Administrative interventions associated with increased initiation on antiretroviral therapy in Irkutsk, Siberia

A bundle of initiatives to integrate human immunodeficiency virus (HIV) and tuberculosis (TB) services was assessed for the impact on antiretroviral therapy (ART) initiation at a TB referral hospital in Irkutsk, Russian Federation, from February 2014 to December 2015. The ART initiation rates in 166...

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Bibliographic Details
Published in:Public health action 2016-12, Vol.6 (4), p.252-254
Main Authors: Ogarkov, O. B., Ebers, A., Zhdanova, S., Moiseeva, E., Koshcheyev, M. E., Zorkaltseva, E., Shugaeva, S., Vitko, S., Lyles, G., Houpt, E. R., Heysell, S. K.
Format: Article
Language:English
Subjects:
Human Immunodeficiency Virus
Multidrug-Resistant Tuberculosis
Notes from the Field
Russian Federation
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Summary:A bundle of initiatives to integrate human immunodeficiency virus (HIV) and tuberculosis (TB) services was assessed for the impact on antiretroviral therapy (ART) initiation at a TB referral hospital in Irkutsk, Russian Federation, from February 2014 to December 2015. The ART initiation rates in 166 ART-naïve patients undergoing anti-tuberculosis treatment (34.1% with multidrug or extensively drug-resistant TB) increased significantly from 14 (17%) pre-intervention to 44 (54%) post-intervention (P < 0.001). A survey of TB hospital staff identified administrative prioritisation as the most important initiative for increasing ART initiation.
ISSN:2220-8372
2220-8372
DOI:10.5588/pha.16.0050