patients were HIV-tested compared to 88% in 5/8 more experienced TSHC. The proportion of spouses/children tested has increased from 15 to 21% and from 7 to 13%, respectively, between years 1-3 and year 4.
Conclusion: Provider-initiated HIV testing of TB patients permits to identify a substantial number of HIV-infected patients. More than half of spouses/children tested are HIV-infected. Uptake of HIV-test among spouses/children of TB/HIV patients remains low and necessitates implementing new strategies.
