PURPOSE: To determine the effect of HCT access on uptake
METHODS: A DOTS centre in a tertiary istitution in South East Nigeria is the site of this work. The DOTS centre is about 33 kilometres away from the Hospital where comprehensive HIV treatment and care is freely available. The uptake of HCT, availabilty of cotrimoxazole and HAART are assessed prior and after posting a dedicated HCT counsellor to the centre
RESULTS: Within one year of posting a dedicated HCT counsellor to the centre,the uptake of HCT increased from 34.1% to 93.4%,while cotrimoxazole use increased by over 3 fold. The initiation of HAART among coinfected patients also doubled.
CONCLUSIONS: The effectiveness of TB/HIV collaborative activities cannot be overemphasised and sometimes, the cost is minimal.
CLINICAL IMPLICATIONS: A little step can make a lot of difference
DISCLOSURE: The following authors have nothing to disclose: Chinwe Chukwuka, Emmanuel Nwobi, Cajetan Onyedum
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