Document Detail


Collaboration between the national tuberculosis programme and a non governmental organisation in TB/HIV care at a district level: experience from Tanzania.
MedLine Citation:
PMID:  15477189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The increase in tuberculosis and HIV/AIDS patients in many countries in Africa including Tanzania, is outstripping the ability of public health services to cope. This calls for a closer collaboration between tuberculosis programmes and other stakeholders involved in HIV/AIDS care. OBJECTIVE: To determine the feasibility of establishing collaboration between the tuberculosis programme and an NGO in TB/ HIV care at a district level in Tanzania. METHODS: Quantitative and qualitative study designs involving TB as well as HIV suspects and patients together with health workers, were conducted between December, 2001 and September, 2002. RESULTS: A total of 72 patients and 28 key informants were involved. The collaboration was in the following areas; voluntary counselling and testing for HIV, diagnosis and treatment of TB, referral and follow up of patients and suspects, home based care, psychological support and training. Both the tuberculosis programme and NGO benefited from the collaboration. TB case detection among PLWA increased more than three folds and TB treatment was integrated in home based care of NGO. The main barriers identified in this study were; poor communication, poor referral system and lack of knowledge and skills among health staff. CONCLUSION: The study has shown that it is possible for a tuberculosis programme and a non governmental organisation to collaborate in TB/HIV care. The study has also identified potential areas of collaboration and barriers that needed to be overcome in order to provide such comprehensive services at a district level.
Authors:
Eliud Wandwalo; Neema Kapalata; Edith Tarimo; C Brigid Corrigan; Odd Morkve
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  African health sciences     Volume:  4     ISSN:  1729-0503     ISO Abbreviation:  Afr Health Sci     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-10-12     Completed Date:  2008-11-03     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  101149451     Medline TA:  Afr Health Sci     Country:  Uganda    
Other Details:
Languages:  eng     Pagination:  109-14     Citation Subset:  IM    
Affiliation:
National Tuberculosis and Leprosy Programme, Ministry of Health, Tanzania. jamiitb@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Communication
Cooperative Behavior*
Feasibility Studies
HIV Infections / complications,  diagnosis,  drug therapy*
Health Education / organization & administration
Health Knowledge, Attitudes, Practice
Health Services Accessibility / organization & administration
Humans
National Health Programs / organization & administration*
Organizations / organization & administration*
Referral and Consultation / organization & administration
Tanzania
Tuberculosis, Pulmonary / complications,  diagnosis,  drug therapy*
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