Antiretroviral treatment uptake and attrition among HIV-positive patients with tuberculosis in Kibera, Kenya

Trop Med Int Health. 2011 Nov;16(11):1380-3. doi: 10.1111/j.1365-3156.2011.02863.x. Epub 2011 Aug 11.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-Retroviral Agents / therapeutic use*
  • Cross-Sectional Studies
  • Female
  • HIV Seropositivity / complications
  • HIV Seropositivity / drug therapy*
  • Humans
  • Kenia
  • Male
  • Patient Compliance*
  • Patient Dropouts / statistics & numerical data
  • Primary Health Care / methods
  • Retrospective Studies
  • Tuberculosis / complications*
  • Urban Health

Substances

  • Anti-Retroviral Agents