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TB/HIV PILOT PROJECT

TB/HIV PILOT PROJECT. EAST LONDON DISTRICT Province of the Eastern Cape. Background . Project started in May 1999 with 5 clinics Co-ordinated by CDC and ATIC manager Project operated on a district budget with no additional funding or human resource.

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TB/HIV PILOT PROJECT

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  1. TB/HIV PILOT PROJECT EAST LONDON DISTRICT Province of the Eastern Cape

  2. Background • Project started in May 1999 with 5 clinics • Co-ordinated by CDC and ATIC manager • Project operated on a district budget with no additional funding or human resource. • May 2000 number of clinics increased to 10 • Assistance received from the EQUITY Project to co-ordinate and manage project. • October 2000 to date number of clinics increased to 15

  3. Background • 3 clinics are located in the rural area, 3 in informal settlements and 9 in urban area. • Total population served by the selected clinics – 180 000 • All clinics offer comprehensive primary health care services

  4. Aims of TB/HIV Pilot Project • To provide an entry point for identification and care of HIV/AIDS clients • To improve active TB case finding and management of STIs including HIV at the district level • To integrate VCT services into the PHC package

  5. Cumulative TB Screening among HIV Positive Clients

  6. Compliance to INH • Compliance rate to INH is 40% • This low compliance rate is due to several reasons: • Once clients start INH they are seen by other nurses in the clinic for follow-up and clinic charts are not complete • Not all clinics are giving INH therefore clients referred in for therapy do not always return for their treatment • Some clients return to the home (Transkei) when they begin to feel ill.

  7. East London District

  8. Testing among ANC clients in East London District

  9. Positivity Rate of antenatal clients at all 3 sites (Aug 2001 - July 2002)

  10. Testing Rate among ANC clients in East London District

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