Using data of human immunodeficiency virus-positive patients with tuberculosis from three primary care clinics in Kibera slums, Nairobi, Kenya, we report on the proportion that started antiretroviral treatment (ART) and attrition (deaths, lost to follow-up and stopped treatment) before and while on ART. Of 427 ART eligible patients, enrolled between January 2004 and December 2008, 70% started ART, 19% were lost to attrition and 11% had not initiated ART. Of those who started ART, 14% were lost to attrition, making a cumulative pre-ART and ART attrition of 33%. ART uptake among patients with TB was relatively good, but programme attrition was high and needs urgent addressing.
BT - Tropical medicine & international health : TM & IH C1 - http://www.ncbi.nlm.nih.gov/pubmed/21831116?dopt=Abstract DA - 2011 Nov DO - 10.1111/j.1365-3156.2011.02863.x IS - 11 J2 - Trop. Med. Int. Health LA - eng N2 -Using data of human immunodeficiency virus-positive patients with tuberculosis from three primary care clinics in Kibera slums, Nairobi, Kenya, we report on the proportion that started antiretroviral treatment (ART) and attrition (deaths, lost to follow-up and stopped treatment) before and while on ART. Of 427 ART eligible patients, enrolled between January 2004 and December 2008, 70% started ART, 19% were lost to attrition and 11% had not initiated ART. Of those who started ART, 14% were lost to attrition, making a cumulative pre-ART and ART attrition of 33%. ART uptake among patients with TB was relatively good, but programme attrition was high and needs urgent addressing.
PY - 2011 SP - 1380 EP - 3 T2 - Tropical medicine & international health : TM & IH TI - Antiretroviral treatment uptake and attrition among HIV-positive patients with tuberculosis in Kibera, Kenya. VL - 16 SN - 1365-3156 ER -