The Cote d'Ivoire national HIV counseling and testing program for tuberculosis patients:: implementation and analysis of epidemiologic data
The Cote d'Ivoire national HIV counseling and testing program for tuberculosis patients:: implementation and analysis of epidemiologic data
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DOI：
10.1097/00002030-199805000-00012
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发表时间：
1998-03-26
期刊：
影响因子：
3.8
通讯作者：
Greenberg, AE
中科院分区：
文献类型：
--
作者：
Abouya, L;Coulibaly, IM;Greenberg, AE
目标：描述在科特迪瓦八个大型门诊结核病中心为新诊断结核病患者实施免费、自愿和保密的艾滋病毒咨询和检测项目，并介绍参与患者的流行病学调查结果。设计：艾滋病毒咨询和检测项目，并进行持续的艾滋病毒血清监测。方法：1989年在阿比让的两个结核病中心建立了艾滋病毒咨询和检测服务，并扩展到六个中心1994 年上半年在科特迪瓦内陆地区进行的调查。对 1994 年至 1996 年所有八个中心的咨询患者特征、艾滋病毒检测接受率和艾滋病毒血清学结果进行了分析。对阿比让两个中心从 1989 年至 1996 年的艾滋病毒血清阳性率的时间趋势进行了检查。结果：从 1994 年 7 月到 1996 年 12 月，17在科特迪瓦八个中心接受咨询的 19 594 名患者中，有 946 名 (91.8%) 同意接受艾滋病毒检测，其中 7,749 名 (43.2%) 艾滋病毒血清呈阳性。阿比让的两个中心的发病率最高，分别为 47.0% 和 45.6%，而内陆的六个中心的发病率则从 32.9% 到 42.4% 不等。科特迪瓦 50 个地区均发现了艾滋病毒血清阳性结核病患者。在阿比让，男性的艾滋病毒血清阳性率保持相对稳定（1989年为46.7％，1991年为48.5％，1996年为43.6％），但女性中的艾滋病毒血清阳性率从1989年的32.7％急剧上升到1996年的50.1％。结论：科特迪瓦所有地理区域的结核病患者的艾滋病毒血清阳性率都很高迪瓦表示，艾滋病毒疫情现已在全国蔓延。然而，迄今为止，科特迪瓦卫生部已成功为超过 37 000 名结核病患者实施了广泛的艾滋病毒咨询和检测方案，这表明科特迪瓦卫生部致力于将艾滋病毒/艾滋病预防活动与结核病控制工作结合起来。在后勤和经济上可行的情况下，非洲其他国家结核病控制规划应考虑向艾滋病毒血清阳性结核病患者提供与艾滋病毒相关的社会和临床服务。
Objectives: To describe the implementation of a free, voluntary and confidential HIV counseling and testing program for patients with newly diagnosed tuberculosis at the eight large outpatient tuberculosis centers in Cote d'Ivoire, and to present epidemiologic findings on participating patients.Design: HIV counseling and testing program with ongoing HIV serosurveillance.Methods: HIV counseling and testing services were established at the two tuberculosis centers in Abidjan in 1989 and were extended to six centers in the Cote d'Ivoire interior in the first half of 1994. Characteristics of counseled patients, acceptance rates of HIV testing, and HIV serologic results were analyzed for all eight centers from 1994 to 1996. Temporal trends in HIV seropositivity rates were examined for the two centers of Abidjan from 1989 to 1996.Results: From July 1994 through December 1996, 17 946 (91.8%) out of 19 594 patients who were counseled at the eight centers in Cote d'Ivoire consented to HIV testing, of whom 7749 (43.2%) were HIV-seropositive. The highest rates of 47.0 and 45.6% were found in the two centers in Abidjan, with rates ranging from 32.9 to 42.4% in the six centers in the interior. HIV-seropositive tuberculosis patients from each of the 50 districts in Cote d'Ivoire were identified. In Abidjan, the HIV seropositivity rate remained relatively stable among men (46.7% in 1989, 48.5% in 1991, 43.6% in 1996), but rose sharply among women from 32.7% in 1989 to 50.1% in 1996.Conclusions: The high HIV seropositivity rates among tuberculosis patients in all geographic regions of Cote d'Ivoire indicate that the HIV epidemic has now spread throughout the country. However, the successful implementation of an extensive HIV counseling and testing program for more than 37 000 tuberculosis patients to date demonstrates the commitment of the Cote d'Ivoire Ministry of Health to integrating HIV/AIDS prevention activities with tuberculosis control efforts. When logistically and economically feasible, the extension of HIV-related social and clinical services to HIV-seropositive tuberculosis patients should be considered by other national tuberculosis control programs in Africa.