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Implementation of tuberculosis preventive treatment among people living with HIV, South Sudan.
Boyd, Andrew T; Lodiongo, Dennis Kenyi; Benson, John Mondi; Aragaw, Shambel; Pasquale, Margaret Semira; Ayalneh, Habtamu; Olemukan, Robert; Avaku, Isaac; Baabe, Nicholas; Achut, Victoria; Chun, Helen; Bunga, Sudhir.
  • Boyd AT; Division of Global HIV and TB, Centers for Disease Control and Prevention, 1600 Clifton Road NE, US1-1, Atlanta, GA 30329, United States of America.
  • Lodiongo DK; Division of Global HIV and TB, Centers for Disease Control and Prevention (South Sudan), Juba, South Sudan.
  • Benson JM; Division of Global HIV and TB, Centers for Disease Control and Prevention (South Sudan), Juba, South Sudan.
  • Aragaw S; International Center for AIDS Care and Treatment Programs (ICAP) South Sudan, Juba, South Sudan.
  • Pasquale MS; International Center for AIDS Care and Treatment Programs (ICAP) South Sudan, Juba, South Sudan.
  • Ayalneh H; International Center for AIDS Care and Treatment Programs (ICAP) South Sudan, Juba, South Sudan.
  • Olemukan R; International Center for AIDS Care and Treatment Programs (ICAP) South Sudan, Juba, South Sudan.
  • Avaku I; International Center for AIDS Care and Treatment Programs (ICAP) South Sudan, Juba Teaching Hospital, Juba, South Sudan.
  • Baabe N; United States Agency for International Development (South Sudan), Juba, South Sudan.
  • Achut V; HIV/AIDS/STI Directorate, Ministry of Health, Juba, South Sudan.
  • Chun H; Division of Global HIV and TB, Centers for Disease Control and Prevention, 1600 Clifton Road NE, US1-1, Atlanta, GA 30329, United States of America.
  • Bunga S; Division of Global HIV and TB, Centers for Disease Control and Prevention (South Sudan), Juba, South Sudan.
Bull World Health Organ ; 99(1): 34-40, 2021 Jan 01.
Article in English | MEDLINE | ID: covidwho-1264306
ABSTRACT

OBJECTIVE:

To describe an intervention to scale up tuberculosis preventive treatment for people living with human immunodeficiency virus (HIV) in South Sudan, 2017-2020.

METHODS:

Staff of the health ministry and United States President's Emergency Plan for AIDS Relief designed an intervention targeting the estimated 30 400 people living with HIV on antiretroviral therapy across South Sudan. The intervention comprised (i) developing sensitization and operational guidance for clinicians to put tuberculosis preventive treatment delivery into clinical practice; (ii) disseminating monitoring and evaluation tools to document scale-up; (iii) implementing a programmatic pilot of tuberculosis preventive treatment; and (iv) identifying a mechanism for procurement and delivery of isoniazid to facilities dispensing tuberculosis preventive treatment. Staff aggregated routine programme data from facility registers on the numbers of people living with HIV who started on tuberculosis preventive treatment across all clinical sites providing this treatment during July 2019-March 2020.

FINDINGS:

Tuberculosis preventive treatment was implemented in 13 HIV treatment sites during July-October 2019, then in 26 sites during November 2019-March 2020. During July 2019-March 2020, 6503 people living with HIV started tuberculosis preventive treatment.

CONCLUSION:

Lessons for other low-resource settings may include supplementing national guidelines with health ministry directives, clinician guidance and training, and an implementation pilot. A cadre of field supervisors can rapidly disseminate a standardized approach to implementation and monitoring of tuberculosis preventive treatment, and this approach can be used to strengthen other tuberculosis-HIV services. Procuring a reliable and steady supply of tuberculosis preventive treatment medication is crucial.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Tuberculosis / HIV Infections Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Africa Language: English Journal: Bull World Health Organ Year: 2021 Document Type: Article Affiliation country: Blt.20.254789

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tuberculosis / HIV Infections Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Africa Language: English Journal: Bull World Health Organ Year: 2021 Document Type: Article Affiliation country: Blt.20.254789