The Prevalence of HIV among Registered TB Patients in Public DOTS Clinic of Ethiopia's Capital, Addis Ababa
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HIV and TB are major public health problem undermining socio-economic development. HIV is the main reason for failure to meet tuberculosis control target. Considering this fact, a descriptive study was conducted in Addis Ababa City Administration. This study aimed to assess uptake of VCT, the current prevalence of HIV and uptake of ART and CPT among registered TB patients in public DOTS clinic of Addis Ababa City Administration, and to identify potential barriers and opportunities in the collaboration between national TB and HIV control programmes. Data were collected from TB register logbook and TB/HIV quarterly report format of 24 DOTS clinic, found in Public Health Centres. All registered TB patients over the period of one year were included in the study. Literature, annual plans and reports were reviewed to identify barriers and opportunities to the collaborative TB and HIV control programmes. During one year period a total of 8272 patients were registered in the DOTS clinics, 7036 (85%) of them were tested for HIV/AIDS. The overall prevalence of HIV was 23.3%, almost equal proportion of males and females found to be HIV positive and the prevalence was high in age group between25-34. Pulmonary tuberculosis patients had higher HIV prevalence, 24.7% compared to extra pulmonary, which had 22%. VCT uptake among registered TB patients was on the way of the global target, 85%; however, the uptake of ART and CPT were unsatisfactory. While sound policies and political commitment were identified as an opportunity, lack of well organized HIV surveillance system among tuberculosis patients was the major barrier for collaborative TB/HIV programme in the city administration. It was concluded that HIV prevalence among TB patients was moderate and uptake of ART and CPT were unsatisfactory. Finally, further quantitative and qualitative studies that investigate TB/HIV collaborative programme should be needed.