dc.contributor.author | D, Nansera | |
dc.contributor.author | F, Bajunirwe | |
dc.contributor.author | J, Kabakyenga | |
dc.contributor.author | J, Asiimwe PK | |
dc.contributor.author | H, Mayanja-Kizza | |
dc.date.accessioned | 2021-12-08T07:19:08Z | |
dc.date.available | 2021-12-08T07:19:08Z | |
dc.date.issued | 2010-12-04 | |
dc.identifier.citation | Nansera, D., Bajunirwe, F., Kabakyenga, J., Asiimwe, P. K., & Mayanja-Kizza, H. (2010). Opportunities and barriers for implementation of integrated TB and HIV care in lower level health units: experiences from a rural western Ugandan district. African health sciences, 10(4). | en_US |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/1078 | |
dc.description.abstract | Background: As countries with a high burden of TB and HIV roll out integrated TB/HIV care, there is need to assess possibility of lower level health units treating TB to provide integrated TB/HIV care.
Objective: To determine barriers and opportunities for provision of integrated TB/HIV care in lower level health units offering TB treatment in Mbarara district, Uganda.
Methods: Conducted key informant interviews, interviewed health workers and observed services offered.
Results: 22 health units were assessed and 88 health workers were interviewed. Of the 18 health units mandated to offer laboratory services, 55.6% and 38.9% were able to offer rapid HIV-testing and ZN staining respectively. Understaffing, lack of capacity to diagnose HIV and TB, lack of guidelines to inform care options of TB/HIV co-infected patients and insufficient knowledge and skills among health workers towards provision of integrated TB/HIV care were mentioned as barriers to provision of integrated TB/HIV services.
Conclusion: To offer integrated TB/HIV services at lower level health units currently offering TB stand-alone services, there is need to address gaps in knowledge and skills among health workers, laboratory diagnostics, staffing levels, medical supplies and infrastructure | en_US |
dc.description.sponsorship | National Institutes of Health (ICOHRTA-AIDS/ TB, Award Number U2RTW006879 and Fogarty International Center NIH (EY1252601) | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | African Health Sciences | en_US |
dc.subject | Opportunities | en_US |
dc.subject | Barriers | en_US |
dc.subject | Lower health units | en_US |
dc.subject | Integrated TB/HIV care | en_US |
dc.subject | Uganda | en_US |
dc.title | Opportunities and barriers for implementation of integrated TB and HIV care in lower level health units: experiences from a rural western Ugandan district | en_US |
dc.type | Article | en_US |