tb/hiv co-infection care in conflict-affected settings: a mapping of health facilities in the goma area, democratic republic of congo
نویسندگان
چکیده
background hiv/aids and tuberculosis (tb) are major contributors to the burden of disease in sub-saharan africa. the two diseases have been described as a harmful synergy as they are biologically and epidemiologically linked. control of tb/hiv co-infection is an integral and most challenging part of both national tb and national hiv control programmes, especially in contexts of instability where health systems are suffering from political and social strife. this study aimed at assessing the provision of hiv/tb co-infection services in health facilities in the conflict-ridden region of goma in democratic republic of congo. methods a cross-sectional survey of health facilities that provide either hiv or tb services or both was carried out. a semi-structured questionnaire was used to collect the data which was analysed using descriptive statistics. results eighty facilities were identified, of which 64 facilities were publicly owned. tb care was more available than hiv care (in 61% vs. 9% of facilities). twenty-three facilities (29%) offered services to co-infected patients. tb/hiv co-infection rates among patients were unknown in 82% of the facilities. only 19 facilities (24%) reported some coordination with and support from concerned diseases’ control programmes. hiv and tb services are largely fragmented, indicating imbalances and poor coordination by disease control programmes. conclusion hiv and tb control appear not to be the focus of health interventions in this crisis affected region, despite the high risks of tb and hiv infection in the setting. comprehensive public health response to this setting calls for reforms that promote joint tb/hiv co-infection control, including improved leadership by the hiv programmes that accuse weaknesses in this conflict-ridden region.
منابع مشابه
TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo
Background HIV/AIDS and Tuberculosis (TB) are major contributors to the burden of disease in sub-Saharan Africa. The two diseases have been described as a harmful synergy as they are biologically and epidemiologically linked. Control of TB/HIV co-infection is an integral and most challenging part of both national TB and national HIV control programmes, especially in contexts of instability wher...
متن کاملPrioritizing Healthcare Delivery in a Conflict Zone; Comment on “TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo”
Nowhere are the barriers to a functional health infrastructure more clearly on display than in the Goma region of Democratic Republic of Congo. Kaboru et al. report poorly integrated services for HIV and TB in this war-torn region. Priorities in conflict zones include provision of security, shelter, food, clean water and prevention of sexual violence. In Goma, immediate health priorities includ...
متن کاملprioritizing healthcare delivery in a conflict zone; comment on “tb/hiv co-infection care in conflict-affected settings: a mapping of health facilities in the goma area, democratic republic of congo”
nowhere are the barriers to a functional health infrastructure more clearly on display than in the goma region of democratic republic of congo. kaboru et al. report poorly integrated services for hiv and tb in this war-torn region. priorities in conflict zones include provision of security, shelter, food, clean water and prevention of sexual violence. in goma, immediate health priorities includ...
متن کاملPrioritizing Healthcare Delivery in a Conflict Zone Comment on "TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo".
Nowhere are the barriers to a functional health infrastructure more clearly on display than in the Goma region of Democratic Republic of Congo. Kaboru et al. report poorly integrated services for HIV and TB in this war-torn region. Priorities in conflict zones include provision of security, shelter, food, clean water and prevention of sexual violence. In Goma, immediate health priorities includ...
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Due to their carbon sequestration potential, tropical forests are a focal point for mitigation of climate change through Reducing Emissions from Deforestation and Forest Degradation (REDD+). The Democratic Republic of Congo (DRC) contains the largest part of the Congo Basin, the second largest rainforest in the world, and has become a main focus for REDD+ initiatives. However, DRC’s ongoing ins...
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عنوان ژورنال:
international journal of health policy and managementناشر: kerman university of medical sciences
ISSN
دوره 1
شماره 3 2013
کلمات کلیدی
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