Recording isoniazid preventive therapy delivery to children: Operational challenges

Van Wyk S.S. ; Hamade H. ; Hesseling A.C. ; Beyers N. ; Enarson D.A. ; Mandalakas A.M. (2010)


Despite recommendations to provide isoniazid preventive therapy (IPT) to eligible children aged <5 years who are in close contact with an infectious tuberculosis (TB) case, IPT delivery in high-burden settings remains poor. To evaluate the current system supporting IPT delivery to children in an urban community, South Africa, we reviewed the recording practices of a local clinic regarding management of children exposed to a current adult TB case. No standardised IPT management tools existed. Only 21% of children eligible for IPT had documentation of IPT delivery. There is a need to implement systems that support IPT recommendations in high-burden settings. © 2010 The Union.

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