The effectiveness of TB & HIV collaboration programme at wellness centre, Kimberley

Enwerem, Martin Ogbonnia (2012-12)

Thesis (MPhil)--Stellenbosch University, 2012.

Thesis

ENGLISH ABSTRACT: This study sought to determine the effectiveness of a TB/HIV collaboration programme in an infectious disease clinic in Frances Baard District, Kimberley, and assess the underlying challenges that clients face while accessing TB and HIV treatment, care and support services from the health care facility. South Africa is facing one of the worst dual epidemics of TB and HIV in the world. It is also described as one of the countries with the highest TB burden in the world. HIV has been shown to fuel the TB epidemic by promoting progression to active disease, both in people with recently acquired and latent disease. Given that a large proportion of TB patients are HIV infected and experience considerable morbidity and mortality, integration of both services at the same service point becomes unavoidable. Data was collection through focus group discussions and self-administered questionnaires. It was clear that TB/HIV programme collaboration has not been optimized. Clients travel from one service point to another to access TB and HIV care. Service delivery sometimes is delayed due to several factors and therefore clients miss the appointments at the other service point. This has led to adherence challenge, treatment default, treatment failure and increasing burden of TB/HIV disease. The research determined that the key to optimize TB/HIV collaboration is to provide both services from the same service point as well as to improve the level of care to the clients. Shared responsibility should be encouraged among service providers/caregivers and clients in an infectious disease unit. Timely interventions to clients will reduce the morbidity rates associated with TB/HIV co-infection and more deaths will be averted especially if full integration is implemented. It is increasingly evident that TB and HIV programmes must collaborate fully to counteract the impact of HIV on TB.

AFRIKAANSE OPSOMMING: Die doel van die studie was om die effektiwiteit van 'n MIV/TB samewerkingsprogram in 'n kliniek in Frances Baard distrik in Kimberley te ondersoek en ook om die onderliggende struikelblokke te bepaal wat pasiënte ondervind wanneer hul vir MIV en TB behandeling na die gesondheidsorg fasilieteit kom. Suid-Afrika word erg geraak deur die gesamentlike epidemie van TB en Vigs. Dit is ook een van die lande met die hoogste TB syfers ter wêreld. MIV infeksie is veel erger onder persone wat reeds TB het. Gegewe dat baie TB pasiënte MIV positief is, is integrasie van beide gesondheidsfunksies onvermydelik. Data is ingesamel deur middel van fokusgroepbesprekings en vraelyste. Dit was duidelik dat TB/MIV programme se samewerking nie optimaal was nie. Pasiënte moet na verskillende punte gaan vir TB en MIV behandeling. Dienslewering word soms vertraag op die een punt en het die gevolg dat die pasiënte sy/haar afspraak by die volgende plek mis. Die navorsing het bevind dat dit beter sal wees om TB sowel as MIV behandeling op een punt te bied. Gedeelde verantwoordelikheid is nodig tussen die gesondheidsdienste en afsetpunte. Vroegtydige behandeling van pasiënte sal TB/MIV sterftes verlaag. Dit is dus duidelik dat TB en MIV programme gesamentlik aangebied moet word om die impak van die twee siektes teen te werk.

Please refer to this item in SUNScholar by using the following persistent URL: http://hdl.handle.net/10019.1/71752
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